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Network Adjusters is seeking an experienced General Liability and/or Construction Defect Claims Supervisor to join our third-party administrative insurance handling team. This leadership role is ideal for professionals who thrive in fast-paced claims environments and are passionate about team development, technical excellence, and delivering strong customer service outcomes. This position offers the opportunity to work within a trusted organization committed to integrity, reliability, and professional development through ongoing training and growth opportunities. About the Role General Liability Claims Supervisors oversee the full lifecycle of claims handling while ensuring compliance, service standards, and industry best practices are consistently met. In this role, you will hire, onboard, train, and develop a team of adjusters specializing in general liability and construction defect claims, providing both strategic and technical guidance throughout the claims process. You will play a key role in maintaining departmental protocols, supporting complex claim resolution, and delivering strong customer service outcomes for carriers, clients, and internal stakeholders. This is a desk-based role. Responsibilities Supervise and manage a team of claims adjusters, providing guidance, training, and ongoing support to drive performance and professional development Hire, onboard, train, and develop staff as needed Review and analyze coverage, policies, claim forms, and supporting documentation to ensure accurate and compliant claim handling Oversee the full claims lifecycle, including damage evaluation, loss determination, settlement negotiations, and resolution Ensure compliance with all regulatory requirements, company guidelines, and industry Best Practices Implement and monitor quality control standards and QA/QC measures to ensure consistency, accuracy, and efficiency in claims handling Collaborate with carriers, attorneys, claimants, and internal stakeholders to resolve disputes and provide a positive claims experience Track and analyze team and departmental performance metrics, establish targets, and implement strategies to meet or exceed goals Prepare and present reports to senior management and clients, highlighting performance trends, risks, and improvement opportunities Stay current on industry regulations, case law, statutes, and evolving claims best practices Qualifications Minimum 5 years of claims handling experience in General Liability or Construction Defect claims Minimum 3 years of supervisory or managerial experience, preferably within insurance claims Strong leadership skills with the ability to mentor, motivate, and develop a team Superior knowledge of case law, statutes, and procedures impacting claim handling and valuation Excellent analytical, evaluation, strategic, and negotiation skills Ability to prioritize workload and manage multiple tasks effectively in a fast-paced environment Strong problem-solving skills with keen attention to detail Proficiency in MS Office Suite and other standard business software Polished written and verbal communication skills Bachelor's degree in a relevant field or equivalent work experience Compensation & Benefits Salary: $110,000-$140,000 annually (based on licensure, certifications, and experience) Training, development, and career growth opportunities 401(k) with company match and retirement planning Paid time off and company-paid holidays Comprehensive medical, dental, and vision insurance Flexible Spending Account (FSA) Company-paid life insurance and long-term disability Supplemental life insurance and optional short-term disability Strong work/family and employee assistance programs Employee referral program Location 📍 Denver, CO Remote opportunities may be available for experienced candidates who meet all required criteria. About Network Adjusters Founded in 1958, Network Adjusters has built a reputation as a leading provider of insurance claims administration and independent adjusting services. Serving the insurance industry for nearly seven decades, Network Adjusters, Inc. brings together the best elements of third-party claims administration and independent adjusting services. From our primary offices in New York, Denver, and Kentucky to our national network of experts, our superior experience and ongoing training are the keys to successfully managing our clients claims and handling specialized insurance needs. All our Claim Directors have extensive backgrounds working with major insurance carriers, giving us a thorough understanding of factors critical claims handling. It all adds up to measurable results-the proof is in our extensive track record of settled claims and unmatched recovery abilities.

Performance Meet established marketing plan goals, and achieve annual sales revenue and membership growth objectives by effectively promoting and closing prospective sales opportunities. Perform quick and efficient transaction fulfillment of telephone calls or email from prospective or current HMSA employer groups and members. Proactively promote HMSA and USAble product options and meet established HMSA and USAble sales goals. Protect HMSA's market share through the successful renewal and retention of assigned accounts. Document all prospect inquiries, outcomes, and follow up on sales enrollment opportunities via the telephone or in writing. Prepare proposals for new small group, new individual plans, Medicare plans, plan upgrades, and additions and modifications to existing plans. Support phone inquiries for senior plan sales during annual enrollment period. Meet goals, sales and retention quotas, and minimum activity standards. Relationships Serve as the "face of HMSA" to provide HMSA products and servicing to our small business, individual plan, and Medicare plan customers. Coordinate problem solving associated with group and member inquiries. Manage internal and external customer relationships to ensure that employer/member product and servicing needs are identified and addressed. Expand relationships with groups through the sale of new products. All employees are assigned to health, and product fairs and public service events throughout the year, to represent HMSA at public events. Administrative Maintain accurate records of all account activity and provide management with a weekly report on sales opportunities, proposals, jeopardy/lost accounts, sales activities, and servicing issues. Performs all other miscellaneous responsibilities and duties as assigned or directed. #LI-Hybrid

Your new company Our client, a full-service National Real Estate Developer, is currently seeking to hire a high performing Senior Project Manager to assist with their growing Colorado based, Multi-family projects. Our partnership client is an award winning RE developer who specializes in Class A, Luxury, Multi-Family Projects, typically worth $60-100M. This is a fantastic opportunity to join a premier builder to work on significant, high-profile projects in Denver and to become part of the growing Mountain West team. Your new role Work on $60-100M+ new, Ground Up, Multi-Family Projects across the DMA Supervise the construction effort to ensure it is in alignment with the design, budget & schedule. Develop and strengthen clients' relationships with subcontracting partners and decision makers at local and regional agency organizations. Manage the on-site safety program Schedule and coordinate subcontractors and ensure overall contractual performance Manage the schedule and support the project management team with the budget Provide technical assistance such as interpretation of drawings, recommending construction methods and equipment and implementing and maintaining tight quality control. What you'll need to succeed Experience of end-to-end, cradle-to-grave Multi-Family Projects worth at least $60M. To be successful in this role, you must have very strong technical knowledge of the construction process and strong communication skills to work effectively with your subcontractors and project team. Experience using software tools like MS Projects, Procore, Plangrid or Primavera 6 is also attractive. What you'll get in return Base salaries up to $140-165k depending on your skill set & experience Enrollment into the company bonus plan, based on profitability and project performance Potential sign-on bonus Comprehensive medical, dental & vision plans including spouse/children 401k + matching % What you need to do now If you're interested in this role, click 'apply now' to forward an up-to-date copy of your CV, or call us now. If this job isn't quite right for you, but you are looking for a new position, please contact us for a confidential discussion on your career.

Join the legal frontline and champion the defense for both the insured and the Company! As a Senior Trial Attorney, you'll handle subrogation recoveries, bodily injury, property damage claims, and more, with trial work and alternative dispute resolution. Beyond the courtroom, you'll provide vital counsel to business clients and coordinate between legal teams. Stay ahead of the game by monitoring new laws and regulations, ensuring our strategies remain sharp. Embrace the excitement of constant challenges and victories in this dynamic role! Key Responsibilities Represents insured individuals and the Company in the defense of bodily injury, property damage lawsuits, and subrogation. Counsels and assists clients and claim representatives through the litigation process. Prepares thoroughly for and conducts hearings, trials, arbitrations, mediations, and depositions. Prepares and presents pre‑ and post‑trial motions effectively. Assists colleagues in resolving calendar conflicts in a collaborative manner. Offers counsel to business clients on day‑to‑day legal matters. Manages projects efficiently, fostering coordination and collaboration among legal teams. Keeps abreast of and evaluates new laws, regulations, and case law; identifies and summarizes relevant issues; collaborates with other areas of the Law and Regulation (L&R) department; provides proactive advice and counsel to business units on the impact of new laws; monitors legal representation. Education Juris Doctorate and active membership in good standing with the Colorado State Bar. Minimum Requirements 3+ years of proven litigation experience or strong litigation‑type skills, such as case strategy development, legal research, and advocacy, with the ability to manage complex disputes and work effectively under pressure. First or second chair jury trial experience is preferred. Proven experience with insurance defense is preferred. Proficiency in Microsoft Office, LexisNexis (preferred), and internet research. Strong teamwork skills, able to collaborate effectively with attorneys, paralegals, and administrative assistants under the guidance of Lead Counsel. Capacity to manage a substantial case load. Comfortable working in a remote environment and willing to travel throughout the greater Denver, CO area. Explore the Benefits of Joining Allstate's Client Legal Services: Exceptional Work‑Life Balance: At Allstate, we understand the importance of achieving harmony between work and personal life. Our in‑house litigation roles provide more predictable schedules, allowing you to excel professionally while enjoying a fulfilling personal life. Professional Growth Opportunities: With ample opportunities for advancement and professional development, you'll have the support and resources you need to reach new heights in your legal career. Holistic Understanding of the Business: As part of the Allstate legal team, you'll gain invaluable insight into our diverse business operations, objectives, and culture. This comprehensive understanding enables you to align legal strategies closely with the company's goals, fostering impactful contributions and strategic partnerships across departments. Direct Client Collaboration: Working in‑house at Allstate means collaborating directly with internal stakeholders and business units. This close partnership cultivates deeper client relationships, facilitating a nuanced understanding of their needs and priorities. By providing proactive legal guidance and support, you'll play a pivotal role in driving the company's success. Strategic Influence and Impact: As an integral member of our legal team, you'll have the opportunity to shape strategic decisions and risk management initiatives. Your insights and expertise will inform key business decisions, empowering you to mitigate risks effectively and drive positive outcomes that directly impact Allstate's bottom line. Diverse Legal Challenges: In‑house litigation roles at Allstate encompass a broad spectrum of legal work beyond traditional litigation, including regulatory compliance, risk assessment, and dispute resolution. This diversity of challenges ensures continuous professional growth and development, expanding your skill set and enhancing your career trajectory. Skills Court Appearances, Documentation Review, Evidence Gathering, Legal Documents Preparation, Legal Pleadings, Legal Research, Legal Writing, Litigation, Trial Work Compensation Compensation offered for this role is $115,000 - 152,650.00 annually and is based on experience and qualifications. Allstate generally does not sponsor individuals for employment‑based visas for this position. Effective July 1, 2014, under Indiana House Enrolled Act (HEA) 1242, it is against public policy of the State of Indiana and a discriminatory practice for an employer to discriminate against a prospective employee on the basis of status as a veteran by refusing to employ an applicant on the basis that they are a veteran of the armed forces of the United States, a member of the Indiana National Guard or a member of a reserve component. For jobs in San Francisco, please click “here” for information regarding the San Francisco Fair Chance Ordinance. For jobs in Los Angeles, please click “here” for information regarding the Los Angeles Fair Chance Initiative for Hiring Ordinance. To view the “EEO Know Your Rights” poster click “here”. This poster provides information concerning the laws and procedures for filing complaints of violations of the laws with the Office of Federal Contract Compliance Programs. To view the FMLA poster, click “here”. This poster summarizing the major provisions of the Family and Medical Leave Act (FMLA) and telling employees how to file a complaint. It is the Company's policy to employ the best qualified individuals available for all jobs. Therefore, any discriminatory action taken on account of an employee's ancestry, age, color, disability, genetic information, gender, gender identity, gender expression, sexual and reproductive health decision, marital status, medical condition, military or veteran status, national origin, race (include traits historically associated with race, including, but not limited to, hair texture and protective hairstyles), religion (including religious dress), sex, or sexual orientation that adversely affects an employee's terms or conditions of employment is prohibited. This policy applies to all aspects of the employment relationship, including, but not limited to, hiring, training, salary administration, promotion, job assignment, benefits, discipline, and separation of employment. #J-18808-Ljbffr

Responsible for managing all aspects of the planning, execution, controlling, and closure of projects/programs. Responsibilities include, but are not limited to, the following: Receives high-level business requirements and develops detailed requirements. Prioritizes efforts and maintains and manages inter and intra project dependencies. Refines resource requirements and forms project teams. Further defines estimates for financial, physical or human resources to support long-term projects and programs. Champions the development of best practices, project standards, procedures and quality objectives across multiple projects/programs and organizations. Utilizes established project standards, procedures and quality objectives. Conducts project kickoff meetings, communicating individual roles and project/program expectations and ensuring that all project team members have the tools and training required to perform effectively. Integrates detailed project plans and schedules into a master program plan. Provides work direction and leadership to assigned programs, including scheduling, assignment of work and review of individual project efforts. May manage project/product leads. As needed, facilitates the evaluation, selection and contract negotiation for external vendors and independent contractors. Manages relationship with external vendors working to support project requirements. Assesses performance against project milestones/schedule, metrics, scope, quality as defined by contract specifications. Acts as liaison between business client and vendor. Makes presentations to solicit program buy-in, report on project status, conduct problem resolution and other types of communication to a variety of audiences. Monitors program milestones and critical dates, scopes, cost and quality to identify potential risks. Initiates ways to resolve schedule and other project-related issues. Keeps management aware of the situation. Manages any effects on related projects. Assesses variances from the program and project plans, integrates metrics, and develops and implements changes as necessary to ensure that the project remains within specified scope and is within time, cost and quality objectives. Ensures that business owner and/or project executive sponsor has a process to track outcome and satisfaction metrics. Manages effects on related projects. Conducts project review and closure at project completion to confirm acceptance and satisfaction of the program and each related project. Continuously provides the team with constructive feedback as it pertains to project or overall program performance. Works with development team to integrate areas of improvement into the systems development life cycle and project management processes. Develops and maintains a productive working relationship with program stakeholders. Coaches or mentors less experienced personnel. May conduct performance reviews and career planning sessions. Performs other duties as assigned. One example of this would be to personally manage projects when such a need arises. #LI-Hybrid

Manage community health by establishing and maintaining trusting relationships with individuals, families, and providers to promote health, recovery, resiliency, and wellness. Advocate and support members and their families by prioritizing their needs and preferences, making sure they receive appropriate care and services promptly. Coordinate and collaborate with licensed clinicians and/or Health Management programs, as needed. Adjust workflows when necessary to provide optimal care for each situation or individual. Uses effective communication techniques, including motivational interviewing, to encourage members to attend regular provider appointments, close open care gaps, and utilize medical services that support their health. Engage with members and their families to discuss major health concerns and explore solutions to obstacles impacting service delivery, member satisfaction, cost, and community health. These efforts contribute to better care coordination for members overall. Delivers comprehensive education, resources, referrals, and connections to health-related services within the community. Facilitates the introduction of new or underutilized programs and services to community members. Provides guidance to community members facing complex health cases in navigating healthcare systems. Responsibilities may include, but are not limited to, conducting home visits, accompanying individuals to appointments, and supporting community events as needed. Exercises sound professional judgment and adhere strictly to scope and licensure boundaries to ensure actions are taken in the best interest of the community member(s). Provides culturally appropriate health education and instructions on using existing health and social services, presenting information clearly and effectively. Performs all other miscellaneous responsibilities and duties as assigned or directed. #LI-Hybrid

General Administrative Support Relieves the CEO/assigned Executive(s) of majority of administrative functions and tasks, ensuring the most effective/efficient use of the Executive's attention and focus. Drafts routine and specialized correspondences on behalf of the CEO/assigned Executive(s). Receives, reviews and determines the appropriate parties to channel/direct sensitive, proprietary, and confidential matters to. Actively follows up on the status of pending issues, conducts independent research on subject matters related to Executive's business areas and corporate position, and when appropriate responds independently on behalf of the executive in a timely manner. Responsible for the inventory of supplies on the Executive floor. Internal/External Contacts Coordinates and hosts a variety of internal and external visitors. Receives, escorts, and announces internal/external visitors to the Executive offices. Resolves meeting or event conflicts. Exercises independent judgment when prioritizing communications and determining urgency, escalation needs, and appropriate contact with CEO/assigned Executive(s). Assesses situations and interrupts CEO/assigned Executive(s) schedule for issues/situations that the Executive Assistant determines require immediate action. Answers and routes phone calls appropriately. Meeting/Calendar/Travel Oversees and maintains the calendar for CEO/assigned Executive(s) in highly organized and efficient manner. Evaluates and prioritizes appointments and meetings based on urgency and business impacts, adjusting as needed. Ensures CEO/assigned Executive(s) have an appropriate amount of time to effectively meet various obligations. Books venue(s) for meetings, creates agendas, obtains relevant handouts/brochures, and procures refreshments for the meeting. Maintains a global view of scheduling, efficiently and effectively coordinates with other assistants for meetings that require multiple Executives. Arranges and books complex multi leg itineraries for executive or assigned parties as required. Corporate Communications Monitors and manages the corporate communications channel for CEO/assigned Executive(s). Ensures the timely and accurate flow of information to and from the executive offices including but not limited to marketing initiatives, policy/procedure updates, corporate communications, and any other item that have companywide impact. Prepares and modifies presentations and responses for both internal and external audiences. Acts as a liaison by planning and scheduling across various communication channels to ensure all internal and external parties are well informed. Responds independently to complex matters of significance impacting business goals and outcomes. Special Projects Lead/coordinates internal and external special projects and community engagement activities, simple to complex in nature, based on Corporate goals or initiatives. Researches and evaluates vendors, obtains and reviews RFPs, conducts cost-benefit analysis, negotiates and enters into contracts for products or services on behalf of HMSA ensuring selection of the best vendor/contractor to meet project objective. Efficiently guides vendors/contractors through the Contract Vendor Management (CVM) process. Provides direction and guidance to volunteer staff and external vendors. Also responsible for miscellaneous support tasks during projects/events. Budgeting & Purchasing Reviews and approves purchase orders and invoices within assigned signing powers/levels. Acts as a liaison with various departments to ensure financial, budgeting, and accounting procedures are being followed, and authorizations are obtained. Performs all other miscellaneous responsibilities and duties as assigned or directed.

126162 **_Zurich North America's Apprentice Program_** Zurich is accepting resumes for our 2026 Apprentice Program, apply today! The program launches at the beginning Summer 2026 as early as June 16th through July 20th. **About the program:** Our innovative General Insurance Apprentice Program allows participants to simultaneously gain their **_first-time higher_** **_education_** and the experience to launch a rewarding career in commercial insurance. In our **San Francisco, Los Angeles, or Denver** office Apprentices will support our **Middle Markets - Underwriting Account Service Associate Team** with: + Servicing accounts through our end-to-end process + Accessing and evaluating underwriting processes while implementing best practices + Following instructions from underwriters in areas of policy rating and pricing + Reviewing application of mandatory policy forms in relation to accounts + Resolving inquiries from brokers, underwriters, and internal customers **Earn & Learn:** The two-year program offered in **San Francisco, Los Angeles, or Denver** combines targeted **_virtual_** coursework at **Harper Community College** with relevant work rotations at Zurich North America's local office. _ The ideal candidate is seeking a first-time associate degree and has minimal college credits completed._ Apprentices who successfully complete this two-year program will: + Work in a paid, benefit-eligible full-time position at Zurich + Work 3x a week, School 2x a week, paid for all 40 hours/week + Earn a tuition-free Associate in Applied Science degree in: + Business Administration with a concentration in Insurance (Virtually at Harper College) + Receive a Department of Labor Certificate of Apprenticeship + Possess credentials and skills for today's ever-changing marketplace **Basic Qualifications:** + High School Diploma or equivalent. + Professional work experience not required. + Must be enrolled and validated as college ready by Harper Community College Admissions. This is a separate application process that can take place concurrently to Zurich's application process. **Preferred Qualifications:** + 1 or more years of work experience and/or leadership role in student activities and/or significant voluntary community service + Interest in pursuing a career in the insurance industry + Ability to balance multiple priorities between work and school deadlines + Strong customer service skills + Collaboration and problem-solving skills + Ability to communicate with impact + High degree of self-discipline and focus + Attention to detail + Ability to collaborate and work successfully in a team environment + Intermediate computer skills, specifically Excel + Ability to navigate learning and interactions in an online environment At Zurich, compensation for roles is influenced by a variety of factors, including but not limited to the specific office location, role, skill set, and level of experience. In compliance with local laws, Zurich commits to providing a fair and reasonable compensation range for each role. For more information about our Total Rewards, please clickhere (****************************************** . Additional rewards may encompass short-term incentive bonuses and merit increases. We encourage candidates with salary expectations beyond the provided range to apply as they will be considered based on their experience, skills, and education. The compensation indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where the position may be filled. The proposed hourly range for this position is $21.16-$25.00, with short-term incentive bonus eligibility set at 5%. As an insurance company, Zurich is subject to 18 U.S. Code § 1033. A future with Zurich. What can go right when you apply at Zurich? Now is the time to move forward and make a difference. At Zurich, we want you to share your unique perspectives, experiences and ideas so we can grow and drive sustainable change together. As part of a leading global organization, Zurich North America has over 150 years of experience managing risk and supporting resilience. Today, Zurich North America is a leading provider of commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We serve more than 25 industries, from agriculture to technology, and we insure 90% of the Fortune 500. Our growth strategy is not limited to our business. As an employer, we strive to provide ongoing career development opportunities, and we foster an environment where voices are diverse, behaviors are inclusive, actions drive equity, and our people feel a sense of belonging. Be a part of the next evolution of the insurance industry. Join us in building a brighter future for our colleagues, our customers and the communities we serve. Zurich maintains a comprehensive employee benefits package for employees as well as eligible dependents and competitive compensation. Please clickhere (********************************* to learn more. Zurich in North America is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. Zurich does not accept unsolicited resumes from search firms or employment agencies. Any unsolicited resume will become the property of Zurich American Insurance. If you are a preferred vendor, please use our Recruiting Agency Portal for resume submission. Location(s): Remote Working: Hybrid Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI- EOE Disability / Veterans

Utilize medical necessity criteria from established medical policies and clinical practice guidelines to render precertification determinations as described in the Medical Management UM work plan. This detailed clinical judgment includes evaluating whether the requested service is a covered benefit under the member's health plan, is medically appropriate for the member's clinical condition or whether the request requires referral to a Medical Director for potential denial of the request. The Nurse Reviewer must follow each line of business' requirements and each accrediting body's (CMS, NCQA, HSAG) requirements for each request. Assists on inquiries from external parties such as the State Insurance Commissioner and from the Legal Department. Responsibilities include, but are not limited to: Demonstrate understanding and application of over 250 Guide to Benefits, Evidence of Coverage, Plan Brochure, and Member Handbook. HMSA annually updated medical and drug policies, medical protocols, National Comprehensive Cancer Network, Milliman Care Guidelines, Drugdex, etc. to determine the medical necessity of urgent and non-urgent precertification requests. Urgent requests must be completed within 72 hours and non-urgent requests within 15 calendar days. Use clinical judgment, medical necessity guidelines and plan benefits to determine approval, potential denial or alternative treatment of each urgent or non-urgent precertification request. Settings include inpatient, outpatient, in-state, out-of state and out-of country. Document clinical case summary and review outcome of each review appropriately to meet regulatory and program requirements. Review various types of services, including but not limited to: Transplants Air Ambulance Chemotherapy Clinical trials Genetic testing Cancer treatments/radiation therapy Experimental/Investigational Services/Devices New Technology Utilize medical necessity criteria from established medical policies and clinical practice guidelines to render precertification determinations as described in the Medical Management UM work plan. This detailed clinical judgment includes evaluating whether the requested service is a covered benefit under the member's health plan, is medically appropriate for the member's clinical condition or whether the request requires referral to a Medical Director for potential denial of the request. The Nurse Reviewer must follow each line of business' requirements and each accrediting body's (CMS, NCQA, HSAG) requirements for each request. Assists on inquiries from external parties such as the State Insurance Commissioner and from the Legal Department. Responsibilities include, but are not limited to: Call providers when additional clinical information is required to clarify or complete a complex precertification determination. Approve precertification requests based on clinical judgment using criteria, medical record documentation and other information received from the provider. Consult with Medical Directors on requests which do not meet clinical criteria and offer alternative covered health care options as appropriate. Consult Medical Directors on potential quality issues identified during review of medical records. Refer cases to Integrated Health Management, Pharmacy Department or Benefits Integrity Department depending on the concern. Evaluate suspended claims against medical records to determine the medical necessity and appropriateness of medical services, identify irregularities such as over or under-utilization of services, potential up-coding, over billing, etc. Communicate timely, accurate information either verbally, electronically or in writing using clinical judgment, knowledge of medical/reimbursement policies and plan benefits to providers, members as well as internal MM staff and other internal departments (Claims Administration, Customer Relations, Provider Contracting, etc.). For denied services, ensure the denial, benefit and appeal language are accurate and consistent with department procedures, accreditation and regulatory guidelines. Identify and refer members with specific medical and/or behavioral health needs or complex case management and collaborate with medical and behavioral case management staff. Identify and refer quality of care issues and suspected fraud, waste or abuse to the appropriate departments. Perform pre-screening assessment of incoming pre-certification requests to ensure appropriateness of review. Advises non-clinical staff on clinical and coding questions to ensure correct system processes and entries. Performs all other miscellaneous responsibilities and duties as assigned or directed. #LI-Hybrid

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. Consider the influence you can have on the quality of care for millions of people. Now, enhance that success with enthusiasm you can really feel. Great work is the product of solid purpose, conviction, and pride - pride in your ability and your product. UnitedHealth Group offers a portfolio of products through two distinct platforms: United HealthCare (health benefits) and Optum (health services). At UnitedHealthcare Medicare & Retirement, we serve the fastest growing segment of our nation's population - 50 and older. And we're doing it with an intense amount of dedication. Up for the challenge of a lifetime? Join a team of the best and the brightest to find bold new ways to proactively improve the health and quality of life of our 9 million customers. You'll find a wealth of dynamic opportunities to grow and develop as we work together to strengthen our health care system. We offer a growth-based culture with extraordinary opportunities in our Early Careers Sales Support Rotational Program - we succeed by staying true to our mission to make health care work effectively and efficiently for seniors. Program features: Participate in a sales support rotational program that will accelerate your career with a company that will help you learn new skills and foster your continued growth Collaborate with experienced professionals, mentors, and sales/sales support leaders Build relationships within a close-knit community of peers involved in the sales support and sales rotational program to expand your network Practical experience-based program in which participants are assigned projects in critical areas of the business Program commitment is 26 months Primary Responsibilities: Participate in a 26-month Rotational Program that will provide a structured curriculum and on-the-job sessions that will expose you to broad skills, tools, and functional departments within the Sales & Distribution Organization. Along with training and a core role within the Producer Help Desk Sales Support organization, you will also experience two, six-month rotations fully submerged within a different part of the organization. From this, you will: Complete two, six-month rotations outside of the Producer Help Desk (March - August) in areas including but not limited to Marketing, Product, Sales Operations, Workforce Management, and Business Development Complete two, six-month long Sales Support Rotations (September - February) executing on the Producer Help Desk work via inbound telephonic interactions Complete our two-month training program (June and July of year 1) Sales Support Representatives are Sales Agent champions who address sales support, product, content, and technical needs through a variety of activities: Build Agent sales success and loyalty through timely and effective interaction resolution, which includes telephonic sales interaction support, resource navigation, managing escalations, engaging appropriate resources as needed to drive sales transaction completion Provide interaction resolution updates using effective oral and written communication Interact with Sales Agents regularly via various communication channels; those channels may include inbound calls, inbound chats, inbound e-mails, or outbound calls as driven by business need Other duties and projects needed and assigned by business management In addition, the program supports additional professional development: Gain industry knowledge Enhance communication and presentation skills Review reporting practices and utilize analytical skills Learn and understand different work styles Formalize individual development plans Learn and live our corporate culture and values Access a very comprehensive repository of online self-development tools and resources *This is a full-time position with a start date of Monday, June 8, 2026* *UnitedHealth Group is not able to offer relocation assistance for this position* *UnitedHealth Group is not able to offer visa sponsorship now or in the future for this position* You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Currently in final year of obtaining a Bachelor's degree (or obtained degree no longer than 24 months prior to position start date, from an accredited college/university). Bachelor's Degree must be obtained prior to start of employment Must be eligible to work in the U.S. without company sponsorship, now or in the future, for employment-based work authorization (F-1 students with practical training and candidates requiring H-1Bs, TNs, etc. will not be considered) Preferred Qualifications: Work or volunteer experience in sales, customer service, health care, or health insurance Experience with Microsoft Office products (Word, Excel, PowerPoint, Outlook) Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.00 to $35.72 per hour based on full-time employment. We comply with all minimum wage laws as applicable At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Product Ownership & Agile Delivery: Develop, maintain and communicate product vision & roadmaps, ensuring alignment with organizational goals, technology trends, and customer needs. Represent the voice of the customer and business stakeholders within the Scrum team, ensuring user stories deliver measurable value. Own and evolve the product backlog, prioritizing based on performance analytics, stakeholder input, sprint outcomes, and shifting business priorities to maximize value delivery. Partner internal teams to ensure timely and high-quality deliverables. Facilitate cross-functional collaboration between developers, QA, UX, and architecture to align on technical feasibility, design standards, and user experience goals. Support release planning and deployment coordination across environments. Product Strategy & Requirements: Translate business needs and strategic goals into innovative, scalable solutions aligned with healthcare industry challenges and regulatory requirements. Apply business insight and analysis to develop strategies that reflect constraints, resources, and HMSA values. Define and document product features and user stories that reflect strategic objectives and adhere to architectural standards Continuously improve processes, templates, and methodologies to enhance customer experience, quality, and launch time. Stakeholder Management: Build strong relationships with stakeholders at all levels, ensuring alignment on needs and clear communication throughout the product development lifecycle. Level set stakeholders' expectations and facilitate collaboration to define and deliver feasible product visions. Act as primary liaison between business stakeholders and development teams, leading and mentoring stakeholders on product lifecycle, processes, and tools. Present and communicate with executive level leadership Collaboration: Partner with internal teams to develop standards, processes, and continuous improvement opportunities. Support product owners, program managers, and other teams with strategic alignment and prioritization. Mentor product team members and create product tools, templates, and processes. Performance Outcomes: Define and monitor key performance indicators (KPIs) for products and initiatives, using data to drive optimization. Performs all other miscellaneous responsibilities and duties as assigned or directed. #LI-Hybrid

Data Management: Reviews data sources and preps needed data. Identifies existing and new data sources. Performs data prototyping, if necessary, to agree what data can/not be used. Preps data for use in analysis, goes back to source if problems are found, and identifies other options/alternatives if problems cannot be resolved. Performs review of data to ensure completeness/accuracy/timeliness for the purpose of the analysis. Maintains tables that are necessary for department or corporate reporting. Ensures existing, approved, corporate tools used can accept/integrate the data. Analytics and Technical Acumen: Performs required analysis, applies accepted statistical methodologies where applicable, and documents the process that was followed, and data sources/tools used. Determines what kind of analytics will be performed (descriptive, predictive, prescriptive) and defines/documents overall framework. Understands various internal and external data sources available; uses expertise to utilize the most appropriate data source. Utilizes appropriate tools to load, integrate, and analyze data. Conducts analysis and documents findings, identifies unexpected anomalies and root cause (if possible) and determines if analysis can continue, identifies alternatives if anomalies cannot be resolved. Ensures reproducibility of outcomes. Documents entire analysis process, including business problem, data sources, methods and tools used, project reference, and outcomes. Implements pre-emptive actions, where possible. Analytics/Reporting Tool Development & Training: Participates in the development and delivery of analytics/reporting tools for internal and external customers. Types of projects include the development and or maintenance of self-service reporting tools and regular or ad hoc reporting. Applies a whole company perspective, draws upon previous knowledge and experience, and -- where necessary -- research new/other approaches to identify and agree upon objectives, approach, and success measures. Defines delivery milestones and negotiates timeframes, monitors progress and periodically notifies customer of status. Provides training to customers on new tools/reporting capabilities Effective Communication: Prepare/present findings that are informative and audience appropriate. Reviews findings and outcomes with customer, ensures business problem/objectives have been met, and prepares documentation of the analysis. Where necessary, manage divergent views in the audience and advises the internal/external customer on any recommendations or options that will facilitate data and analysis driven decision making. Prepares a presentation of the analysis, process followed and reviews it with the customer to ensure the results are audience appropriate. Performs all other miscellaneous responsibilities and duties as assigned or directed. #LI-Hybrid

We are seeking a Corporate Counsel with 3-5 years of post-J.D. experience to join our in-house legal team. KEY RESPONSIBILITIES · Provide coverage analyses, including evaluation of policy language, endorsements, exclusions, and jurisdictional considerations. · Draft, review, and refine insurance policy forms, endorsements, notices, and related product documentation in collaboration with underwriting team. · Advise internal colleagues, insureds, and outside brokers/agents on coverage positions, rescission/voidance issues, duty to defend/indemnify, additional insured and contractual indemnity matters, and reinsurance/retrocessional considerations as needed. · Conduct legal research and prepare memoranda, guidance, and training materials on insurance coverage, policy interpretation, and regulatory issues. · Support state rate/rule/form filings. · Provide general legal support to other departments and assist with various projects and tasks within the legal team as needed. REQUIRED QUALIFICATIONS & SKILLS · J.D. from an accredited law school and admission in good standing in at least one U.S. jurisdiction. · Minimum 3 years of post-J.D. experience. · Proficiency with Westlaw (including CoCounsel), SharePoint, and Microsoft Outlook, Word, Excel, and PowerPoint. · Strong analytical, critical thinking, and problem-solving skills. · Excellent communication, public speaking, and presenting skills. · Ability to lead project teams. · Excellent customer service skills when in communication with internal and external stakeholders. DESIRED QUALIFICATIONS & SKILLS · At least 2 years of experience at a law firm focused on insurance coverage analysis and/or insurance policy drafting and analysis. · Prior in-house experience within a P&C carrier or MGA/MGU environment, with responsibility for insurance coverage analysis and/or insurance policy drafting and analysis. · Experience with property lines and casualty lines such as professional liability, commercial property, general liability, excess/umbrella, D&O, E&O, cyber, or specialty lines. · Familiarity with various P&C policy forms and terms, state-specific variations, and form filing processes. WORKING CONDITIONS · Typical Office Environment · Preference is a hybrid role if the candidate is based in the Denver area. Office located in Denver, Colorado. · Additional onsite presence may be required for key meetings, trainings, or projects. · Schedule o Full-Time, 40 hours per week, long or unusual hours as needed, sometimes on short notice o Business Hours: 8am-5pm **REQUIRED** - Along with this application, please submit a resume, cover letter, and a writing sample demonstrating insurance coverage analysis and/or policy drafting. About Copic Copic's mission is to improve medicine in the communities we serve. We strive to be the premier diversified service organization providing professional liability insurance and other needs of the health care community through advocacy, innovation, and the commitment and dedication of our employees. We offer a comprehensive benefits package including generous PTO, paid holidays, professional development support, health/dental/vision insurance, 401(k) with company match, and pension. Total benefits program is exceptional, valued well in excess of industry norms. Hiring range for this position is $131,200/annually to $164,000/annually. Disclaimer : This is not meant to be comprehensive. Job duties and/or qualifications are subject to change depending on business need.

Responsible for analysis, design, development, integration, maintenance and support of applications. Responsibilities include, but may not be limited to, the following: Participates in the project planning and analysis process with clients, business analysts and team members. Assist in sizing and the development of timelines. Identifies and refines system requirements. Complies with architecture processes, principles, policies and standards. Assists in buy vs. build recommendations. May provide input into evaluation of system options, risk, cost versus benefits, and impacts on business processes and goals. May evaluate and provide recommendations for application packages. Designs moderately complex solutions. Develops technical specifications for applications. Makes recommendations for the development of new code or reuse of existing code. May identify best sources of data and works with data architects to ensure feasibility with corporate data sources, when needed. Able to extract data from multiple sources. Able to design and implement complex data transformations. Able to load transformed data into information management system. May adjust processes to maximize efficiency of business user queries. Utilizes development platforms, middleware tools and software frameworks for designing and developing solutions when required. Develops or modifies application components using disciplined software development processes. Complies with quality standards and procedures. Participates in software inspections and quality reviews. Uses modern testing practices, builds unit tests and conducts testing to ensure application meets specifications. Implements and executes integration test plans with team. Documents new or modified components, testing activities/results and other areas such as application-wide error handling and backup/recovery procedures. Provides ongoing maintenance of applications. Analyzes existing applications to identify and document opportunities for improvements. Prepares releases for test and production. Validates deployment once released and communicates the change to stakeholders. Provides Tier II (application) support. May provide Tier III level support. Troubleshoots existing systems to identify errors or deficiencies and develops solutions. Delivers solutions as part of a team utilizing agile or waterfall methodology as applicable. Provides feedback for team to improve in feedback sessions and/or retrospectives. Provides technical coaching and mentoring to less experienced team members. Performs all other miscellaneous responsibilities and duties as assigned or directed. #LI-Hybrid

Independently process group and direct payments received from walk-in members and groups while providing all customers with an exceptional customer-focused and positive HMSA Center experience. Ensure that the experience meets the customer's needs and exceeds their expectations. Communicate and promote HMSA's brand message and commitment to service excellence. Effectively and independently analyze and research inquiries from customers (internal and external) relating to billing and payments processed by cashiers. Handle customer inquiries (internal and external) by responding to their needs quickly and efficiently. Requires broad understanding of HMSA's business, including the Hawaii Health Connector, HMSA online storefront, LRSP, QNXT, and ancillary systems. Provide quality service in line with HMSA's mission and vision. Assist in bill production for individual subscribers and groups, including cycle billing and demand billing. Performs reconciliations and audits to ensure the billing system, A/R system, and electronic bill presentment system are in balance. Independently resolves any identified variances. Process mailed-in group and direct payments from members and groups. Process rejected and unprocessed payments from Bank of Hawaii Lockbox. Process miscellaneous payments from other departments: Medicaid, Workshops, Administrative Services Only, Long Term Care, etc. Process medical refund checks (HMSA or other) mailed-in by members and providers. Process miscellaneous checks from Finance & Accounting units. Process member Automatic Dues Payment Set-up (DPS) and mailing notification letters. Process QNXT Unapplied Cash Payments. Balance and reconcile deposits, and record payments to various general ledger accounts. Review and conduct analyses to assist the department in maintaining an efficient delinquency and cancellation process for individual subscribers and groups. Includes monitoring delinquent subscribers and groups, generating and mailing delinquency and cancellation letters, and ensuring that cancelled accounts are reconciled accurately. Process routine enrollment and group or subscriber maintenance transactions submitted in the HMSA Centers. Processes returned checks, agent fee bills, and issues petty cash. Balance cash daily and replenish till monthly. Record expenses to proper operating expense general ledger account. Make corrections as needed. Performs all other miscellaneous responsibilities and duties as assigned or directed

Network Adjusters is seeking experienced Property Claims Adjusters to join our third-party administrative insurance handling team. This role supports the investigation, evaluation, negotiation, and resolution of first-party commercial property insurance claims while delivering consistent, high-quality claims management in alignment with industry best practices. This position offers the opportunity to work within a trusted organization committed to integrity, reliability, and professional development through ongoing training and growth opportunities. About the Role Property Claims Adjusters are responsible for managing first-party commercial property claims from inception through closure. Claims may include fire, water, theft, or other property damage exposures of varying complexity and severity. In this role, you will investigate losses, analyze policy language, evaluate damages, determine coverage, negotiate settlements, and handle litigated matters as needed while maintaining clear, professional communication with all involved parties. Adjusters routinely inspect damaged property, gather statements from claimants and witnesses, coordinate with contractors and external experts, and ensure all claim activity complies with state-specific regulations and Network Adjusters' Best Claims Practices. This is a desk-based role. Responsibilities Deliver superior customer service to insureds, claimants, carrier clients, and internal stakeholders while meeting all client-specific reporting and analysis requirements Review and analyze coverage using policy conditions, provisions, exclusions, and endorsements, including jurisdictional considerations such as negligence laws, financial responsibility limits, and immunity Investigate claims to establish negligence, determine liability, and identify potential sources of recovery through fact-finding and interviews Manage property damage and other first-party losses requiring specialized investigation and coordination with external experts in compliance with applicable laws Establish, maintain, and adjust claim and expense reserves in a timely manner Develop, document, and execute plans of action for claim resolution, including effective diary management and follow-up Document all claim activities in accordance with established procedures and Best Practices Draft and issue denial letters, reservation of rights, tenders, and other routine or complex correspondence Collaborate with senior technical claim personnel to ensure proper file handling and strategic guidance Determine settlement values using independent judgment, applicable limits, and deductibles, and negotiate settlements within assigned authority Identify and pursue subrogation opportunities when applicable Ensure compliance with all state-specific regulatory requirements and quality standards Manage multiple competing priorities to ensure timely payments, follow-up, and resolution Qualifications Minimum 2 years of experience handling first-party property claims (commercial experience preferred) College or technical degree, or equivalent relevant business experience Ability to obtain and maintain required adjuster licenses, including completion of continuing education Strong verbal and written communication skills with a customer-focused, empathetic approach Proficiency in MS Word, Outlook, Excel, and general business software Strong analytical, investigative, and decision-making skills, with high attention to detail and accuracy Excellent negotiation and conflict management abilities Strong organizational and time management skills, with the ability to multitask in a fast-paced environment Ability to maintain confidentiality and exercise sound judgment Bilingual proficiency preferred but not required Compensation & Benefits Salary: Starting from $65,000+ annually (based on licensure, certifications, and experience) Training, development, and career growth opportunities 401(k) with company match and retirement planning Paid time off and company-paid holidays Comprehensive medical, dental, and vision insurance Flexible Spending Account (FSA) Company-paid life insurance and long-term disability Supplemental life insurance and optional short-term disability Strong work/family and employee assistance programs Employee referral program Location 📍 Denver, CO This role is on-site only; remote or hybrid arrangements are not available. About Network Adjusters Founded in 1958, Network Adjusters has built a reputation as a leading provider of insurance claims administration and independent adjusting services. Serving the insurance industry for nearly seven decades, Network Adjusters, Inc. brings together the best elements of third-party claims administration and independent adjusting services. From our primary offices in New York, Denver, and Kentucky to our national network of experts, our superior experience and ongoing training are the keys to successfully managing our clients claims and handling specialized insurance needs. All our Claim Directors have extensive backgrounds working with major insurance carriers, giving us a thorough understanding of factors critical claims handling. It all adds up to measurable results-the proof is in our extensive track record of settled claims and unmatched recovery abilities.

Would you like to own a meaningful financial services practice under the Allstate brand? Scale your existing practice with proven support, flexibility and access to new customers. We're looking for professionals with a growing practice who would like to use the Allstate brand and resources to expand, in your community. Your Practice. As an Allstate Financial Specialist, you'll build your own financial services practice with support from Allstate. Your partnership with Allstate Agency owners will drive new business in your community and support your access to new revenue streams Your Support Team. We support our Financial Specialists across the nation with a variety of product offerings and continued education that helps them succeed. Financial specialists can share space with an Allstate agency owner and obtain leads from them. Your Rewards. We believe hard work should be rewarded. At Allstate, we offer unlimited earning potential that's always connected to the growth of your business. Your Work. A typical agency office has one financial specialist who meets with customers face-to-face and a team of licensed professionals who enhances the team's ability to build deep relationships with customers and provide leads. Allstate provides support and expertise to help you build your business. Are You a Fit? We are looking for someone who possesses an unquenched entrepreneurial spirit and a strong track record of success. You'll also need to have: • At least 2 years of life insurance or financial services customer facing sales experience • State Life/Health Insurance Licenses • FINRA Series 6 or 7 and 63 (if applicable) licenses • Blended mix of protection and asset accumulation sales • Prior Experience as a Financial Advisor, Financial Planner, Registered Representative or Investment Representative preferred • Professional designations such as RICP, FSCP, CLU, ChFC, CFP and LUTCF preferred • Bachelor's degree (or higher) with emphasis on business preferred Subject to all terms and conditions outlined in the Allstate Personal Financial Representative (PFR) agreements. If selected to be an Allstate PFR, bring your financial experience and proven track record to Allstate. Allstate PFRs are not franchisees. Except in NY, they are independent contractors and are not employed by Allstate Insurance Company (“Allstate”) or its affiliates. In NY, they are Allstate employees. Securities offered through Allstate Financial Services, LLC (LSA Securities in LA and PA). Registered Broker-Dealer. Member FINRA, SIPC. Main Office: 2920 South 84th Street, Lincoln, NE 68506. **************. Allstate is an Equal Opportunity Company. Note: Life and Health, and FINRA Series 6 & 63 (if applicable) licenses are required. To sell investment advisory services, Series 65 or 7 & 66 licenses would also be required. ©2018 Allstate Insurance Company, Northbrook, IL. Skills At Allstate, we work hard to help people live a good life every day. Allstaters are dedicated to serving clients, customers, and communities, which allows employees to find meaning and value in their work. Allstate offers an environment that fosters innovative thinking where you'll be able to explore your ideas and feel proud of the work you do. Allstate helps protect nearly 16 million households with auto, home, life, and retirement products. We want every professional connected to Allstate to be committed to giving our customers the best and that means finding the best talent. We want you to be our next great addition. It's easy to search and apply for a new opportunity with Allstate. Simply use the links below to identify the openings that interest you. Allstate Careers Learn more about Allstate United States. Learn more about Allstate Northern Ireland. Learn more about Allstate India Private Limited. For more information about Allstate's Website Accessibility Statement, please click here: Allstate Website Accessibility Statement Allstate Personal Financial Representatives are independent contractors and are not employed by Allstate Insurance Company (“Allstate”) or its affiliates. In NY, they are Allstate employees. Allstate is an Equal Opportunity Company. © 2019 Allstate Insurance Co.

We are seeking a Loss Control Consultant to join our team, working under the guidance of the Loss Control Team Lead to support a portfolio of high-value real estate clients. In this role, you will serve as the system administrator for our Risk Management Platform, a critical tool used to track, analyze, and mitigate risks across diverse property types. You will also coordinate and report on loss control initiatives, ensuring our clients have the insights they need to safeguard their investments. Your clients include owners and operators of: * Medical office buildings * Multifamily apartments * Student housing communities * Senior living facilities * Light industrial properties This position offers the opportunity to combine technical expertise with risk management strategy, directly contributing to the protection and performance of complex real estate assets. Essential Duties, Responsibilities, and Key Results Areas * Support implementation of loss control initiatives, with emphasis on: o Property risk mitigation strategies o Risk and safety audit tools o Water intrusion prevention and remediation plans o Winterization protocols * In coordination with vendors, help administer and maintain the Risk Management Platform, including location databases and user credentials * Deliver end-user training to ensure effective system utilization * Collaborate with asset managers and property teams to resolve open items and drive compliance * Manage project plans, tracking timelines, milestones, and deliverables for defined loss control initiatives * Coordinate with Lockton, clients, and operating partners to assess and manage loss exposures * Prepare and submit weekly status reports. * Analyze loss data to identify trends and ensure initiatives address leading risk factors * Contribute to continuous improvement, recommending and implementing effective controls in partnership with the Lockton Loss Control Team Lead * Perform additional duties as assigned to support overall risk management objectives Ideal Candidate Attributes The successful candidate will bring a blend of technical expertise, relationship-building skills, and problem-solving ability. Key attributes include: * Professional Experience o Prior background in Risk Management, Safety, or Loss Control o Proficiency with PC operations and a variety of standard, custom, and web-based applications * Relationship & Communication Skills o Strong drive to build and sustain meaningful partnerships with clients, operating partners, and service providers o Ability to clearly convey technical information to non-technical audiences, both in group presentations and one-on-one settings * Analytical & Operational Strengths o Skilled at identifying potential hazards requiring immediate attention and evaluating existing controls o Capable of coordinating effectively with diverse stakeholders in the loss control process o Adept at managing multiple, complex project plans while prioritizing tasks to maximize efficiency and productivity o Flexible and resilient in adapting to shifting work conditions, deadlines, and timelines in a fast-paced environment o Independent, resourceful, and able to apply critical thinking and problem-solving skills with minimal supervision #LI-OE1

Provides administrative and operational assistance to the various claim department units which include operational support to the adjusters and supervisors, generating supervisory reports, First Notice of Loss, review, index and pay attorney bills, medical and other. Prepares claims data for corporate 1099 reporting, BWH, IRS mis-match review & correction, performing functions necessary to support the claims division on a day to day basis. Operates computer, typewriter and transcribing software and foot pedal to transcribe statements, letters, or other recorded data. Duties: General Support and Training * Serve as a resource to all division personnel and provides training on payment coding when applicable and processing as appropriate. * Relieve receptionist as needed. * Cross-trained to provide coverage in other areas of the Operations Unit. Claims Processing and Coordination * Confirm coverage and enter new WC claims in the claims system, enter claim information into the ISO database via the internet for Casualty, PIP, and WC lines of business and prepare and mail HIPAA forms. * Request policy coverage status from underwriting for new WC claims without a current policy; enter NP claims in log when appropriate. * Coordinate and advise the proper supervisor/adjusters on identified problems/discrepancies. * Create and mail PIP applications, HIPPA forms, and report/enter injury information in the ISO database via the internet. * Investigate, track, prepare letters to vendors, and monitor duplicate payments. Financial Management and Reporting * Produce confidential statistical data in spreadsheet format and compile in specified daily, weekly, and monthly production reports (caseload, diaries, late reserves, delinquent tasks, open claims without a diary, etc.) utilizing systems and other available production and tracking tools. * Produce and balance the daily production and tracking reports vs. the claims income spreadsheet. * Process in accounting software, management-approved 'manual' drafts, record and notify Accounting, ensure that the manual draft is posted by the adjuster in the claims system. * Process computer payments for all units including special vendor levy transactions in the claims system, notifying the responsible unit when there are discrepancies. Also included HPIA claims. * Prepare envelopes, mailing labels, certified mail forms, and return receipts for regular mail or special handling mail. Communication and Correspondence * Compose basic letters to insureds for various situations including explaining deductible credits. * Use a transcribing machine to transcribe recorded statements. * Coordinate transcriptions sent to a vendor. * Research, copy, and notify the appropriate persons of the receipt of a subpoena. Update the applicable records spreadsheet. * Research bankruptcy notices. Update the applicable records spreadsheet. Notify the appropriate adjuster. Data Entry and Systems Management * Import CD data to ImageRight. * Make duplicate copies of CDs as requested. * Possess the knowledge of converting file extensions to other required formats. * Properly document one's actions in the claims system when required as documented in the Claim Assistants' procedures. * Request W9s or W8s when applicable, enter/update the claims system, file documents, and maintain W9 folders. * Ensure that the W9 / W8 is thoroughly completed by the vendor and entered into the claims system to be in compliance with Internal Revenue requirements. * Research DCCA website before calling vendors on oddities. Research, resolve and assist Accounting Department with 1099 discrepancies. Qualifications: * High school diploma or general education degree (GED) required; and 1 year certificate from college or technical school preferred. * Previous insurance experience preferred, but not required * Equivalent combination of education and job-related experience will be considered.