Senior claims examiner jobs near me

OBJECTIVE Senior Casualty Claims Representative Objective To provide efficient adjustment, processing, and settlement of casualty claims, including large and/or complex casualty claims consistent in accordance with established adjusting procedures while providing a WOW! customer experience and also controlling loss and loss adjustment expenses. RESPONSIBILITIES Senior Casualty Claims Representative Responsibilities Investigate and interpret policy as it pertains to the loss, including large and/or above-average complicated claims, evaluate liability, negotiate settlement or declination, and defend Farm Bureau insureds according to Farm Bureau insurance contracts. Accomplish function under minimal supervision with emphasis on customer service and controlling loss and loss adjustment expenses. Evaluate insurance coverage based on loss notice, insurance policies, applicable statutes and case law to determine if insurance coverage is afforded. Obtain all documentation necessary to determine liability and damages of alleged bodily injury or property damage through a thorough investigation focusing on key issues. QUALIFICATIONS Senior Casualty Claims Representative Qualifications Required Bachelor's degree required, with emphasis on insurance preferred, or equivalent experience may be considered. Minimum five to ten years' experience required. Keyboarding skills of 40 wpm required. Must possess outstanding listening and customer service skills. Knowledge of computers and various software including Microsoft Office products required. Must possess a valid driver license with an acceptable driving record. Designation in AIC, CPCU, SCLA or similar insurance designation required, or actively being pursued. Note: This is a work from home position within Michigan primarily covering these Michigan counties: Allegan, Barry, Berrien, Branch, Calhoun, Cass, Eaton, Hillsdale, Ionia, Jackson, Kalamazoo, Kent, Lenawee, Macomb, Mecosta, Monroe, Montcalm, Muskegon, Newaygo, Oakland, Oceana, Ottawa, St. Joseph, Van Buren, Washtenaw, Wayne. Farm Bureau offers a full benefit package including medical, dental, vision, and 401K. PM19 We can recommend jobs specifically for you! Click here to get started.

Job DescriptionSenior Property Desk Examiner (remote) Raphael & Associates is a third-party claims administrator and independent claims adjusting company internationally recognized for exceptional service. We understand the importance of adapting to the demands of a dynamic market and tailoring our services to our client's specific needs. As a claims organization, what we do is complex. Our mission is simple: to provide outstanding service, retain extraordinary professionals, and utilize the best technology in the industry! As a leading organization in the industry, we offer dynamic and challenging opportunities to individuals who want to make a difference. We value camaraderie, vision, a passion for excellence, creativity, and a “roll-up-your-sleeves, get it done” mentality. We are searching for experienced, energetic, creative, and self-reliant professionals for exciting career opportunities! Job Summary: The work of our inside desk examiners directly contributes to the success of our organization. You will be able to make a meaningful impact by leveraging your industry expertise, customer service skills, and ability to manage priorities in a fast-paced environment. We are currently growing and are looking for a TPA Property Claims Examiner with a minimum of five years of experience in this discipline of the insurance claims industry. The optimal candidate will be a team player with experience handling Residential and Commercial Property damage claims. This position allows the right candidate to expand their career and grow with a forward-thinking organization. Responsibilities: End-to-end management of property claims according to policy coverage and state requirements. Conduct thorough investigations to determine damages. Ability to evaluate property damage estimates provided by field adjusters. Recognition of subrogation potential. Work well with internal and external customers to provide superior reports that allow proper evaluations of claim values. Appropriately represent the company by executing a high level of service and maintaining professionalism at all times. Key requirements: At least 5+ years of relevant experience Must maintain current and valid adjuster license(es) Strong project management skills and ability to work independently Strong working knowledge of insurance laws Strong verbal and written communication skills Excellent customer service skills Experience at a Third-Party Administrator (TPA) company is a plus but not mandatory Benefits and Perks: We are an organization that recognizes and appreciates hard work! We offer a competitive compensation package commensurate with experience, including salary, bonus, paid time off, medical/dental/vision/life insurance, and 401k (with matching!). Most importantly, you will have the opportunity to work directly alongside an extraordinary and dedicated team to grow a critical function within a dynamic, growing company! Powered by JazzHR hyj4R4DF5a

*5 years WC experience combined in WC *Remote (Must live in CA) *California License SIP not needed but is a plus *4850 (if not can train) *Bilingual (Not necessarty but a plus) $80-$94k

About Carl Warren & Company Carl Warren & Company is a national third-party claims administrator with a long-standing reputation for delivering tailored claims management solutions. We focus on accountability, responsiveness, accuracy, and client service. Our success is driven by strong partnerships, deep claims expertise, and a commitment to reducing overall loss costs while supporting client goals. Our clients rely on us during critical moments. That trust is rooted in our people-claims professionals who bring skill, clarity, and a service-first mindset. Our culture encourages collaboration, diversity, and professional growth. It's not just what we do-it's how we do it that sets us apart. Position: Senior Claims Examiner Location: Hybrid Pheonix, AZ Reports to: Claims Manager or AVP, Claims Role Overview: The Senior Claims Examiner is responsible for managing a range of complex and high-exposure claims, including commercial auto, non-emergency medical transport, trucking liability, and general liability claims. This includes full-cycle claims handling from coverage analysis through resolution. The role requires technical expertise, strong communication, and independent judgment while upholding Carl Warren's standards for quality and timeliness. Key Responsibilities: Manage a caseload of high-exposure and/or litigated claims from inception to resolution Perform coverage analysis and issue reservation of rights or denial letters as needed Conduct thorough investigations including gathering facts, assessing liability, and evaluating damages Engage and direct defense counsel, independent adjusters, and subject matter experts Attend mediations, settlement conferences, depositions, and trials as needed Prepare detailed claim summaries for internal reviews and client reporting Accurately set and maintain reserves in line with company guidelines Ensure all claim activities are properly documented and in compliance with company and client standards Identify opportunities to control both indemnity and expense costs Represent Carl Warren professionally with clients, brokers, and vendors Travel may be required based on claim activity Qualifications: Minimum 10 years of experience in Auto , General Liability, Public Entity Strong background in litigated and complex liability claims; PIP experience a plus High school diploma or equivalent required; Bachelor's degree preferred Professional insurance designation (e.g., AIC, CPCU) preferred Proficiency in Microsoft Office and basic claims systems Active adjuster license(s) in applicable jurisdictions Key Competencies: Communication Clear, consistent verbal and written communication Capable of delivering presentations and facilitating claim reviews Builds trust with internal teams, external partners, and clients Decision Making & Problem Solving Makes sound, timely decisions based on available information Considers broader business impact when evaluating resolution strategies Seeks input from peers, legal experts, and clients when appropriate Customer Service Maintains a client-focused mindset in claims handling Keeps all stakeholders informed throughout the claim lifecycle Upholds Carl Warren's commitment to service excellence Results-Driven Meets or exceeds performance targets for file quality, resolution time, and cost control Handles complex files with minimal supervision Delivers consistent outcomes in fast-paced and evolving environments Strategic Claims Thinking Understands broader business objectives when managing claims Continuously assesses and adjusts strategy based on developments and trends Evaluates risk and resolution options holistically Technical Expertise Deep knowledge of liability claims handling Experienced in litigation management and vendor oversight Maintains up-to-date knowledge of legal and regulatory trends

About Us: Judi Health is a health technology company offering a wide range of benefits administration solutions for employers and health plans. This includes Capital Rx, a public benefit corporation that provides full-service pharmacy benefit management (PBM) solutions to self-insured employers; Judi Health™, which offers comprehensive health benefit management solutions for employers, TPAs, and health plans; and Judi , the industry's leading proprietary Enterprise Health Platform. To learn more, visit **************** Location: Hybrid (Local to NYC or Denver areas) or Remote-US Position Summary: The Senior Claims and Encounters Analyst will assist the Claims and Encounters team lead with all operational functions related to government programs. This role requires deep expertise in regulatory compliance for all claims and encounters operations. Cross-functional collaboration will be essential to ensure the integrity and efficiency of all government program processes. The Senior Analyst will also mentor team members and contribute to strategic initiatives that enhance Capital Rx's government programs operations. Position Responsibilities: Support the team lead with day-to-day operational tasks related to claims processing, including testing, troubleshooting, documentation and Encounter Data submissions. Oversee error handling and change management for Encounters, ensuring compliance with CMS, State and client requirements. Conduct root cause analysis and implement corrective actions for operational issues, collaborating across departments to drive resolution. Monitor claims processing and adjudication trends, identifying systemic issues and opportunities for process improvement. Manage complex claims corrections, including retro-eligibility changes, COB adjustments, and other regulatory-driven updates. Serve as a subject matter expert (SME) for Medicare, Medicaid and Exchange operations, supporting internal teams and external stakeholders. Support development and testing of operational processes, tools, and project deliverables. Establish and promote best practices for government programs operations, ensuring scalability and compliance. Support product strategy and service delivery by leveraging deep knowledge of Medicare & Medicaid regulatory environments. Stay current on CMS/State regulatory guidance updates, translating changes into actionable operational strategies. Mentor and guide analysts, fostering professional development and knowledge sharing. Maintain current knowledge of Medicare, Medicaid and Exchange requirements to facilitate compliance of ongoing business operations. Responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance. Minimum Qualifications: 5+ years of experience in PBM or Health Plan operations, with a focus on Medicare Part D and/or Medicaid programs. Proven expertise in Medicare regulatory requirements and operational workflows, including PDE, and Encounter Data. Advanced MS Excel skills (pivot tables, complex formulas, data modeling); familiarity with SQL or other data tools is a plus. Demonstrated ability to lead cross-functional projects and manage competing priorities in a fast-paced environment. Strong analytical and problem-solving skills, with a track record of driving operational improvements. Excellent communication and stakeholder management skills, including experience presenting to leadership. Experience mentoring or managing junior team members is preferred. Deep understanding of CMS compliance requirements and audit readiness. Highly organized, detail-oriented, and committed to delivering high-quality work. Salary Range$85,000-$95,000 USD This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Job Description Senior Claims Examiner - Insurance - Salary to $140k - Remote Our client, a 80+ year insurance company, is looking for a remote Senior Claims Examiner specifically from a private practice to join their team. They specialize in commercial auto and general liability insurance. They are looking for claims professionals who have commercial auto bodily injury and litigation management experience. Responsibilities: You will be responsible for investigating, evaluating, providing defense if appropriate, negotiating and resolving assigned commercial auto bodily injury claims. You will contact Insureds, Claimants and others by telephone and correspondence regarding information and documents necessary to evaluate and resolve claims, claim processes and related matters, and resolution alternatives. You will be involved in litigation management, trails and mediations. You will also be responsible for loss assessment, coverage analysis, claims reserving and negotiating settlements over the phone. The typical claims case load is between 130-150 claims. Qualifications: 5+ years of handling commercial auto bodily injury claims. JD degree required. Must have experience in litigation. Private practice experience. Must be open to travel a few times a year for trials/mediations as well as one week per quarter to corporate headquarters in NE for team building events. Compensation & Benefits: Base salary in the 110k-140k/year range plus a comprehensive benefits package including medical, dental, vision, retirement plan with employer match, wellness program, learning & development program, team building events, educational reimbursement, and more. #INDALL

Our client, a 80+ year insurance company, is looking for a remote Senior Claims Examiner specifically from a private practice to join their team. They specialize in commercial auto and general liability insurance. They are looking for claims professionals who have commercial auto bodily injury and litigation management experience. Responsibilities: You will be responsible for investigating, evaluating, providing defense if appropriate, negotiating and resolving assigned commercial auto bodily injury claims. You will contact Insureds, Claimants and others by telephone and correspondence regarding information and documents necessary to evaluate and resolve claims, claim processes and related matters, and resolution alternatives. You will be involved in litigation management, trails and mediations. You will also be responsible for loss assessment, coverage analysis, claims reserving and negotiating settlements over the phone. The typical claims case load is between 130-150 claims. Qualifications: 5+ years of handling commercial auto bodily injury claims. JD degree required. Must have experience in litigation. Private practice experience. Must be open to travel a few times a year for trials/mediations as well as one week per quarter to corporate headquarters in NE for team building events. Compensation & Benefits: Base salary in the 110k-140k/year range plus a comprehensive benefits package including medical, dental, vision, retirement plan with employer match, wellness program, learning & development program, team building events, educational reimbursement, and more. #INDALL

This Senior Claims Representative position is within the company's complex claim handling unit. The primary responsibility of this position is the management and resolution of the company's most complex commercial casualty claims with minimal supervision. Claims managed by this position are among the most complex received by the claims department and often present the highest and most severe potential exposure. Further primary responsibilities include handling negotiations on any and all claims assigned, understanding and verifying coverage's policy provisions, limitations, deductibles, and exclusions, taking statements or interviews, when necessary, from all parties, coordinating referral of coverage requests, and assigning losses to defense firms and/or independent adjusters as necessary. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. Handle suits on third party litigated claim files, including collaborating with and managing outside counsel and complex litigated claims files as assigned. Analyze coverage issues on litigated claim files and claim files with potential for litigation. Assist with negotiations, mediations, arbitrations, and settlement procedures as assigned. Attend and provide litigation advice in claim review meetings. Coordinate referral with AVP of Claims or VP of Claims on other litigated claims requests to outside counsel. Conduct legal research as necessary on pending suit files and as requested by other departments. Conduct audits of litigated claims files. Review company policy forms as needed. Research and write brief opinions on legal issues. Recommend reserve and payment changes as necessary for the file. Provide and report claims information to Senior Management on an as needed basis. Assist Forms Committee; propose changes/revisions/amendments to company policy forms, make appropriate policy language recommendations, and draft policy language for new forms. Other duties as assigned by General Counsel, Sr. Claims Management, or Executive Management. Perform other specific duties and projects assigned. EDUCATION AND EXPERIENCE The relevant combination of education and experience may be considered in lieu of a degree. Bachelor's degree from a four-year college or university. Juris Doctor degree Admission to the state bar preferred. Minimum of five years of experience adjusting commercial claims for an insurance carrier or an attorney experienced in litigating or handling insurance claims. QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. OTHER SKILLS AND ABILITIES Excellent oral and written communication skills. Excellent presentation and facilitation skills. Ability to make competent, independent decisions. Ability to analyze coverage submissions and aid. Ability to prioritize, organize and plan work for self and others. Excellent customer service skills. Superior problem-solving ability. Thorough knowledge of claim procedures, policies, terminology, etc. Computer proficient with Microsoft Office programs, such as Word, Excel, and Outlook. Possess State adjusting license(s) as applicable. Ensure assigned files are managed in good faith as defined by statute, case law and corporate standards. Ability to travel as required. Ability to interact professionally with others. Sit, stand/walk ambulatory. Ability to lift ten pounds. ADDITIONAL INFORMATION The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. This job description does not constitute a contract for employment. WORKING CONDITIONS: Work is performed remotely. PAY RANGE: Actual compensation decision relies on the consideration of internal equity, candidate's skills and professional experience, geographic location, market, and other potential factors. It is not the standard practice for an offer to be at or near the top of the range, and therefore a reasonable estimate for this role is between $80,900 and $135,400. We are an Equal Opportunity Employer. We will not tolerate discrimination or harassment in any form. Candidates for the position stated above are hired on an "at will" basis. Nothing herein is intended to create a contract. #LI-CD1 #AFG

Established in 2021, Independence Pet Holdings is a corporate holding company that manages a diverse and broad portfolio of modern pet health brands and services, including insurance, pet education, lost recovery services, and more throughout North America. We believe pet insurance is more than a financial product and build solutions to simplify the pet parenting journey and help improve the well-being of pets. As a leading authority in the pet category, we operate with a full stack of resources, capital, and services to support pet parents. Our multi-brand and omni-channel approach include our own insurance carrier, insurance brands and partner brands. Job Summary: Pets Best is seeking a Supervisor, Claims Processing who will report to the Manager, Claims. The Supervisor, Claims Processing is responsible for leading a team of non-exempts for the Claims Processor group. Providing leadership, coaching and development. You will own full supervisory and administrative responsibilities for the team members, and also share with other leaders the responsibility overall for a positive, friendly culture in the department that is customer-centric, productive, and contributes to the growth of the business. Job Location: Remote - USA Main Responsibilities: Directly responsible for leading your team to success - driving performance management, ensure accuracy of claims processes, and ensuring your team is equipped to provide a positive customer/client experience Ensure appropriate risk for the business - ensuring your team is familiar with and understands the importance of following operating instructions including compliance requirements Drive results by ensuring that your team is meeting or exceeding performance targets via OKR/KPI coaching and leadership Inspiring and connecting with each team member - cultivating an environment of trust, teamwork and personal ownership. Partnering with each team member to understand and help support their personal development Project management - initiating, planning and executing on key business initiatives Be a business partner - ability to understand and relate to the business objectives and provide strategic vision and a high-quality solutions. Learning, staying abreast and complying with all claim's compliance laws, rules and regulations. Assists with claims processing function duties as needed to maintain daily turnaround time Performs other duties as assigned. Basic Qualifications: Bachelor's degree or in lieu of a Bachelor Degree, a High School Diploma/GED and a minimum of 3 years experience in a veterinary clinic or like setting; such as a practice manager, Lead Veterinary Technician, Animal Science Research, etc. 3+ years clinical veterinary experience with a proficiency in medical terminology. Leadership experience - Minimum of 2 years of proven experience leading a team - Be prepared to share with us some specific examples of how you've inspired your team and driven performance using qualitative and quantitative results Flexible - The hours for this role are between 6 AM & 9 PM EST with a weekend rotation each quarter as manager on duty (comp day provided M-F the week prior). This role could include some weekend shift as well as work on holidays.1-year relevant experience and/or claims experience within a clinic or hospital Expected Hours of Work: This is a full-time position: Days and hours to be determined by needs of business. Hours to be determined between employee and director #li-Remote #petsbest All of our jobs come with great benefits including healthcare, parental leave and opportunities for career advancements. Some offerings are dependent upon the location of where you work and can include the following: Comprehensive full medical, dental and vision Insurance Basic Life Insurance at no cost to the employee Company paid short-term and long-term disability 12 weeks of 100% paid Parental Leave Health Savings Account (HSA) Flexible Spending Accounts (FSA) Retirement savings plan Personal Paid Time Off Paid holidays and company-wide Wellness Day off Paid time off to volunteer at nonprofit organizations Pet friendly office environment Commuter Benefits Group Pet Insurance On the job training and skills development Employee Assistance Program (EAP)

Full-time Description Aspire General Insurance Company and its affiliated general agent, Aspire General Insurance Services, are on a mission to deliver affordable specialty auto coverage to drivers without compromising outstanding service. Our company values can best be described with ABLE: to always do the right thing, be yourself, learn and evolve, and execute. Join our team where every individual takes pride in driving their role for shared success. What You'll Do Under moderate supervision of Management, the Claims Supervisor performs the essential functions of the position, which includes but is not limited to supervising a team of Claims Representatives and Claims Support Specialists. Ensure that the team meets service standards and performs essential functions at or above the quality and service standards of Aspire General Insurance Company. DUTIES AND RESPONSIBILITIES: · Review of automobile claim investigations. · Make handling recommendations and provide directions to subordinates. · Ensure ongoing adjudication of claims within company standards and industry best practices and regulations. · Determine, recommend and grant authority for settlement and payment processes. · Responsible for overall file handling and work product quality of subordinates. · Produce grammatically correct and clearly written correspondence including letters, memos, reports and claim file documentation. · Assist in the operations of the claims department, including making recommendations and implementing an organizational structure adequate for achieving the department's goals and objectives. · Maintain a documented system of claims policies, systems, procedures and workflows to ensure smooth operations. · Provide feedback to Management on process and system improvement initiatives for the department. · Report to Management as soon as there is an awareness of any issues or concerns which may be detrimental to the department or Company; recommend policies and procedures to Management regarding quality issues that may arise. · Staff Training-Foster a highly focused training and development environment within the Claims Department. · Complies with state and federal laws, Department of Insurance criteria, insurance carrier criteria and follows and enforces Aspire General Insurance Company and partner's policies, procedure and work rules. · Communicate and provide timely notification to the Human Resources Department for all things related to employee attendance, punctuality or possible leave related situations. · Provide timely and thorough documentation for all things related to employee performance, training, recognition and/or coaching. · Evaluate subordinates' performance and administer personnel actions as required in coordination with human resources department. Ensure the Department has adequate scheduling, including time-off requests, work shift management, etc Assist to identify, recruit, hire and develop top talent. · Ability to achieve targeted performance goals Maintain that sensitive information regarding employees and the Company is kept confidential Regular and predictable punctuality and attendance. · Other duties as necessary. Requirements · Three plus years' experience in Property and Casualty insurance industry. · Must have a clear understanding of insurance industry practices, standards and terminology. · Experience in handling subrogation, property damage and injury claims required. · Must be able to pass a background check. · Must have the ability to work in a high volume, fast-paced environment while managing multiple priorities. · Must have a disciplined approach to all job-related activities. · Must have a solid foundation of personal organization, sound decision making and analytical skills, strong interpersonal and customer service skills. · Must have strong keyboard skills as well as proficiency in Windows and MS Office products. INTER-RELATIONSHIP COMPONENT: Ability to develop excellent working relationships with Staff, Partners, Clients and outside agencies. Ability to communicate with others in an effective and friendly manner, one that is conducive to being a conscientious team member, fostering a spirit of goodwill, indicative of a professional environment and atmosphere. Ability to be a team player and work cohesively with other Aspire General Insurance and Partner Companies' staff to achieve company goals. Able to represent the Company in a professional manner and contribute to the corporate image. Able to consistently provide excellent service. WORKING CONDITIONS: This is an exempt position which complies with an alternative work schedule when applicable. This work environment is fast-paced, and accuracy is essential to successful task completion. The office is that of a highly technical company supporting a paperless environment. Travel may be required. Requires extended periods of computer use and sitting. This is a remote position. Benefits: Medical, Dental, Vision, HSA*, PTO, 401k, Company observed Holidays Individuals seeking employment at Aspire General Insurance Services LLC are considered without regards to race, color, religion, national origin, age, sex, marital status, ancestry, physical or mental disability, veteran status, gender identity, or sexual orientation in accordance with federal and state Equal Employment Opportunity/Affirmative Action record keeping, reporting, and other legal requirements. *Dependent on plan selected Compensation may vary based on several factors, including candidate's individual skills, relevant work experience, location, etc. Salary Description $80,000-$100,000 Annually

Oak View Group Oak View Group is the global leader in venue development, management, and premium hospitality services for the live event industry. Offering an unmatched, 360-degree solution set for a collection of world-class owned venues and a client roster that includes the most influential, highest attended arenas, convention centers, music festivals, performing arts centers, and cultural institutions on the planet. Overview Working in conjunction with the VP, Risk Management: The Claims Director position has a responsibility to manage the day-to-day and long-term operations of the OVG Corporate International Insurance Claims Department. This role pays an annual salary of $115,000-$140,000 and is bonus eligible Benefits for Full-Time roles: Health, Dental and Vision Insurance, 401(k) Savings Plan, 401(k) matching, and Paid Time Off (vacation days, sick days, and 11 holidays) This position will remain open until January 9, 2026. Responsibilities Manages, plans, and coordinates insurance claims process to control risks and losses. Duties & Responsibilities Team leadership: Guide and manage a team to achieve high-level claims operations, claims vendors, TPA's Policy and claims procedures establishment: Create and maintain policies and procedures for the management of claims occurring across the organization that are consistent with the corporate claims strategy and loss control. Claims management: Oversee the claims process, including coverage reviews, claim verification, and adjudication. Manage the administration of general liability, errors & omissions, property, workers' compensation, cyber and vehicle claims to ensure that claims are being settled fairly, consistently, and in the best interest of the company. Collaboration: Work collaboratively with insurance brokers, carriers and project teams to ensure overall compliance with the company's Risk Management goals, policies and procedures. Financial Management: Timely, accurate payment and adjudication of claims Process improvement: Set up a process of continuous improvement. Develop and implement processes to increase the efficiency and effectiveness of the claims department. Customer service: Ensure that internal and external customers receive excellent service Claims representation: Represent the department and company Claims advice: Provide professional advice to customers, senior management, and departments on all aspects of the claim management and reporting Risk management: Assist with the development of the organization's risk management process. Identification of new opportunities for lowering the total cost of risk. Communication: Articulate complex concepts and issues through oral and written communications and consult with senior management in establishing corporate policies and procedures to manage and control corporate claims risks. Other duties as assigned. Qualifications Candidate Requirements: 10+ years of P&C claims management experience with a claims department, insurance carrier or TPA Extensive knowledge of commercial insurance claim operations and insurance coverage. Bachelor's degree in insurance, Accounting, Business Administration or equivalent. Strong PC skills (MS Office Suite). Knowledge of risk management practices, policies and programs. Excellent written communication, negotiation and presentation skills. Ability to relate well to others both inside and outside the organization and build effective business relationships. Demonstrated analytical ability, leadership and problem-solving skills. Strong written verbal communication skills. Ability to exercise sound judgement and work independently and in a team environment Ability to lead projects and process design and lead and direct the work of others. Must demonstrate consistency, accuracy and follow through. Must demonstrate a customer service mindset Ability to work under tight time constraints, handle sensitive data and multi-task so that deadlines can be met. Highly organized and able to prioritize and manage time efficiently with the ability to handle stress in a fast-paced, deadline driven environment. Empathetic, resilient, ability to flourish in a fast-paced environment Any of the following certifications are a plus: CCP, CPCU, RPLU, ARM, CISR, AU, PMP Claims management experience on all commercial lines of insurance a plus International claims experience a plus Strengthened by our Differences. United to Make a Difference At OVG, we understand that to continue positively disrupting the sports and live entertainment industry, we need a diverse team to help us do it. We also believe that inclusivity drives innovation, strengthens our people, improves our service, and raises our excellence. Our success is rooted in creating environments that reflect and celebrate the diverse communities in which we operate and serve, and this is the reason we are committed to amplifying voices from all different backgrounds. Equal Opportunity Employer Oak View Group is committed to equal employment opportunity. We will not discriminate against employees or applicants for employment on any legally recognized basis (“protected class”) including, but not limited to veteran status, uniform service member status, race, color, religion, sex, national origin, age, physical or mental disability, genetic information or any other protected class under federal, state, or local law.

This role ensures timely and accurate processing of claims, supports internal and external audits, and contributes to operational efficiency. The Sr. Associate works cross-functionally to resolve issues and maintain high standards of data integrity and client service. BA/BS degree in business administration with an emphasis in accounting/finance or equivalent work experience Advanced degree or industry certification preferred 3 years of experience in life claims administration and adjudication Understanding of claim treaty provisions, adjudication thresholds, and regulatory compliance. Strong analytical and decision-making skills with attention to detail and accuracy. Strong problem-solving skills and the ability to navigate and resolve complex issues. Strong analytical and organizational skills. Proficiency in claims systems and reporting tools. Ability to work independently and collaboratively across teams. Excellent communication and problem-solving skills. Pay Range for roles performed in NC: $72,000-$88,000 base salary per year. Actual salaries may vary based on various factors including but not limited to location, experience, role and performance. The range listed is just one component of SCOR's total compensation package for employees. Other rewards may include annual bonuses, short- and long-term incentives. In addition, we provide a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement saving plan, paid holidays and paid time off. Perform adjudication of life claims for assigned clients, including standard and contestable cases. Review claim documentation such as death certificates, claimant statements, and policy records to verify eligibility. Assess claim validity based on treaty terms, policy provisions, and underwriting guidelines. Assist with performance of client adjudication audits for assigned clients to ensure compliance with treaty terms and adjudication standards. Serve as liaison to clients for claim-related inquiries Review and approve claims in accordance with claim payment approval hierarchy. Review, enhance, and sign settlements to ensure timely client payments Process claim refunds appropriately and timely. Monitor workflow and identify potential claims processing issues. Work cross-functionally to resolve system impediments to claim payment processing. Identify opportunities for improvement and contribute to process enhancements. Assist with internal and external audits and ensure all ICS controls are properly documented. Establish requirements for system enhancements and log tickets for tracking, testing, and implementation. Creation and maintenance of reports allowing for analysis of claim workflow and data fields to ensure accuracy of claim data. Analyze client trending data to understand financial results and identify potential future impact. Produce ad-hoc reports and claims metrics for management and other stakeholders. Perform monthly and quarterly reporting requirements for performance measurement and to meet quarter end deliverables. May perform other duties as required.

Department: Risk, Safety, and Resilience (RSR) Classification: Program Admin Specialist 1 Job Category: Classified Staff Job Type: Full-Time Work Schedule: Full-time (1.0 FTE, 40 hrs/wk) Workplace Type: On Site Required Salary: Salary commensurate with education and experience Criminal Background Check: Yes Financial Background Check: Yes Motor Vehicle Records Check: Yes About the Department: Risk, Safety, & Resilience (RSR) provides leadership and education to promote and sustain a safe and healthful environment for our community to learn, work, live, and thrive. The unit serves the university by managing health, safety, environmental, emergency and risk management programs in collaboration with our partners and stakeholders. About the Position: The Senior Claims Investigator & Risk Analyst is a vital contributor to the Office of Risk Management, providing essential support through the oversight of claims management and risk mitigation efforts. This role involves analyzing data and performing statistical research, assisting in the administration and renewal of insurance policies, and ensuring adherence to established risk management protocols. Additionally, the Senior Analyst oversees the Driver Safety Program, which includes conducting risk assessments, delivering driver safety training and presentations, and managing all related documentation for insurance and risk claims. Responsibilities: Assists in supporting the Commonwealth Risk Management Plan Oversees the preparation and timely submission of annual reports and required updates to the Commonwealth; Conducts trend analysis and data reporting using the Origami Risk Management Information System (RMIS); Manages all reporting requirements to the Virginia State Police, including coordination and communications related to University's state owned vehicles; and Oversees data management for various departmental assets, including building valuations, university owned vehicles, fine arts collections, drones, watercraft, solar panels, and medical malpractice records. Claims Management and Risk Analysis Responsible for the identification, investigation, management and resolution of claims; Reviews, analyzes, and processes claims submissions for accuracy and policy coverage; Serves as the senior claims' investigator for property and liability claims; Performs site visits on George Mason campuses and conducts investigative interviews; Prepares detailed investigative reports with findings and recommendations; Manages and processes claims over institutional deductible; Provides direct support and guidance to the Claims Examiner; Testifies in legal proceedings or depositions as needed; Prepares claims data for annual report; Assists in identifying trends or recurring issues for process improvement; Ensures timely resolution of claims in accordance with DRM and university guidelines; Collaborates with University Counsel, DRM, insurance brokers, internal and external parties to settle claims; and Assists the Director as the University's central point of contact for the loss of state-owned property, vehicles, cyber intrusion, and liability claims. Safe Driver's Program Management Manages the Driver Awareness Program which includes policy and procedures, Motor Vehicle Reports (MVR) review, driver compliance, and Accident Review Committee administration; Applies federal and state laws, policies and regulations that involve the use of state vehicles to the advancement of the program; Applies best practices that would enable the university to minimize vehicle and golf cart liability exposure (i.e. training, mitigation strategies); Coordinates with University Human Resources and department heads on how to best manage non-compliant drivers per university policy; Serves as the Accident Review Committee (ARC) Program Administrator and Committee Chair; Provides driver database management to include driver notifications; Serves as the primary contact for the DMV Alert System, driver enrollment and removal; and Manages out of state drivers via George Mason's vendor for background checks. Emergency Operations Response Assists Risk Management Director in providing timely notification to unit leadership of the following situations: Emergency and urgent issues; High risk and high-profile threat assessment information; Notifications to regulatory agencies and announced/unannounced inspections; and Egregious or unusual safety issues, including situations involving Principal Investigators, contractors, students, employees, visitors, or emerging safety threats that occur off campus. Required Qualifications: Associate's degree in related field or the equivalent combination of education and experience; Demonstrated experience with claims investigations, processing and program management, including risk assessment experience; Diverse experience in verbal and written communications; Demonstrated experience in computer, database and website management; Knowledge of budget processes as related to managing office accounts; Excellent administrative and office management skills; Excellent computer skills, including all Microsoft products and advanced Access knowledge; Excellent oral and written communication skills, including interpersonal skills in stressful situations; Ability to develop and maintain a website; Ability to work with people in other state agencies and the private sector; Ability to understand commercial insurance policies and assess how coverage applies; Ability to work independently, multitask and work under tight deadlines; Ability to research, understand and interpret state directives and related risk management references; and Valid driver's license: must currently possess an appropriate, active, valid motor vehicle operator's license that meets all of GMU's requirements for operating state vehicles and equipment under Mason's Vehicle Use Policy 1411 ******************************************************* The Office of Risk Management reserves the right to review the driver's licenses and Motor Vehicle Reports (MVRs) of all candidates selected with employment contingent upon a favorable review. Due to the unique role that RSR plays in emergency situations, each employee is designated to respond as requested during emergencies. Expectations for availability require that home and cell phone numbers be provided. In emergency situations, these numbers may be called and it is expected that the employee will respond when they are able. Repeated instances of unavailability will be addressed by the supervisor; however, the employee is not expected to be "on call". Preferred Qualifications: Bachelor's degree in related field; Claims Investigation Certification; Risk Management Certification; Experience working in an institution of higher education; Experience in claims investigation; Experience in claims processing; Experience in Safe Driver Management for employees; Some college-level course work in business administration or insurance; and Some higher education, or equivalent experience in a complex office environment; Instructions to Applicants: For full consideration, applicants must apply for Senior Claims Investigator & Risk Analyst at ********************** Complete and submit the online application to include three professional references with contact information, and provide a Cover Letter with Resume for review. Posting Open Date: September 9, 2025 For Full Consideration, Apply by: October 8, 2025 Open Until Filled: Yes

We welcome applications for our Claims Specialist positions at any time. If we do not have any current openings, we will keep applications on file and review them regularly. If your background is a strong match, we'll reach out to set up an interview. Position Title: Claims / Encounter Specialist *Remote* Reports To: BPaaS Operations Manager/Director Position Summary: The Claims / Encounter Specialist will be required to perform reviews of pended claims of all types and specialties, apply business rules and finalize claims in accordance with regulatory and client expectations. Additionally, the specialist will review adjustment requests and determine whether to uphold the original decision or perform an adjustment of the claim to correct outcomes. This role will also be required to assist with review and preparation of claims data for submission of encounters. The specialist must have excellent analytical skills, along with keen attention to detail and good written and oral communication abilities. Responsibilities: Perform timely and accurate claim adjudication and adjustments Adjudicate specialty claims, including, but not limited to ambulatory surgery, skilled nursing, dental, anesthesia, medical assistance, reprocessed claims, duplicate claims, ambulance, durable medical equipment (DME), or institutional based charges. Prepare encounters for submission and correct rejected encounters Support system inquiries documented from the member and provider call center services Research and review Claims Appeals information to support client inquiries Meet established production and quality standards Identify opportunities to improve efficiency within assigned processes Minimum Requirements Industry Experience 1-3 years in healthcare industry experience working in the payer segment in Medicare Advantage, Managed Medicaid, or working with an industry competitor. Experience in BPaaS environment is a plus. Skills & Knowledge Candidate should have experience working in a production environment and the ability to meet performance standards. Attention to detail and the ability to apply documented procedures to achieve desired outcomes are also required. MS Word and MS Excel, good interpersonal skills, written and oral communication abilities a must. Years of Experience 1-3 years Education A High School Diploma is required. Compensation and Benefits Competitive hourly rate commensurate with experience 100% remote work culture Health, dental & vision insurance Vacation and holiday pay Traditional and ROTH 401k with company match Company paid life insurance, AD&D, and long-term disability coverage HSA and FSA accounts Tuition Reimbursement Parental Leave Compliance: All employees shall comply with company policies, including those related to security and privacy, as well as with applicable laws and regulations such as the Health Insurance Portability and Accountability Act (HIPAA), the Health Information Technology for Economic and Clinical Health (HITECH) Act, and other relevant federal and state regulations. Data Protection: Employees are responsible for safeguarding protected health information (PHI) and personally identifiable information (PII) in accordance with company policies and HIPAA regulations. This includes ensuring that all data is accessed, processed, stored, and transmitted securely.

At DUAL North America, our core values dictate how we live and work. We are a group with independence and people at its heart and we are a home for talent with a unique culture: the biggest small company in the world. The focus on being a People First business has always been at the very heart of the Group; Our vision was to create an independent business with a unique culture and one that would survive and thrive as a business controlled by the people working for it. And finding the most talented and entrepreneurial people to join the Group has been and will continue to be key. DUAL North America, Inc. is seeking a Claims Examiner Classification: Exempt/Full-time Reports to: Claims Manager Travel: 0-10% Salary/hourly: $120,000.00- $140,000.00 Role overview DUAL North America is seeking a Senior Casualty Examiner for the Construction Defect Claims team. At DUAL, Sr. Casualty Examiners play a critical role in managing moderate to high exposure claims with accuracy and efficiency, while complying with state regulatory requirements. In this role, you will investigate claims, analyze policy coverages, and collaborate with internal and external stakeholders to ensure claim resolution. Supporting the Construct Defect Claims team, you will independently manage moderate to high exposure claims involving alleged defects in residential and commercial construction. Role responsibilities Make initial contacts with interest parties Handle moderate to high exposure construction defect claims involving residential and commercial projects. Analyze coverage and draft coverage position letters as needed Conduct liability investigations Comply with DOI regulations Retain and coordinate with defense counsel and experts to develop and execute agreed-upon litigation strategies, while managing plans and budgets to ensure effective case resolution Coordinate the retention of experts, subject to an agreed upon budget Establish timely indemnity and expense reserves based on an exposure analysis that is documented in the claim file, revisiting reserve adequacy on a continual basis Draft well written and comprehensive captioned reports to request reserve and settlement authority on higher exposure cases that outline all critical aspects of the case in preparation for roundtable presentations to the carrier partners Travel up to 10% to attend mediations, settlements conferences and trials on appropriate cases Keep current on key changes in case law and industry trends Assist underwriting and other business partners Key requirements Bachelor's degree preferred Professional designations (CPCU, SCLA, AIC, JD) are a plus 7+ years of construction defect claims experience is required with consistent high level of performance and achievement Must be licensed or have the ability to become licensed in all required states Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint Advanced knowledge of end-to-end claims handling, including litigation Knowledge of industry trends and legal developments affecting claims handling Ability to manage multiple claims and competing priorities Ability to adapt to evolving regulatory and legal environments Complete assigned tasks correctly, on time and able to learn quickly Self-motivated and demonstrating attention to detail Be able to work independently for extended periods Excellent written and verbal communication skills as well as general business understanding What we offer: A career that you define. Yes, we offer all the usual rewards and benefits - including medical, dental, vision, a wide variety of wellbeing offers, competitive salary, unlimited PTO, 401k with company match, paid volunteer days and more. We provide an environment where new ideas are encouraged and celebrated, where people who want to have a real hand in our success thrive. We want people who want to make a difference - not just in the workplace, but in the industry and in the wider community. EEO Statement: We consider our people our chief competitive advantage and as such we treat colleagues, candidates, clients, and business partners with equality, fairness, and respect. DUAL North America provides equal employment opportunities to all employees 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, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. DUAL will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.

Primary Duties & Responsibilities At Globe Life, we are committed to empowering our employees with the support and opportunities they need to succeed at every stage of their career. Our thriving and dynamic community offers ample room for professional development, increased earning potential, and a secure work environment. We take pride in fostering a caring and innovative culture that enables us to collectively grow and overcome challenges in a connected, collaborative, and mutually respectful environment that calls us to help Make Tomorrow Better. Role Overview: Could you be our next Incontestable Claims Examiner II? Globe Life is looking for an Incontestable Claims Examiner II to join the team! In this role, you will be responsible for reviewing all aspects of an incontestable claim and determining how to process it. This is a remote / work-from-home position. What You Will Do: * Investigate all incontestable life claims and processes in accordance with policy provisions and Company procedures with a high degree of accuracy. * Contact outside 3rd parties and obtain additional claim information needed by telephone, e-mail, or written correspondence. * Update system notes with claim progress. * Responsible for claim movement and progression. * Maintain production data and must meet the production quota set by the department. * Other duties as required by the department. What You Can Bring: * High School Diploma. * 3-5 years related experience and/or training, or equivalent combination of education and experience. * Knowledge of the insurance industry and claims handling experience preferred. * Must be PC/Windows literate. * A working, executable knowledge of MS Office (Outlook, Excel, and Word). * Data entry and 10-key skills by touch and sight. * Strong communication skills, both written and verbal. * Must have a strong working knowledge of medical terminology. * Bilingual skills are a plus. * Previous experience in a Claims service environment preferred. * Minimum of five years of prior phone/customer service and office experience. Applicable To All Employees of Globe Life Family of Companies: * Reliable and predictable attendance of your assigned shift. * Ability to work full-time based on the position specifications. How Globe Life Will Support You: Looking to continue your career in an environment that values your contribution and invests in your growth? We've curated a benefits package that helps to ensure that you don't just work, but thrive at Globe Life: * Competitive compensation designed to reflect your expertise and contribution. * Comprehensive health, dental, and vision insurance plans because your well-being is fundamental to your performance. * Robust life insurance benefits and retirement plans, including a company-matched 401 (k) and pension plan. * Paid holidays and time off to support a healthy work-life balance. * Parental leave to help our employees welcome their new additions. * Subsidized all-in-one subscriptions to support your fitness, mindfulness, nutrition, and sleep goals. * Company-paid counseling for assistance with mental health, stress management, and work-life balance. * Continued education reimbursement eligibility and company-paid FLMI and ICA courses to grow your career. * Discounted Texas Rangers tickets for a proud visit to Globe Life Field. Opportunity awaits! Invest in your professional legacy, realize your path, and see the direct impact you can make in a workplace that celebrates and harnesses your unique talents and perspectives to their fullest potential. At Globe Life, your voice matters. Location: 100 N. Broadway - Suite 1900, Oklahoma City, Oklahoma

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values - honesty, integrity, loyalty and service - define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity As a dedicated Injury Examiner- WA/NV claims, you will be responsible to adjust complex auto bodily injury claims, UM/UIM, and small business claims primarily servicing Washington and Nevada claims to include confirming coverage, determining liability, investigating, evaluating, negotiating, and adjudicating claims in compliance with state laws and regulations. Responsible for delivering a concierge level of best-in-class member service through setting appropriate expectations, proactive communications, advice, and empathy. This role is remote eligible in the continental U.S. with occasional business travel. However, individuals residing within a 60-mile radius of a USAA office will be expected to work on-site three days per week. What you'll do: Adjusts complex auto bodily injury claims with significant injuries (e.g. traumatic brain injury, disfigurement, fatality) and UM/UIM, and small business claims, as well as some auto physical damage associated with those claims. Identifies, confirms, and makes coverage decisions on complex claims. Investigates loss details, determines legal liability, evaluates, negotiates, and adjudicates claims appropriately and timely; within appropriate authority guidelines with clear documentation to support accurate outcomes. Prioritizes and manages assigned claims workload to keep members and other involved parties informed and provides timely claims status updates. Collaborates and supports team members to resolve issues and identifies appropriate matters for escalation. Partners and/or directs vendors and internal business partners to facilitate timely claims resolution. Serves as a resource for team members on complex claims. Delivers a best-in-class member service experience by setting appropriate expectations and providing proactive communication. Supports workload surges and catastrophe (CAT) response operations as needed, including mandatory on-call dates and potential evening, weekend, and/or holiday work outside normal work hours. May be assigned CAT deployment travel with minimal notice during designated CATs. Works various types of claims, including ones of higher complexity, and may be assigned additional work outside normal duties as needed. Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures. What you have: High School Diploma or General Equivalency Diploma. 4 years auto claims and injury adjusting experience. Advanced knowledge and understanding of the auto claims contract, investigation, evaluation, negotiation, and accurate adjudication of claims as well as application of case law and state laws and regulations. Advanced negotiation, investigation, communication, and conflict resolution skills. Demonstrated strong time-management and decision-making skills. Proven investigatory, prioritizing, multi-tasking, and problem-solving skills. Advanced knowledge of human anatomy and medical terminology associated with bodily injury claims. Ability to exercise sound financial judgment and discretion in handling insurance claims. Advanced knowledge of coverage evaluation, loss assessment, and loss reserving. Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts. What sets you apart: 2 or more years of catastrophic injury experience (e.g. traumatic brain injury, disfigurement, fatality) 1 year experience handling UMBI/UIM injury claims College Degree (Bachelor's or higher). Experience with BI claims in Washington and Nevada preferred Compensation range: The salary range for this position is: $85,040 - $162,550. USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.). Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location. Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors. The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job. Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals. For more details on our outstanding benefits, visit our benefits page on USAAjobs.com Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting. USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less invasive, and solutions are personal. Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact health for humanity. Learn more at ******************* Job Function: Medical Affairs Group Job Sub Function: Medical Writing Job Category: Professional All Job Posting Locations: Allschwil, Switzerland, Beerse, Antwerp, Belgium, High Wycombe, Buckinghamshire, United Kingdom, Spring House, Pennsylvania, United States of America, Toronto, Ontario, Canada Job Description: About Innovative Medicine Our expertise in Innovative Medicine is informed and inspired by patients, whose insights fuel our science-based advancements. Visionaries like you work on teams that save lives by developing the medicines of tomorrow. Join us in developing treatments, finding cures, and pioneering the path from lab to life while championing patients every step of the way. Learn more at *******************/innovative-medicine We are searching for the best talent for Analyst II, Medical Writing, Immunology. This role is available in all states within the United States. While specific cities are listed in the Locations section for reference, please note that they are examples only and do not limit your application. We invite candidates from any location to apply. Remote work options may be considered on a case-by-case basis and if approved by the Company. Please note that this role is available across multiple countries and may be posted under different requisition numbers to comply with local requirements. While you are welcome to apply to any or all of the postings, we recommend focusing on the specific country(s) that align with your preferred location(s): United States- Requisition Number: R-02370 Belgium & Netherlands - Requisition Number: R-026119 United Kingdom- Requisition Number: R-026119 Switzerland- Requisition Number: R-026110 Canada- Requisition Number: R-042336 Remember, whether you apply to one or all of these requisition numbers, your applications will be considered as a single submission. Purpose: Develops within the medical writing role within the pharmaceutical industry. Works in a team environment and matrix. Performs routine tasks per established procedures. Gains knowledge and applies internal standards, regulatory, and publishing guidelines. With increasing skill, uses internal systems, tools, and processes. Writes and coordinates basic documents, preparing more complex documents (within the TA and across TAs) in accordance with experience level Functions as a lead writer on a project, indication, or a compound either early- or late-stage in life cycle under close supervision. Participates in process working groups. You will be responsible for: Writes and coordinates basic clinical documents such as, but not limited to, Phase 1 protocols, Phase1/2 CSRs, table of studies, narratives, and initial IBs. Writes, contributes to, and/or coordinates low to medium complexity clinical and regulatory documents such as, but not limited to, Phase 2/3 CSRs and protocols, IB updates, summary documents, and regulatory responses under supervision. Performs document QC, completes list of abbreviations or references, conducts literature searches, and performs other basic tasks with supervision as needed. Participates in and may lead cross-functional document planning and review meetings. Works in a team environment with some guidance while increasing independence for longer-term activities. Takes an active role on assigned projects with respect to timing, scheduling, and tracking. Interacts with cross-functional colleagues on document content and champions MW processes and best practices. Responsible for establishing document timelines and strategies in accordance with internal processes, with some mentorship from functional management and clinical team, as needed. In accordance with experience level: guides or trains cross-functional team members on processes and best practices. leads early- or late-stage compound writing teams with supervision, as required. Learns and adheres to SOPs, templates, best practices, policies, Medical Writing Style Guide. Regularly meets with manager and mentors and attends departmental meetings. Attends cross-functional meetings as appropriate (eg, project kick-off and review meetings, study team meetings, Global Program Team meetings). Completes all time reporting, training, and metrics database, and project tracking updates as required in relevant company systems. Maintains and applies knowledge of industry, company, and regulatory guidelines. Qualifications / Requirements: Education: A university/college degree in a scientific discipline is required. An advanced degree (eg, Masters, PhD, MD) is preferred. Skills/Experience: A minimum of 2 years of relevant pharmaceutical/scientific experience is required. A minimum of 2 to 4 years of regulatory medical writing experience is required, depending on tasks performed and level of supervision needed. Strong oral and written communication skills. Attention to detail. Ability to function in a team environment. Organizes time well. Demonstrates learning agility. Builds solid and productive relationships with cross-functional team members. Gains experience in interpreting, summarizing, and presenting statistical and medical information to ensure quality and accuracy of content with supervision. Emerging leadership skills, both in project and process management as well as in time management (influencing, negotiating, assertiveness, taking initiative). Resolves basic problems independently and more complex problems with supervision. Develops and applies knowledge of regulatory guidance documents such as ICH requirements. The expected pay range for this position is $89,000 to $143,750. The Company maintains highly competitive, performance-based compensation programs. Under current guidelines, this position is eligible for an annual performance bonus in accordance with the terms of the applicable plan. The annual performance bonus is a cash bonus intended to provide an incentive to achieve annual targeted results by rewarding for individual and the corporation's performance over a calendar/ performance year. Bonuses are awarded at the Company's discretion on an individual basis. Employees and/or eligible dependents may be eligible to participate in the following Company sponsored employee benefit programs: medical, dental, vision, life insurance, short- and long-term disability, business accident insurance, and group legal insurance. Employees may be eligible to participate in the Company's consolidated retirement plan (pension) and savings plan (401(k)). Employees are eligible for the following time off benefits: Vacation - up to 120 hours per calendar year Sick time - up to 40 hours per calendar year; for employees who reside in the State of Washington - up to 56 hours per calendar year Holiday pay, including Floating Holidays - up to 13 days per calendar year Work, Personal and Family Time - up to 40 hours per calendar year For additional general information on company benefits, please go to: ********************************************* The compensation and benefits information set forth in this posting applies to candidates hired in the United States. Candidates hired outside the United States will be eligible for compensation and benefits in accordance with their local market. This job posting is anticipated to close on August 5, 2025. The Company may however extend this time-period, in which case the posting will remain available on *************************** to accept additional applications. Johnson & Johnson 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, disability, protected veteran status or other characteristics protected by federal, state or local law. We actively seek qualified candidates who are protected veterans and individuals with disabilities as defined under VEVRAA and Section 503 of the Rehabilitation Act. Johnson & Johnson is committed to providing an interview process that is inclusive of our applicants' needs. If you are an individual with a disability and would like to request an accommodation, please contact us via *******************/contact-us/careers or contact AskGS to be directed to your accommodation resource. Required Skills: Preferred Skills: Business Behavior, Business Writing, Clinical Research and Regulations, Clinical Trials Operations, Coaching, Collaborating, Copy Editing, Data Gathering Analysis, Data Savvy, Document Management, Industry Analysis, Medical Affairs, Medical Communications, Problem Solving, Process Oriented, Proofreading, Quality Standards, Research Ethics The anticipated base pay range for this position is : $89,000 to $143,750. Additional Description for Pay Transparency: Subject to the terms of their respective plans, employees and/or eligible dependents are eligible to participate in the following Company sponsored employee benefit programs: medical, dental, vision, life insurance, short- and long-term disability, business accident insurance, and group legal insurance. Subject to the terms of their respective plans, employees are eligible to participate in the Company's consolidated retirement plan (pension) and savings plan (401(k)). This position is eligible to participate in the Company's long-term incentive program. Subject to the terms of their respective policies and date of hire, Employees are eligible for the following time off benefits: Vacation -120 hours per calendar year Sick time - 40 hours per calendar year; for employees who reside in the State of Washington -56 hours per calendar year Holiday pay, including Floating Holidays -13 days per calendar year Work, Personal and Family Time - up to 40 hours per calendar year Parental Leave - 480 hours within one year of the birth/adoption/foster care of a child Condolence Leave - 30 days for an immediate family member: 5 days for an extended family member Caregiver Leave - 10 days Volunteer Leave - 4 days Military Spouse Time-Off - 80 hours Additional information can be found through the link below. ********************************************* The compensation and benefits information set forth in this posting applies to candidates hired in the United States. Candidates hired outside the United States will be eligible for compensation and benefits in accordance with their local market.

Location: This position is full-time (40-hours/week) Monday-Friday from 8am-5pm and fully remote. The candidate may be asked to come on-site for training, meetings, or other business needs. What You'll Do: Researches and processes claims according to business regulation, internal standards and processing guidelines. Verifies the coding of procedure and diagnosis codes. Resolves system edits, audits and claims errors through research and use of approved references and investigative sources. Coordinates with internal departments to work edits and deferrals, updating the patient identification, other health insurance, provider identification and other files as necessary. To Qualify for This Position, You'll Need the Following: Required Education: High School Diploma or equivalent Required Skills and Abilities: Strong analytical, organizational and customer service skills. Strong oral and written communication skills. Proficient spelling, punctuation and grammar skills. Good judgment skills. Basic business math skills Required Software and Tools: Basic office equipment. We Prefer That You Have the Following: Preferred Work Experience: 1 year-of experience in a healthcare or insurance environment. Preferred Skills and Abilities: Ability to use complex mathematical calculations. Preferred Software and Other Tools: Proficient in word processing and spreadsheet applications. Proficient in database software. Our Comprehensive Benefits Package Includes the Following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits for the first of the month following 28 days of employment. Subsidized health plans, dental and vision coverage 401k retirement savings plan with company match Life Insurance Paid Time Off (PTO) On-site cafeterias and fitness centers in major locations Education Assistance Service Recognition National discounts to movies, theaters, zoos, theme parks and more What We Can Do for You: We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company. What To Expect Next: After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email ************************ or call ************, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information. Some states have required notifications. Here's more information.