Claims representative jobs in Lexington, KY

Job Title: Customer Support Representative Pay Rate: $19/hour Schedule Start remotely with 4-5 weeks of training, then transition to full in-office work for hands-on experience and team collaboration. After 6 months, enjoy a hybrid schedule (3 days in-office, 2 days remote). Responsibilities: Handle a high volume of inbound calls. Assist clients with Cash Management products, online/mobile access, and general inquiries. Deliver top-tier customer service while meeting performance metrics. Learn and adapt quickly to new tools and processes. Work collaboratively with teammates to ensure client satisfaction. Benefits Info Russell Tobin offers eligible employee's comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance and employee discounts with preferred vendors.

We are looking for an enthusiastic and professional Centralized Scheduling Representative to join our growing team. As a Centralized Scheduling Representative, you will be the primary point of contact for our patients and will play a key role in creating a positive experience for them. You will be responsible for greeting patients, routing calls, scheduling appointments, processing consults, registering and scheduling patients. Essential Functions: Professionally greet all patients. Register all new patients. Update all established patient demographics. Accurately enter all insurance information Schedule patient appointments for consultations, medical procedures, and follow-up visits. Process all incoming consultation requests-1st and 2nd calls to patients and return paperwork to the requesting physician office. Indexing of consultation requests and external office records. Professionally handle patient complaints. Follow all policies and protocols of the Central Scheduling Manager, Clinical Manager, and Billing Director. If you are a highly motivated individual with a passion for providing excellent patient care, we encourage you to apply for the Centralized Scheduling Representative position. We offer a competitive salary and benefits package, as well as opportunities for growth and advancement within our organization. Looking for a better work/life balance? Our career opportunities have Monday-Fridays work schedules. Competitive Pay & Benefits: Med/Dental/Vision, Paid Personal Time, Paid Holidays, 401K, Paid STD/LTD/Life PM20 Requirements: Qualified Applicant should have at least 1 year experience in customer service environment, medical office preferable. Excellent oral and written communication skills required. Knowledge of GE-athena Practice management software beneficial but not required. Knowledge of Microsoft Office software beneficial but not required. Ability to operate a computer and basic office equipment required. Ability to operate a multi-line telephone system. Ability to establish and maintain effective working relationships with patients, team-members, and other co-workers. Must be well organized and detail oriented. Work hours: Full Time Monday-Friday 7:30am-4:30pm with occasional overtime PIe966d22c0b30-7819

Country USA State Ohio City Cincinnati Descriptions & requirements About the role: As a Claims Representative with TQL, you will be a vital part of the company's risk management and loss prevention efforts. You will be responsible for managing an evolving portfolio of cargo claims, resolving them through customer, carrier and insurance outreach. This role requires a high attention to detail, customer service and investigative mentality to ensure we continue to have the best Claims team in the industry. What's in it for you: * $17.50 - $22.00/hour * Health, Dental and Vision coverage to best fit your needs, including a plan that takes $0 out of your paycheck + 401(k) with company match * Advancement opportunities within structured career paths * Employee referral bonuses * We win wherever we go - Voted a Fortune 100 Best Companies to Work For (2023) and Forbes America's Best Large Employers (2022) What you'll be doing: * Research reported claims and determine validity of the claim * Manage the documentation and submission process of each claim in your portfolio * Diligently follow up on claims and insurance companies on behalf of TQL and our customers * Collect all necessary documents and information to file, investigate and help resolve claims * Contact carriers, insurance companies, salvage companies and internal/external customers regarding claims made by customers, receivers or shippers * Work with Accounting and Collections staff to resolve carrier and customer accounting issues related to claims What you need: * Experience in claims, insurance, fraud or another related field preferred * Strong, independent decision-making skills while maintaining great relationships with the sales department * Ability to work quickly and handle requests * Capable of meeting multiple deadlines occurring at the same time * Ability to prioritize various requests and handle changing priorities * Excellent organizational skills with strong attention to detail * Good communication skills * Strong customer service orientation * Focused, positive attitude Where you'll be: 4289 Ivy Pointe Blvd Cincinnati, OH Employment visa sponsorship is unavailable for this position. Applicants requiring employment visa sponsorship now or in the future (e.g., F-1 STEM OPT, H-1B, TN, J1 etc.) will not be considered. About Us Total Quality Logistics (TQL) is one of the largest freight brokerage firms in the nation. TQL connects customers with truckload freight that needs to be moved with quality carriers who have the capacity to move it. As a company that operates 24/7/365, TQL manages work-life balance with sales support teams that assist with accounting, and after hours calls and specific needs. At TQL, the opportunities are endless which means that there is room for career advancement and the ability to write your own paycheck. What's your worth? Our open and transparent communication from management creates a successful work environment and custom career path for our employees. TQL is an industry-leader in the logistics industry with unlimited potential. Be a part of something big. Total Quality Logistics is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, genetic information, disability or protected veteran status. If you are unable to apply online due to a disability, contact recruiting at ****************** *

Full-time Description Indiana Farmers Insurance is currently looking for an experienced Field Property Claims Professional to join our Claims Team. This position is focused on all types of structures, including farm and commercial risks. The ideal candidate will service counties in the state of Indiana and will be local to that area. The right candidate will investigate, assess damages, write structural property estimates, make coverage decisions, and ultimately resolve personal, commercial and farm property claims. As a Field Property Claims Representative II with Indiana Farmers Insurance, you will support our vision by driving prompt and fair claims resolutions. Benefits for the Field Property Claims Representative II: Free Health insurance Free Dental insurance Free Vision insurance Free Life insurance Free Short-Term & Long-Term Disability insurance 2% 401k Company Match 11% 401k Company Contribution Excellent Paid Time Off Day of Service Charity Match Program We promote from within our diverse workforce regularly and offer regular opportunities to learn and grow Matching funds of up to $100 annually are available from the company for your favorite charitable organization Associate recognition awards, fun gatherings, and opportunities to make friends are part of our culture An on-site fitness center, as well as free and convenient parking right next to our building make life easier Requirements Qualifications and Responsibilities for the Field Property Claims Representative II include: Experience and understanding of farm policies, farm structures and equipment, required Experience and expertise in writing structural property estimates Must be able to climb, access roofs, basements, crawlspaces, etc. Minimum of three years field property claims experience, with an insurance carrier, required College degree, preferred Professional designation (CPCU, CSLA, AIC, etc.), strongly preferred Identifying, investigating, and referring potentially fraudulent claims Ability to read and interpret policies and endorsements Working knowledge of Xactimate an added benefit Strong analytical and problem-solving skills Possess effective and positive interpersonal communication skills and demonstrating a professional, yet friendly demeanor Ability to set customer expectations and meet and/or exceed them Fairly and accurately assessing claims, in a timely good-faith manner, according to policies, procedures, and guidelines Ability to work independently, be self-motivated, and detail-oriented Ability to effectively cope with difficult individuals and situations Valid driver's license with acceptable motor vehicle record Why work for Indiana Farmers Insurance? Imagine working for an employer like this: 95% retention of its associates over the last 5 years Financially stable as shown by our A- (Excellent) rating by AM Best Truly customer focused A strong legacy of excellent performance throughout our 148 years in business! For more information about Indiana Farmers, please go to ********************************************** Indiana Farmers Insurance is an equal opportunity employer!

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 Indianapolis, IN office, located at 9785 Crosspoint Blvd. 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: $61,700 - $75,400 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.

**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** $67,000.00 - $110,600.00 **Target Openings** 1 **What Is the Opportunity?** Manage Workers' Compensation claims with lost time to conclusion and negotiate settlements where appropriate to resolve claims. Coordinate medical and indemnity position of the claim with a Medical Case Manager. Independently handles assigned claims of low to moderate complexity where Wage loss and the expectation is a return to work to modified or full duty or obtain MMI with no RTW. There are no litigated issues or minor to moderate litigated issues. The claim may involve minor sprains/ minor to moderate surgery The injured worker is working modified duty and receiving ongoing medical treatment. The injured worker as returned to work, reached Maximum Medical Improvement (MMI) and is receiving PPD benefits. File will close as soon as the PPD is paid out. With close to moderate supervision, may handle claims of greater complexity where Injured worker (IW) remains out of work and unlikely to return to position. Employer is unable to accommodate the restrictions. The claim involves moderate to complex litigation issues IW has returned to work, reached Maximum Medical Improvement (MMI), and has PPD. File litigated to dispute the permanency rating and/or causality. IW has been released to work with permanent restrictions and there has been a change in the current position. IW is receiving Vocational Rehabilitation. Claims that have been reopened for additional medical treatment on more complex files. Injuries may involve one or multiple back, shoulder or knee surgeries, knee replacements, claims involving moderate to complex offsets, permanent restrictions and/or fatalities. Claims on which a settlement should be considered. **What Will You Do?** + Conduct investigations, including, but not limited to assessing policy coverage, contacting insureds, injured workers, medical providers, and other parties in a timely manner to determine compensability + Establish and update reserves to reflect claim exposure and document rationale. Identify and set actuarial reserves. Apply knowledge to determine causal relatedness of medical conditions. + Manage files with an emphasis on file quality (including timely contact and proper documentation and proactive resolution of outstanding issues). Achieve a positive end result by returning injured party to work and coordinating the appropriate medical treatment.in collaboration with internal nurse resources where appropriate. + Work in collaboration with specialty resources (i.e. medical and legal) to proactively pursue claim resolution opportunities, (i.e. return to work, structured settlement, and discontinuation of benefits through litigation). Develop strategies to manage losses involving issues of statutory benefit entitlement, medical diagnoses, Medicare Set Aside to achieve resolution through the best possible outcome. + Collaborate with our internal nurse resources (Medical Case Manager) in order to integrate the delivery of medical services into the overall claim strategy. Prepare necessary letters and state filings within statutory limits. + Pursue all offset opportunities, including apportionment, contribution and subrogation. Evaluate claims for potential fraud.Proactively manage inventory with documented plans of action to ensure timely and appropriate file closing or reassignment. + Effectively manage litigation to drive files to an optimal outcome, including resolution of benefits. Understand and apply Medicare Set Asides and allocations. + Negotiate settlement of claims within designated authority. May use structured settlement/annuity as appropriate for the jurisdiction. + 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?** + 2 years Workers Compensation claim handling experience. + Analytical Thinking: Identifies current or future problems or opportunities; analyzes, synthesizes and compares information to understand issues; identifies cause/effect relationships; and explores alternative solutions that support sound decision-making. + Communication: Expresses, summarizes and records thoughts clearly and concisely orally and in writing by applying proper content, format, sentence structure, grammar, language and terminology. + Ability to effectively present file resolution to internal and/or external stakeholders. + Negotiation: Intermediate ability to understand alternatives, influence stakeholders and reach a fair agreement through discussion and compromise. + General Insurance Contract Knowledge: Interprets policies and contracts, applies loss facts to policy conditions, and determines whether or not a loss comes within the scope of the insurance contract. + Principles of Investigation: Intermediate investigative skills including the ability to take statements. + Follows a logical sequence of inquiry with a goal of arriving at an accurate reconstruction of events related to the loss. + Value Determination: Intermediate ability to determine liability and assigns a dollar value based on damages claimed and estimates, sets and readjusts reserves. + Settlement Techniques: Intermediate ability to assess how a claim will be settled, when and when not to make an offer, and what should be included in the settlement offer package. + Legal Knowledge: General knowledge, understanding and application of state, federal and regulatory laws and statutes, rules of evidence, chain of custody, trial preparation and discovery, court proceedings, and other rules and regulations applicable to the insurance industry. + Medical knowledge: Intermediate knowledge of the nature and extent of injuries, periods of disability, and treatment needed. + WC Technical: + Intermediate ability to demonstrate understanding of WC Products and ability to apply available resources and technology to resolve claims. + Demonstrate a clear understanding and ability to work within jurisdictional parameters within their assigned state. + Intermediate knowledge, understanding and application of state, federal and regulatory laws and statutes, rules of evidence, chain of custody, trial preparation and discovery, court proceedings, and other rules and regulations applicable to the insurance industry. + Customer Service: + Advanced ability to build and maintain productive relationships with our insureds and deliver results with optimal outcomes. + Teamwork: + Advanced ability to work together in situations when actions are interdependent and a team is mutually responsible to produce a result. + Planning & Organizing: + Advanced ability to establish a plan/course of action and contingencies for self or others to meet current or future goals. + Maintain Continuing Education requirements as required or as mandated by state regulations. **What is a Must Have?** + High School Diploma or GED. + 1 year Workers Compensation claim handling experience or successful completion of the WC trainee 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 ******************************************************** .

Are you looking for an opportunity to join a fast-growing company that consistently outpaces the industry in year-over-year growth? Liberty Mutual offers exciting openings for Workers Compensation Claims Specialists within the Central Region! As a Workers Compensation Claims Specialist, the successful candidate will join a dedicated Claims Team, utilizing the latest technology to manage a caseload of routine to moderately complex claims. Responsibilities include investigating claims, assessing liability and compensability, evaluating losses, and negotiating settlements. The role involves interactions with claimants, policyholders, appraisers, attorneys, and other third parties throughout the claims management process. The position offers training developed with an emphasis on enhancing skills needed to help provide exceptional service to our customers. Training is a critical component of your success, and that success starts with reliable attendance. Attendance and active engagement during training are mandatory. Training will require 1 week in our Plano, TX office onsite in February 2026. This position may be filled as a Workers Compensation Associate Claims Specialist, Workers Compensation Claims Specialist I, or a Workers Compensation Claims Specialist II. The salary range posted reflects the range for the varying pay scale across various locations. To be considered for this position, candidates must reside within 50 miles of Hoffman Estates, IL, or Indianapolis, IN, and will be required to work in the office twice a month. Candidates located in Ohio, Montana, and Virginia are eligible for 100% remote work, as we do not have claims offices in these states. Please note that this policy is subject to change. Responsibilities Manages an inventory of claims to evaluate compensability/liability. Establishes action plan based on case facts, best practices, protocols, regulatory issues and available resources. Plans and conducts investigations of claims to confirm coverage and to determine liability, compensability and damages. Assesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim, refers claims to the subrogation group or Special Investigations Unit as appropriate. Evaluates actual damages associated with claims and conducts negotiations, within assigned authority limits, to settle claims. Performs other duties as assigned. Qualifications Effective interpersonal, analytical and negotiation abilities required Ability to provide information in a clear, concise manner with an appropriate level of detail Demonstrated ability to build and maintain effective relationships Demonstrated success in a professional environment; success in a customer service/retail environment preferred Effective analytical skills to gather information, analyze facts, and draw conclusions; as normally acquired through a bachelor's degree or equivalent Knowledge of legal liability, insurance coverage and medical terminology helpful, but not mandatory Licensing may be required in some states About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices California Los Angeles Incorporated Los Angeles Unincorporated Philadelphia San Francisco We can recommend jobs specifically for you! Click here to get started.

Join Our Team as a Claims Negotiation Specialist! Are you a strategic thinker with a passion for driving business growth and innovation? We are looking for a Claims Negotiation Specialist to develop data-driven strategies, identify new opportunities, and optimize business performance for long-term success. Why You'll Love This Role: 📈 High-Impact Role - Shape business strategies that drive sustainable growth. 🚀 Career Advancement - Access professional development and leadership opportunities. 💡 Strategic Influence - Work closely with decision-makers to implement winning strategies. 💰 Competitive Compensation - Earn a stable income with performance-based incentives. Your Responsibilities: Analyze market trends, business performance, and competitive landscapes to identify growth opportunities. Develop and implement data-driven growth strategies that optimize revenue and profitability. Collaborate with cross-functional teams to align business strategies with company objectives. Provide strategic recommendations on market expansion, customer acquisition, and operational efficiencies. Monitor key performance indicators (KPIs) and adjust strategies to maximize success. Identify and mitigate potential risks while exploring new business opportunities. What We're Looking For: Proven experience in business strategy, growth consulting, or a related field. Strong analytical and problem-solving skills with expertise in market analysis. Ability to develop and execute scalable growth strategies. Excellent communication and presentation skills. Experience working with executive leadership to drive business decisions. Perks & Benefits: Professional development and continuous learning opportunities. Health insurance and retirement plans. Performance-based bonuses and recognition programs. Leadership growth and career advancement opportunities. 🚀 Ready to Drive Business Growth? If you're passionate about helping businesses scale and succeed, apply today! Join us and be a key player in shaping innovative growth strategies. Your journey as a Claims Negotiation Specialist starts here-let's unlock new opportunities together!

Job Description Review health claims for the Medicare Supplement line of business. Interact with internal and external customers to answer questions, resolve issues, and address concerns while maintaining a professional image through excellent telephone etiquette and top-notch customer service. RESPONSIBILITIES AND DUTIES Approve or reject health claims according to Everence's policy and certificate guidelines. Complete data entry into Group+ to adjudicate claims charges. Perform appropriate correspondence via letter or telephone for claim completion. Answer inquiries regarding eligibility and confirmation of benefits for coverage of proposed services for Medicare Supplement plans. Answer inquiries regarding the status of claims payment for Medicare Supplement plans. Document all customer service contacts. Perform other duties and assignments as requested by the manager. QUALIFICATIONS Education: High School graduate preferred Experience: Medical or insurance background is desirable Skills and Abilities: Excellent verbal and written interpersonal and communication skills, including advanced listening skills. Customer-focused with the ability to adapt and respond sensitively to various customer types Demonstrates positive leadership skills and takes initiative Ability to make quick and appropriate decisions despite interruptions Flexibility in adapting to changing work patterns and fluctuating workloads Excel at problem solving Strong attention to detail with the ability to multitask and prioritize while managing time efficiently Skilled in using Microsoft Office software Ability to cultivate and sustain a strong sense of teamwork SUPERVISORY RESPONSIBILITIES: None SCHEDULE: Full-time

Job Details Ohio Location - Walbridge, OH Full Time Equivalent Work Experience $22.50 Hourly None Third ManufacturingDESCRIPTION SIGN ON BONUS up to $5,000.00! Shift Available: 3rd Shift: 10:30pm - 6:30am, Sun - Thrs. $21.50 base + $1.00 shift premium = $22.50 start rate. Are you a hands-on problem solver? If you love tinkering with machinery and turning ideas into reality, this is your chance to shine in our climate-controlled facility. Do you have the mechanical ability but no chance for advancement, and no one will invest the time to train you? Are you looking for a Career and not just a job? APPLY with Western States, we will invest the time to train candidates for this role. We are looking for candidates with hands-on mechanical ability who have had experience setting up orders on machines AND hands-on troubleshooting machines in a production/manufacturing OR candidates with experience in an auto/fleet mechanic environment. We seek a skilled and detail-oriented Order Setup Operator (Adjuster) to join our production team at our Walbridge plant just minutes from Perrysburg! This role ensures efficient and smooth operations by setting up and configuring machinery for production runs. This role involves operating all machines in the department, setting up work orders to specifications, troubleshooting, and performing daily maintenance and minor repairs on envelope folding machines. Do you worry about stability? Western States has a history of over 117 years, where 48% of their current staff have been with the company for 10 years or more. (We did the math!). Check out our Western States Facebook page to see some of the fun things we have done in Western States over the past century! HERE'S WHAT MAKES WESTERN STATES A GREAT PLACE TO WORK: Competitive compensation: Comprehensive benefits package including 401k with company match. Work-life balance: 9 paid holidays to help you recharge and enjoy time with loved ones. Growth potential: Join a company with a long history and a commitment to employee development. Stability: Family-owned company since 1908! WHAT DOES MY WORKDAY LOOK LIKE IN THIS ROLE? As a key member of our Folding Department, you'll ensure the smooth and efficient operation of our machinery. Your responsibilities will include: Performing daily machine maintenance, changeovers, and set-ups. Inspecting products and making necessary mechanical adjustments to eliminate quality variations and address mechanical malfunctions. Troubleshooting minor operating difficulties using hand tools. Executing minor machine repairs. Operating all machines within the Folding Department. Examining work orders to determine production specifications. Inspecting product quality following established guidelines. Verifying order accuracy throughout production, including labeling, printing, and packaging. Performing machine wash-up and other general cleaning duties to maintain a tidy workspace. Accurately completing paperwork for labor, time, and quality tracking. Maintaining precise counts of envelopes for boxing, cartonizing, and palletizing. Neatly and uniformly packing envelopes into containers, keeping pace with machine speeds. Placing die-cut paper stacks into machine feeds and splicing paper rolls into web machine feeds. QUALIFICATIONS SUCCESSFUL PEOPLE IN THIS ROLE HAVE THE FOLLOWING SKILLS Demonstrated expertise as Set-Up Operator, Envelope Adjuster or Auto Mechanic. Industry on an RA and/or WD machine in a position of similar skill set and level of responsibility within the Envelope Industry preferred, but not required. 5 years machine set-up and/or repair experience preferred. Proven ability to set up orders on production manufacturing equipment, mechanic, automotive, fleet mechanic, or farm mechanic. Capacity to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Capable of speaking effectively with employees of the organization. Aptitude to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Proficiency in reading and interpreting ruler measurements. Ability to walk and stand frequently during an eight-hour shift. Ability to move up to 50 lbs. PREFERRED QUALIFICATIONS Prior Manufacturing experience in a similar role using hand tools to set up orders in a production environment. ESSENTIAL FUNCTIONS Ability to stand for the approximate duration of the scheduled shift (minus paid breaks), lift up to 20 lbs frequently and up to 50 lbs occasionally, repetitive grasping, frequent twisting, lifting above shoulder height, occasional bending, reaching, crouching, or stooping. Sensory requirements are tactile/touch with hands and digits, near and far visual acuity, color vision, peripheral vision, depth perception, and the ability to adjust focus. Reasoning, mechanical aptitude, and mathematical skills for the appropriate operations of the equipment.

Delta Dental of Kentucky is looking for a dynamic individual to fill the role of Benefit Specialist in our Louisville, Kentucky office. Job Summary: To analyze and adjudicate dental claims while working in a variety of areas. Provide support within the Claims department and across the organization in resolving claims related issues. Primary Job Responsibilities: Administer, analyze, adjudicate and process claims in accordance with benefit contracts and plan policies; assist department to resolve claim issues; maintain claim records. Work closely with other departments for inquiries regarding claims processed. Cross-train on various queues and jobs to allow for coverage when other staff members are out of the office. Perform coding and resolution of pending claims to meet or exceed department production standards. Provide character correction of claims or other documents submitted from customers or providers into our processing system. Manually enter claims on a limited basis. Review claims for proper documentation and route to Dental Consultants for review based on the procedures submitted. Work directly with the Dental Consultant to resolve issues and determine benefit. Mail letters with incomplete addresses to dentists and members for additional information. Determine documentation required if there is need for additional information. Maintain required production and quality standards established by the department and contribute to the accomplishment of team goals. Provide dental expertise and/or interpretation of dental policies, procedures codes, and processing guidelines to internal and external contacts. Recommend policy changes for the department. Receive and create an adjustment to indicate money is credited back to the claim; types of adjustments performed are corrections, void/stop payment, full refunds, partial refunds, adjust/no pay and reissues, and special check requests when necessary. Perform other related assigned duties as necessary to complete the Primary Job Responsibilities as described above. Minimum Qualifications: Position requires a high school diploma or equivalent. Three years' experience working in a medical or dental related claims position preferred. Dental assistant training or certification and/or related dental office experience a plus. Will accept any suitable combination of education, training, or experience. Position requires intermediate PC keyboarding and Microsoft Windows-based programs, and candidate must meet the company's PC testing standards to be considered. Strong communication skills and the ability to learn and access different queues to allow work in a variety of queues at one time throughout the workday required. Delta Dental of Kentucky, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, or veteran status.

At Delta Faucet, we are committed to transforming everyday experiences with water through innovative products and exceptional service. As a leader in the plumbing industry, we take pride in our dedication to quality, sustainability, and customer satisfaction. We believe that diverse perspectives strengthen our mission to create solutions that inspire and elevate the lives of all our customers. We welcome individuals from all backgrounds to join us on this journey toward inclusivity and excellence. Your Role at Delta Faucet Delta Faucet Company has an opportunity for someone who enjoys resolving consumer and customer issues to ensure satisfaction with our products. When an experience with a Delta Faucet product does not meet expectations, this employee works in a team environment to resolve the issue. The Product Claims Specialist will research and address inquiries from customers and/or agencies that distribute Delta Faucet products. This team member should be prepared to connect with consumers and customers with efficiency and excellence by phone, e-mail, in person, or through other channels. The successful candidate will be able to work with a team as well as independently and have excellent follow-up and accountability for tasks. This will be a hybrid role in our Indianapolis headquarters. Responsibilities Review returned products and call data to take next steps to resolve a customer's issue Monitor e-mail and mail for receipt of subrogation or litigation paperwork and request / file needed information; communicate with Delta and Masco personnel as needed to resolve Review Product Return data in Smartsheet and update the submitted data as needed Evaluate Level 1 Product Returns and determine if the claim should be dispositioned or submitted to Delta's test lab for further evaluation Submit returned product to Delta's test lab for evaluation when needed to evaluate product performance Leverage internal information to answer questions from customers and internal personnel; questions can be both general and technical in nature Communicate directly with customers, consumers, Contact Center employees, and sales personnel Work with Delta Faucet's engineers and other technical resources to understand potential product issues and resolution Request inspection of in-house stock when there is a potential non-conformance Monitor and respond to on-line portal concerns professionally and efficiently Work with product development teams on coordination of product field trials Stay up to date on product changes and new products that are introduced Address consumer or customer dissatisfaction with care, patience, and concern Respond positively when faced with fast-paced decision making Elevate issues within Delta Faucet Company when necessary Additional responsibilities or projects may be assigned Qualifications The ideal candidate will possess a degree from a 4-year college or university and customer service experience Working knowledge of Delta's products or plumbing products is desired Proficient use of software, including the use of Microsoft products and Smartsheet, is required; SAP and Salesforce experience are a plus The demonstrated ability to handle multiple tasks concurrently with attention to detail is required The employee will need to make business decisions with little supervision The candidate must possess strong written and verbal communication skills and must exhibit a high degree of professional excellence characterized by good judgment, initiative, and a high standard of ethics A consistent track record of successfully completing assigned responsibilities without direct supervision required Why Join Us? At Delta Faucet Company, our people are our greatest assets. We value different perspectives and fostering an inclusive environment. You'll have the opportunity to shape the future of our brand, working alongside passionate professionals committed to excellence and innovation. Join us to lead progressive growth and make a significant impact within a leading organization. Here are some of the benefits we offer for your personal and professional growth: Culture: Recognized and award-winning reputation for equality, diversity and inclusion, flexibility, work-life balance, and more. Wellbeing: Comprehensive benefit plans; retirement, savings, tuition reimbursement, and employee incentive programs; resources for mental, physical, and financial wellbeing. Learning & Development: LinkedIn Learning access; internal opportunities to work on projects cross-company. Social Impact: Four employee-led and self-directed Business Resource Groups; Paid volunteer day annually; Employees share their time, skills and talent with charities and nonprofit organizations across the U.S. and around the globe. Company: Delta Faucet CompanyFull time Hiring Range: $20.70 - $32.45Actual compensation may vary based on various factors including experience, education, geographic location, and/or skills. Delta Faucet Company (the “Company”) is an equal opportunity employer and we strive to employ the most qualified individuals for every position . The Company makes employment decisions only based on merit. It is the Company's policy to prohibit discrimination in any employment opportunity (including but not limited to recruitment, employment, promotion, salary increases, benefits, termination and all other terms and conditions of employment) based on race, color, sex, sexual orientation, gender, gender identity, gender expression, genetic information, pregnancy, religious creed, national origin, ancestry, age, physical/mental disability, medical condition, marital/domestic partner status, military and veteran status, height, weight or any other such characteristic protected by federal, state or local law. The Company is committed to complying with all applicable laws providing equal employment opportunities. This commitment applies to all people involved in the operations of the Company regardless of where the employee is located and prohibits unlawful discrimination by any employee of the Company. Delta Faucet Company is an E-Verify employer. E-Verify is an Internet based system operated by the Department of Homeland Security (DHS) in partnership with the Social Security Administration (SSA) that allows participating employers to electronically verify the employment eligibility of their newly hired employees in the United States. Please click on the following links for more information. E-Verify Participation Poster: English & Spanish E-verify Right to Work Poster: English, Spanish

Job Description An Account Resolution Specialist I is responsible for researching and identifying unpaid, partially paid, incorrectly paid or denied claims. They must follow-up with insurance carriers verbally or via on-line tools and properly discuss the problem with the knowledge of how to negotiate payment/additional payments on all claims. In the event the needs arise, they will also resubmit a corrected claim and/or follow-up with patients regarding the issue(s) as needed. Minimum Education Must have a high-school diploma or a GED. Minimum Work Experience No prior work experience in this related field is required at this level. Required Skills Customer service Must have general Microsoft Office (Word, Excel, PPT, and Outlook) experience. Ability to manage their time in order to meet job requirements. Ability to review an account and come to a decision as to what the proper solution would be to resolve the account. Must be a team player. Screening Requirements: Drug Screen Tuberculosis Test Background Check Physical Exam Respirator Fit Eligible Benefits: Medical, Dental and Vision *Excellent Low Premiums!*- No copays or Deductibles when utilizing MCCH services! Life Insurance *ZERO premium* Retirement Plan Paid Time Off Bereavement Bridge Coverage *ZERO premium for self-coverage when enrolled in medical coverage Tuition Reimbursement Our Mission: To improve the lives of those we serve by providing outstanding care and services through our confident, compassionate and exceptional healthcare professionals. Our Vision: To be chosen by our community and expanded service region based on proven outcomes as the trusted provider to care for their families, friends and neighbors. Our Values: Competence, Excellence, Compassion, Respect and Integrity.

Position Overview: Aid in the manufacturing of Fox Products double reed instruments by assessing the strengths and weaknesses of all Fox Products bassoons, adjust a fully padded instrument, and assist in the development of final assembly personnel in the Bassoon Finishing Department. Responsibilities & Duties Adjust padded bassoons to current specifications Ensure pads are seated and create a proper seal Ensure connections, key fits, and spring tensions meet current specifications Participate in cross-functional team to help define best practices Represent Fox Products positively to the music community Clearly understand and communicate outside feedback to the department supervisor Ability to visualize an assembly and understand how the components fit together Experience working with light machinery, drill motors, reamers, sanders and buffers Experience using small hand and power tools Experience using measuring tools, calipers and scale. Knowledge on how to read fractions and decimals preferred Ability to solder small metal parts using a brazing method with small flame torch Competency at performing focused work on small parts with a high level of attention to detail and quality Ability to work with small intricate metal parts. Ability to grind, bend, shape and fit metal parts Good manual dexterity & ability to assemble small components Leader within the department. Assist department supervisor with moving the business forward through positive change Perform other tasks and duties as requested by supervisor Qualifications Bachelor of Music or higher. Bassoon Performance preferred Ability to play the bassoon at a high level Strong mechanical knowledge Demonstrate knowledge of policies, standards, operations, cleaning and maintenance techniques Show initiative and make suggestions on operational procedure and conditions Ability to communicate clearly and effectively in many mediums Disciplined, detail oriented, punctual, and quality minded Empathetic and positive attitude Organized and results-driven with great problem-solving skills Self-motivated with ability to multitask and thrive in a timeline-driven environment Collaborative and team-oriented personality Ability to follow all safety regulations Employee Benefits: Flexible Work schedule allowed once trained. Work 5, 8 hours day or 4, 10 hour days with flexible start and end times Benefits provided 1st of the month following start date.

Description Advance your career at Liberty Mutual - A Fortune 100 Company! Manages, investigates and resolves claims assigned and assists in providing service to policyholders. Responsibilities: Manages, investigates, and resolves claims. Investigates and evaluates coverage, liability, damages, and settles claims within prescribed authority levels. Identifies potential suspicious claims and refers to SIU and identifies opportunities for third party subrogation. Communicates with policyholders, witnesses, and claimants in order to gather information regarding claims, refers tasks to auxiliary resources as necessary, and advise as to proper course of action. Responds to various written and telephone inquiries including status reports. Ensures adequacy of reserves. Accountable for security of financial processing of claims, as well as security information contained in claims files. Makes effective use of loss management techniques. Negotiates settlements with attorneys, claimants, and/or co-defendants. Arranges for expert inspections involving third party or potential fraud actions as needed. Updates files and provides comprehensive reports as required Qualifications Qualifications: Strong written and oral communications skills required. Good interpersonal, analytical, investigative, and negotiation skills required. Customer service experience preferred. Basic knowledge of legal liability, general insurance policy coverage and State Tort Law. Bachelor's degree is required. Ability to obtain proper licensing as required. We can recommend jobs specifically for you! Click here to get started.

Claims Specialist needs 1 year claims system experience, preferably in the Healthcare industry Claims Specialist requires: College degree or equivalent experience required Minimum of 1 year claims system experience, preferably in the Healthcare industry Basic analytical and problem solving skills Good communication and interpersonal skills Ability to work independently and with others Ability to manage more than one assigned tasks at the same time Claims Specialist duties: Responsible for setting up new Managed Care groups in the claims system Responsible for fulfilling requested revisions to existing Managed Care group in the claims system (except Reseller product changes) Responsible for creating standard products in the system (using the Product Key Sheet method) Responsible for performing audits on client setup or maintenance requests (excludes complex product configuration requests) Follow the established corporate and industry audit controls (i.e. SOX, SSAE 18, etc.) when fulfilling setup and maintenance requests Resolve client structure setup questions/issues sent to the team with minimal supervisor guidance Maintain relationships with Implementation Managers and Account Managers to facilitate fulfillment of implementation questions and requests in a timely manner

* 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

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

We are seeking a Pharmacy Adjudication Specialist at our Specialty pharmacy in Louisville, KY. This will be a Full-Time position. This position must be located within driving distance to our pharmacy, with a hybrid work style. Onco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of community, oncology and hematology physicians, patients, payers, and manufacturers. Starting salary from $20.00 an hour and up Sign-On Bonus: $5,000 for employees starting before January 1, 2026. We offer a variety of benefits including: Medical; Dental; Vision 401k with a match Paid Time Off and Paid Holidays Tuition Reimbursement Company paid benefits - life; and short and long-term disability Pharmacy Adjudication Specialist Major Responsibilities: The Pharmacy Adjudication Specialist will adjudicate pharmacy claims, review claim responses for accuracy. ensure prescription claims are adjudicated correctly according to the coordination of benefits, resolve any third-party rejections, obtain overrides if appropriate, and be responsible for patient outreach notification regarding any delay in medication delivery due to insurance claim rejections Pharmacy Adjudication Specialists at Onco360... Practices first call resolution to help health care providers and patients with their pharmacy needs, answering questions and requests. Provides thorough, accurate and timely responses to requests from pharmacy operations, providers and/or patients regarding active claims information.. Ensures complete and accurate patient setup in CPR+ system including patient demographic and insurance information. Adjudicates pharmacy claims for prescriptions in active workflow for primary, secondary, and tertiary pharmacy plans and reviews claim responses for accuracy before accepting the claim. Contacts insurance companies to resolve third-party rejections and ensures pharmacy claim rejections are resolved to allow for timely shipping of medications. Performs outreach calls to patients or providers to reschedule their medication deliveries if claim resolution cannot be completed by ship date and causes shipment delays Ensures copay cards are only applied to claims for eligible patients based on set criteria such as insurance type (Government beneficiaries not eligible) Manages all funding related adjudications and works as a liaison to Onco360 Advocate team. Assists pharmacy team with all management of electronically adjudicated claims to ensure all prescription delivery assessments are reconciled and copay payments are charged prior to shipment. Serves as customer service liaison to patients regarding financial responsibility prior to shipments, contacts patients to communicate any copay discrepancy between quoted amount and claim and collects payment if applicable. Document and submit requests for Patient Refunds when appropriate. Pharmacy Adjudication Specialist Qualifications and Responsibilities... Education/Learning Experience Required: High School Diploma or GED. Previous Experience in Pharmacy, Medical Billing, or Benefits Verification, Pharmacy Claims Adjudication Desired: Associate degree or equivalent program from a 2 year program or technical school, Certified Pharmacy Technician, Specialty pharmacy experience Work Experience Required: 1+ years experience in Pharmacy/Healthcare Setting or pharmacy claims experience Desired: 3+ years experience in Pharmacy/Healthcare Setting or pharmacy claims experience Skills/Knowledge Required: Pharmacy/NDC medication billing, Pharmacy claims resolution, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, NCPDP claim rejection resolution, coordination of benefits, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills Desired: Knowledge of Foundation Funding, Specialty pharmacy experience Licenses/Certifications Required: Registration with Board of Pharmacy as required by state law Desired: Certified Pharmacy Technician (PTCB) Behavior Competencies Required: Independent worker, good interpersonal skills, excellent verbal and written communications skills, ability to work independently, work efficiently to meet deadlines and be flexible, detail-oriented, great time-management skills #Company Values: Teamwork, Respect, Integrity, Passion