Claim Specialist jobs at Zurich

Licensed Behavioral Health Clinicians provide supportive counseling, advocacy, education, and care management to help patients and their families navigate mental illness, access community resources, and manage symptoms to help them remain safely in the community This is a senior, master's level, licensed social services role that provides direct care as part of a team. Join us in building on our 130-year history and become a part of the Future of Care that is strengthening communities with high quality, integrated behavioral health programs. VNS Health Behavioral Health team members provide vital client-centered behavioral health care to New Yorkers most in need, across all stages of life and mental well-being. We deliver care wherever our clients are, including outpatient clinics, clients' homes, and the community. Our short- and long-term service models include acute, transitional, and intensive care management programs that impact the most vulnerable populations, from children, to adolescents, to aging adults. As part of our fast-growing Behavioral Health team, you'll have an opportunity to develop and advance your skills, whether you're early in your career or an experienced professional. What We Provide Attractive sign-on bonus and referral bonus opportunities Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability Employer-matched retirement saving funds Personal and financial wellness programs Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care Generous tuition reimbursement for qualifying degrees Opportunities for professional growth and career advancement Internal mobility, CEU credits, and advancement opportunities Interdisciplinary network of colleagues through the VNS Health Social Services Community of Professionals What You Will Do Utilizes approved assessments to identify clients/members needs and family needs; develops initial and ongoing clinical plan of care. Updates plan at specified intervals, and as needed based on changes in client/member condition or circumstances Performs and maintains effective care management for assigned caseload of clients/members. Leads the care coordination for complex psychiatric clinical cases. Tracks and monitors progress; maintains detailed, accurate and timely progress notes and other documentation Provides supportive counseling and/or supportive therapy as well as ongoing mental health services Collaborates and refers to appropriate agencies as required. Addresses any client/member concerns to ensure satisfaction with overall services provided and uses motivational interviewing techniques to foster behavioral changes Develops inventory of resources that meet the clients/members needs as identified in the assessment Provides linkage, coordination with, referral to and follow-up with appropriate service providers and managed care plans. Facilitates periodic case record reviews and case conferences with all providers serving the clients/members Provides information and assistance through advocacy and education to clients/members and family on availability and eligibility of entitlements and community services. Arranges transportation and accompanies clients/members to appointments as necessary Assists clients/members and/or families in the development of a sustainable network of community-based supports, utilizing identified strengths and tools designed to prevent future participant crises and/or reduce the negative impact if a crisis does occur Participates in initial and ongoing trainings as necessary to maintain and enhance clinical and professional skills Maintains updated case records in program EMR. Maintains case records in accordance with program policies/procedures, VNS Health standards and regulatory requirements Participates and consults with team supervisor in case conferences, staff meetings, utilization review and discharge planning meetings to determine if client/member requires an alternate level of care or is appropriate for discharge Participates in 24/7 on-call coverage schedule and performs on-call duties, as required Acts as liaison with other community agencies Provides short term counseling (coping skills, trauma informed, decision making) and Risk Health Assessment/Safety Planning Collects and reports data, as required while adhering to productivity standards Leads and participates in “Network Meetings” with client, client/ member's personal support network and other team members using the Open Dialogue Model Qualifications Master's Degree in Social Work, Psychology, Mental Health Counseling, Family Therapy or related degree Minimum of two years of mental health work experience providing direct services to clients/members with Serious Mental Illness (SMI), developmental disabilities, substance use disorders and/or chronic medical conditions required Effective oral/written/interpersonal communication skills required Bilingual skills may be required as determined by operational needs License and current registration to practice as a Mental Health Counselor, Marriage and Family Therapist , Social Worker, Clinical Social Worker or related license in New York State Valid NYS ID or NYS driver's license may be required as determined by operational needs. Pay Range USD $63,800.00 - USD $79,800.00 /Yr. About Us VNS Health is one of the nation's largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives us - we help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 “neighbors” who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.

Mid-Continent Group - Tulsa, OK or Cincinnati, OH (Hybrid) Empower Your Career. Make an Impact. Grow with Us. Mid-Continent Group, a proud member of the Great American Insurance Group, specializes in commercial casualty coverages with a strong focus on general liability for construction, energy, and other complex industries. We offer a broad portfolio of General Liability, Commercial Auto, Inland Marine, and Umbrella products. Why Join Us? Fortune 500 Stability + Entrepreneurial Spirit: Be part of a company that combines the agility of a small business with the resources of a Fortune 500 leader. Hybrid Work Environment: Enjoy the flexibility of working from home and collaborating in our vibrant downtown offices in Tulsa or Cincinnati. Culture: We celebrate diverse perspectives and foster a workplace where everyone feels empowered to thrive. Career Growth: With over 35 specialty operations within the Great American Insurance Group, your opportunities to learn, lead, and grow are limitless. Responsibilities Manage a portfolio of complex, high-value commercial general liability and auto claims across the U.S. Lead investigations, evaluate coverage and liability, and drive resolution strategies. Represent the company in mediations, depositions, and trials. Collaborate with underwriting and marketing teams to identify trends and improve outcomes. Serve as a technical expert and strategic advisor within your line of business. Ensure compliance with all legal and regulatory standards. Offer expert advice to other members of your team on complex claim file management and demonstrate leadership across the organization. Qualifications 9+ years of experience handling general liability and/or commercial auto claims. Strong analytical skills and deep understanding of policy coverage. Excellent communication, negotiation, and organizational abilities. Bachelor's degree in Business, Risk Management, Insurance, or related field (or equivalent experience). Professional designations (e.g., CPCU) are a plus. Benefits Competitive compensation and performance-based incentives. Comprehensive benefits including health, dental, vision, and retirement plans. Generous paid time off and wellness programs. Support for continuing education and professional development. Ready to Make a Difference? Join a team where your expertise is valued, your voice is heard, and your career can flourish. Apply today and be part of something great.

Network Adjusters is seeking skilled insurance claims adjusters with experience in General Liability and/or Construction Defect for a third-party liability Construction Defect Claims Adjuster position. In this role, you will manage third-party Construction Property Damage and Liability Insurance claims of varying complexity and severity, specifically within construction development and subcontractor programs. CONSTRUCTION DEFECT ADJUSTER RESPONSIBILITES: Knowledge of General Liability and Construction Defect claims. Provide superior customer service to meet the needs of the insured, claimant, all internal and external customers, including carrier clients. Fulfill specific client requirements including reporting of claim details and analysis. Review and analyze coverage and apply policy conditions, provisions, exclusions and endorsements. Recognize and apply jurisdictional issues that impact the claim (i.e.: negligence laws, financial responsibility limits, immunity, etc.) Investigate facts to determine liability, other sources of recovery as appropriate by contacting and interviewing appropriate parties. Manage 3rd party property damages, bodily injury and other claims requiring specialized investigation and utilization of external experts in accordance with local laws. Effectively manage litigated claims & assigned defense or coverage counsel. Establish and maintain appropriate claim and expense reserves in a timely fashion. Develop and continually update a plan of action for file resolution including maintaining an effective diary. Document claim file activities in accordance with established procedures. Write denial letters, reservation of rights, tenders and other routine and complex correspondence to insureds and claimants. Confer with higher level technical claim personnel for guidance and direction to ensure files are handled properly. Determine settlement amounts based on independent judgment, application of applicable limits and deductibles. Negotiate settlements within authority limits. Identify subrogation opportunities. Meet all quality standards and expectations based on Best Practices. Assure compliance with state specific regulations. Effectively manage multiple competing priorities to ensure timely payment, follow-up and claim resolution. CONSTRUCTION DEFECT ADJUSTER QUALIFICATIONS: 2-5 years of experience in claims handling (preferably 3rd party - general liability). College/Technical degree or equivalent business experience. Obtain Adjusters licenses as required to meet business need. Complete continuing education to maintain licenses. Strong verbal and written communication skills. General software skills including MS Word, Outlook and Excel. Customer service and empathy skills. Solid analytical and decision-making skills in order to evaluate claims and make sound decisions. Excellent negotiation skills and ability to effectively handle conflict. Strong organization and time management skills. Ability to multi-task and adapt to a changing environment. Attention to detail, ensuring accuracy. Strong investigative skills and creativity to achieve optimal results. Ability to maintain confidentiality. CONSTRUCTION DEFECT ADJUSTER BENEFITS: Training/Development and growth opportunities 401(k) with company match / Retirement planning Paid time off / Company paid holidays Comprehensive health plans including dental and vision coverage Flex spending account Company paid life insurance Company paid long term disability Supplemental life insurance Opportunity to buy into short term disability Strong work/family and employee assistance programs This role is located in Farmingdale, NY; no remote or hybrid offers are available at this time. The starting salary for this position is $75,000 - $100,000, depending on factors such as licensure, certifications, and relevant experience. Become a part of a dynamic, energetic workforce in which you can make a difference. 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 of 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.

Berkley Luxury is seeking a Senior Claims Specialist to join our growing team in our new Parsippany, NJ office. In this role, you'll manage a wide range of commercial lines casualty claims, including litigated matters, while delivering exceptional customer service and collaborating with a high-performing team. What you'll do: Conduct thorough investigations and analyze coverage, liability, and damages Manage litigated claims and work closely with defense counsel Negotiate resolutions through mediation and arbitration Prepare reports and ensure compliance with regulations What we're looking for: 5-7 years of experience handling commercial general liability claims Strong litigation management and negotiation skills Bachelor's degree (JD a plus) This is a fantastic opportunity to join a company that values accountability, collaboration, and continuous learning. If you're interested in learning more, let's connect!

Network Adjusters is seeking an experienced General Liability/Construction Defect Claims Supervisor to join our third-party administrative insurance handling team. As a Claims Supervisor, you will oversee the full claims process in a fast-paced environment, ensuring compliance and service standards are met. You will hire, onboard, train, and develop a team of adjusters specializing in construction defect claims, guiding them in the proper investigation, documentation, and resolution of first and third party claims. This role offers the opportunity to build and grow a talented claims staff, provide technical support, maintain department protocols, and drive strong customer service outcomes while advancing your own leadership career. QUALIFICATIONS: Minimum of three years' experience as a supervisor/manager (preferably in insurance claims). Minimum of 5 years' experience handling general liability or construction defect claims. Strong leadership skills, with ability to motivate and develop a team. Superior working knowledge of case law, statutes, and procedures impacting the handling and value of claims. Ability to prioritize workload and handle multiple tasks. Analytical and problem-solving abilities, with a keen attention to detail. Desire to work in a fast-paced environment. Excellent evaluation and strategic skills required. Strong claim negotiation skills. Proficient in MS Office Suite and other business-related software. Polished and professional written and verbal communication skills. Bachelor's degree in a relevant field or equivalent work experience. RESPONSIBILITIES: Supervise a Team: Manage a team of claims adjusters, providing guidance, training, and support to ensure high-quality claim assessments and exceptional customer service. Coverage Analysis: Examine claim forms, policies, and other records to determine insurance coverage. Claims Processing: Oversee the entire claims process, including the evaluation of damages, determination of loss, settlement negotiations and resolution, while ensuring all compliance regulations are adhered to. Quality Assurance: Implement and monitor quality control measures (Best Practices) to ensure accurate and consistent claims handling in compliance with company guidelines and industry standards. Customer Service: Collaborate with carriers, attorneys, claimants, and internal policyholders to address inquiries, resolve disputes, and ensure a positive claims experience. Performance Metrics : Track and analyze key performance metrics to identify areas for improvement, set performance targets, and implement strategies to meet or exceed goals. Reporting: Generate and present regular reports to senior management and clients, highlighting department performance, trends, and areas for improvement. Compliance: Stay current with industry regulations and best claims practices to ensure that claims processes are compliant with all legal requirements. BENEFITS: 401(k) with company match / Retirement planning Paid time off / Company paid holidays Comprehensive health plans including dental and vision coverage Flex Spending Account Company paid life insurance Company paid long term disability Supplemental life insurance Opportunity to buy into short term disability Family leave Employee Assistance Program This role is based in Denver, CO, and we strongly prefer candidates who can work on-site. Remote arrangements may be considered only for exceptionally well-qualified applicants who meet all required criteria. The starting salary for this position is $110,000 - $140,000, depending on factors such as licensure, certifications, and relevant experience. 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 of 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.

Network Adjusters is seeking skilled insurance claims adjusters with experience in General Liability and/or Construction Defect for a third-party liability Construction Defect Claims Adjuster position. In this role, you will manage third-party Construction Property Damage and Liability Insurance claims of varying complexity and severity, specifically within construction development and subcontractor programs. CONSTRUCTION DEFECT ADJUSTER RESPONSIBILITES: Knowledge of General Liability and Construction Defect claims. Provide superior customer service to meet the needs of the insured, claimant, all internal and external customers, including carrier clients. Fulfill specific client requirements including reporting of claim details and analysis. Review and analyze coverage and apply policy conditions, provisions, exclusions and endorsements. Recognize and apply jurisdictional issues that impact the claim (i.e.: negligence laws, financial responsibility limits, immunity, etc.) Investigate facts to determine liability, other sources of recovery as appropriate by contacting and interviewing appropriate parties. Manage 3rd party property damages, bodily injury and other claims requiring specialized investigation and utilization of external experts in accordance with local laws. Effectively manage litigated claims & assigned defense or coverage counsel. Establish and maintain appropriate claim and expense reserves in a timely fashion. Develop and continually update a plan of action for file resolution including maintaining an effective diary. Document claim file activities in accordance with established procedures. Write denial letters, reservation of rights, tenders and other routine and complex correspondence to insureds and claimants. Confer with higher level technical claim personnel for guidance and direction to ensure files are handled properly. Determine settlement amounts based on independent judgment, application of applicable limits and deductibles. Negotiate settlements within authority limits. Identify subrogation opportunities. Meet all quality standards and expectations based on Best Practices. Assure compliance with state specific regulations. Effectively manage multiple competing priorities to ensure timely payment, follow-up and claim resolution. CONSTRUCTION DEFECT ADJUSTER QUALIFICATIONS: 2-5 years of experience in claims handling (preferably 3rd party - general liability). College/Technical degree or equivalent business experience. Obtain Adjusters licenses as required to meet business need. Complete continuing education to maintain licenses. Strong verbal and written communication skills. General software skills including MS Word, Outlook and Excel. Customer service and empathy skills. Solid analytical and decision-making skills in order to evaluate claims and make sound decisions. Excellent negotiation skills and ability to effectively handle conflict. Strong organization and time management skills. Ability to multi-task and adapt to a changing environment. Attention to detail, ensuring accuracy. Strong investigative skills and creativity to achieve optimal results. Ability to maintain confidentiality. CONSTRUCTION DEFECT ADJUSTER BENEFITS: Training/Development and growth opportunities 401(k) with company match / Retirement planning Paid time off / Company paid holidays Comprehensive health plans including dental and vision coverage Flex spending account Company paid life insurance Company paid long term disability Supplemental life insurance Opportunity to buy into short term disability Strong work/family and employee assistance programs We have openings in Denver, Colorado; Farmingdale, New York; and Covington, Kentucky. Remote work may be available for experienced candidates who meet the required criteria. The starting salary for this position is $75,000 - $100,000, depending on factors such as licensure, certifications, and relevant experience. Become a part of a dynamic, energetic workforce in which you can make a difference. 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 of 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.

Network Adjusters is seeking an experienced first party property damage Claims Supervisor to join our expanding team. As a Property Claims Supervisor, you will play a critical role in our claims department, overseeing the entire claims process in a fast-paced environment to ensure all compliance and service guidelines are met. You will manage a team of Adjusters who specialize in handling Commercial Property losses, ensuring each member of your team is properly investigating, documenting, and resolving their assigned claims. You will offer guidance and support to staff on claims-related technical matters and oversee adherence to department protocols and expectations when dealing with first-party and third-party claims. You will strive to exceed customer service benchmarks, take charge of continued education, and nurture the growth of your team, actively contributing to their career advancement. Become a part of our dynamic, energetic workforce in which you can make a difference. We are committed to encouraging your professional growth through a variety of development opportunities. QUALIFICATIONS: Minimum of five (5) years handling first party property claims; prior claim supervision & commercial claims experience preferred. Strong leadership skills, with ability to motivate and develop a team. Superior working knowledge of case law, statutes, and procedures impacting the handling and value of claims. Ability to prioritize workload and handle multiple tasks. Analytical and problem-solving abilities, with a keen attention to detail. Desire to work in a fast-paced environment. Excellent evaluation and strategic skills required. Strong claim negotiation skills. Proficient in MS Office Suite and other business-related software. Polished and professional written and verbal communication skills. Bachelor's degree in a relevant field or equivalent work experience. RESPONSIBILITIES: Supervise a Team: Manage a team of claims adjusters, providing guidance, training, and support to ensure high-quality claim assessments and exceptional customer service. Coverage Analysis: Examine claim forms, policies, and other records to determine insurance coverage. Claims Processing: Oversee the entire claims process, including the evaluation of damages, determination of loss, settlement negotiations and resolution, while ensuring all compliance regulations are adhered to. Quality Assurance: Implement and monitor quality control measures (Best Practices) to ensure accurate and consistent claims handling in compliance with company guidelines and industry standards. Customer Service: Collaborate with carriers, attorneys, claimants, and internal policyholders to address inquiries, resolve disputes, and ensure a positive claims experience. Performance Metrics : Track and analyze key performance metrics to identify areas for improvement, set performance targets, and implement strategies to meet or exceed goals. Reporting: Generate and present regular reports to senior management and clients, highlighting department performance, trends, and areas for improvement. Compliance: Stay current with industry regulations and best claims practices to ensure that claims processes are compliant with all legal requirements. BENEFITS: · 401(k) with company match / Retirement planning · Paid time off / Company paid holidays · Comprehensive health plans including dental and vision coverage · Flex Spending Account · Company paid life insurance · Company paid long term disability · Supplemental life insurance · Opportunity to buy into short term disability · Family leave · Employee Assistance Program About Network Adjusters, Inc. 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 almost 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 and Denver 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 of 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. Please be advised this position is an in-office role located in Denver, CO. No remote opportunities are available at this time. The starting salary for this position is $85,000 - $110,000; factors such as licensing, certifications, work, and relative experience will be taken into consideration.

Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated and experienced field claims professional to join our team. This job handles insurance claims in the field under general supervision through the life-cycle of a claim including but not limited to: investigation, evaluation, and claim resolution. This job provides service to agents, insureds, and others to ensure claims resolve accurately and timely. This job requires mastery of claims-handling skills and requires the person to: Investigate and assemble facts, determine policy coverage, evaluate the amount of loss, analyze legal liability Handle multi-line property and casualty claims in an assigned territory with an emphasis on property claims Become familiar with insurance coverage by studying insurance policies, endorsements and forms Work toward the resolution of claims, and attend arbitrations, mediations, depositions, or trials as necessary Ensure that claims payments are issued in a timely and accurate manner Handle investigations by phone, mail and on-site investigations Desired Skills & Experience Bachelor's degree or direct equivalent experience handling property and casualty claims A minimum of 3 years handling multi-line property and casualty claims with an emphasis on property claims Field claims handling experience is preferred but not required Knowledge of Xactimate software is preferred but not required Above average communication skills (written and verbal) Ability to resolve complex issues Organize and interpret data Ability to handle multiple assignments Ability to effectively deal with a diverse group individuals Ability to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents) Ability to drive an automobile, possess a valid driver license, and maintain a driving record consistent with the Company's underwriting guidelines for coverage Benefits Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent compensation/benefits package. Along with a competitive base salary, matched 401(k), fully-funded pension plan (once vested), and bonus programs, Auto-Owners also provides generous paid time off including holidays, vacation days, personal time, and sick leave. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you! Equal Employment Opportunity Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law. *Please note that the ability to work in the U.S. without current or future sponsorship is a requirement.

At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities. Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose. When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers. What Makes This Opportunity Exciting? Are you a seasoned professional with a track record ininsurance claims? As an Experienced Claims Specialist at GEICO, you'll leverage your expertise to manage cases and contribute to your team's success. You'll be at the heart of our commitment to outstanding customer service. You'll manage multiple steps impacting the claims life cycle, providing guidance, support, and solutions to policyholders during times of uncertainty. Your expertise and compassion will make a meaningful impact on their lives while contributing to GEICO's reputation for excellence. Claims Processing: Efficiently and accurately handle insurance claims, ensuring adherence to company policies and procedures. Customer Service: Communicate professionally and empathetically with customers, addressing concerns and questions about their claims. Investigation: Conduct thorough investigations to determine the extent of coverage and assess any potential fraud. Meaningful Impact: Make a real difference by resolving issues and enhancing customer satisfaction. Workplace Flexibility: After completing a comprehensive 5-month in-office training and orientation, transition to a hybrid work model with the best of both worlds-spend 80% of your time in the office and 20% working remotely. Plus, take advantage of the GEICO Flex Program, which offers up to four additional weeks of remote work annually for even greater flexibility. Professional Growth: Access GEICO's industry-leading training programs and development opportunities: Continuing education at no cost to you. Leadership development programs and hundreds of eLearning courses to enhance your skills. Access to GEICO Strive Program, providing associates with tuition assistance and access to high-quality education to advance their career. Incentives and Recognition: Pay Transparency: The starting salary for an Experienced Claims Specialist is between $31.62 per hour / $63,714 annually and $33.11 per hour / $66,736 annually. Sign-On Bonuses: $1,500 for active Florida All-Lines Adjuster License (6-20). Evening Shift Differentials: Earn a +10% pay differential for eligible shifts. Weekend Shift Differentials: Earn a +20% pay differential for eligible shifts. Additional Perks: Health & Wellness: Comprehensive healthcare and well-being support available on Day 1. 401(k) Match: From day one, you'll be automatically enrolled in our 401(k) plan with a 6% pre-tax contribution. We match 100% of your contributions, up to 6% of your eligible earnings, with employer contributions added to your account each paycheck and vesting immediately. What We're Looking For: A passion for providing outstanding customer service. Strong interpersonal, communication, and problem-solving skills. Adaptability and attention to detail in a dynamic environment. 2+ years of prior claims experience in the insurance industry. Active Florida All-Lines Adjuster License (6-20) required. High School Diploma required, College degree (2-4 year) preferred. Ability to prioritize and multi-task, while navigating through multiple business applications. Computer proficiency, including familiarity with Microsoft Office Suite. Flexibility to work evenings, weekends, and holidays as needed. #geico600 At this time, GEICO will not sponsor a new applicant for employment authorization for this position. The GEICO Pledge: Great Company: At GEICO, we help our customers through life's twists and turns. Our mission is to protect people when they need it most and we're constantly evolving to stay ahead of their needs. We're an iconic brand that thrives on innovation, exceeding our customers' expectations and enabling our collective success. From day one, you'll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people's lives. Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career - and your potential - in mind. You'll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels. Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose. As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers. Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future. Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family's overall well-being. Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance. Access to additional benefits like mental healthcare as well as fertility and adoption assistance. Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year. The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled. GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.

Network Adjusters is seeking skilled insurance claims adjusters with experience in General Liability, Professional Liability, or Employment & Public Officials Liability for a third-party claims adjuster position. As a claims adjuster you will investigate, evaluate, determine liability, negotiate, and settle assigned multi-line commercial claims in accordance with Network Adjusters' Best Practices. This position provides quality claim handling and exceptional customer service throughout the entire claims process while engaging in indemnity, expense & diary management. CLAIMS ADJUSTER JOB DESCRIPTION: Handle primarily third-party liability damage insurance claims with varying degrees of complexity and severity under General Liability, Professional Liability, and Employment Liability & Public Officials Liability coverages. This includes but is not limited to, third party property damage, bodily injuries, wrongful employment practices, wrongful acts, and professional liability claims handling. CLAIMS ADJUSTER RESPONSIBILITES: Provide superior customer service to meet the needs of the insured, claimant, all internal and external customers, including carrier clients. Fulfill specific client requirements including reporting of claim details and analysis. Review and analyze coverage and apply policy conditions, provisions, exclusions and endorsements. Recognize and apply jurisdictional issues that impact the claim (i.e.: negligence laws, financial responsibility limits, immunity, etc.) Investigate facts to establish negligence, determine liability, other sources of recovery as appropriate by contacting and interviewing appropriate parties. Manage liability and other claim types requiring specialized investigation and utilization of external experts in accordance with local laws. Establish and maintain appropriate claim and expense reserves in a timely fashion. Develop and continually update a plan of action for file resolution including maintaining an effective diary. Document claim file activities in accordance with established procedures. Write denial letters, reservation of rights, tenders and other routine and complex correspondence to insureds and claimants. Confer with higher level technical claim personnel for guidance and direction to ensure files are handled properly. Determine settlement amounts based on independent judgment, application of applicable limits and deductibles. Negotiate settlements within authority limits. Identify subrogation opportunities. Meet all quality standards and expectations based on Best Practices. Assure compliance with state specific regulations. Effectively manage multiple competing priorities to ensure timely payment, follow-up and claim resolution. CLAIMS ADJUSTER QUALIFICATIONS: College/Technical degree or equivalent business experience. Minimum of 3 years of claims handling experience in either General Liability, Professional Liability, Employment Liability or Public Officials Liability. Obtain Adjusters licenses as required to meet business need. Complete continuing education to maintain licenses. Strong verbal and written communication skills. General software skills including MS Word, Outlook and Excel. Customer service and empathy skills. Solid analytical and decision-making skills in order to evaluate claims and make sound decisions. Excellent negotiation skills and ability to effectively handle conflict. Strong organization and time management skills. Ability to multi-task and adapt to a changing environment. Attention to detail, ensuring accuracy. Strong investigative skills and creativity to achieve optimal results. Ability to maintain confidentiality. Knowledge of Security Industry and/or Elevator Industry is beneficial. CLAIMS ADJUSTER BENEFITS: Training/Development and growth opportunities 401(k) with company match / retirement planning Paid time off / company paid holidays Comprehensive health plans including dental and vision coverage Flex spending account Company paid life insurance Company paid long term disability Supplemental life insurance Opportunity to buy into short term disability Strong work/family and employee assistance programs We have openings in Farmingdale, New York; Denver, Colorado; and Covington, Kentucky. Remote work may be available for experienced candidates who meet the required criteria. The starting salary for this position is $85,000 and up, depending on factors such as licensure, certifications, and relevant experience. Become a part of a dynamic, energetic workforce in which you can make a difference. We are committed to encouraging your professional growth through a variety of training and development opportunities. 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 almost 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 and Denver 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 of 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.

The Auto Property Damage Claims Representative is responsible for managing Auto Property Damage claims within our “Auto PD Claim Unit.” This role demands a high level of customer service, patience, and professionalism while working in a fast-paced environment with significant phone interaction. Strong customer service, organizational, verbal, and written communication skills are essential. The ability to navigate adversarial situations with professionalism is critical. Comparative negligence claim handling experience is a plus but not required. RESPONSIBILITIES Policy Analysis: Investigate and interpret policy provisions, endorsements, and conditions to determine coverage for automobile property claims. Identify and investigate contested coverage claims that may require a roundtable discussion. Claim Investigation: Investigate auto accidents to assess liability by interviewing first- and third-party claimants, witnesses, investigating officers, and other relevant parties. Secure and analyze pertinent records, documentation, and loss scene information to determine proximate cause, negligence, and damages. Claims Management: Evaluate and adjust reserves as necessary. Prepare dispatch instructions for field personnel to inspect vehicles. Negotiate and settle claims within individual authority limits and seek supervisor approval for claims exceeding authority or requiring additional guidance. Maintain effective follow-up systems on pending files, advising insureds, claimants, and brokers on claim status. Act as an intermediary between the company, preferred vendors, and customers to resolve disputes. Ensure adherence to privacy guidelines, laws, and regulations in claims handling. Subrogation and Legal Handling: Investigate and initiate subrogation processes when applicable. Handle and respond to special civil part lawsuits or intercompany arbitrations related to auto property damage claims. Administrative Duties: Manage a customer-focused phone environment by answering calls, returning voicemails, and responding to emails and text correspondence promptly. Process incoming and outgoing mail timely and in accordance with state guidelines. Complete other duties as assigned. QUALIFICATIONS Bachelor's degree required. A minimum of 1 year of related PD claim experience is welcomed but not required. Proficiency in personal computer skills, including Microsoft Office Suite. Ability to prioritize and manage multiple tasks effectively. Excellent communication, organizational, and customer service skills. SALARY RANGE The pay range for this position is $47,000 to $55,000 annually. Actual compensation will vary based on multiple factors, including employee knowledge and experience, role scope, business needs, geographical location, and internal equity. PERKS & BENEFITS 4 weeks accrued paid time off + 9 paid national holidays per year Low cost and excellent coverage health insurance options that start on Day 1 (medical, dental, vision) Annual 401(k) Employer Contribution Resources to promote Professional Development (LinkedIn Learning and licensure assistance) Robust health and wellness program and fitness reimbursements Various Paid Family leave options including Paid Parental Leave Tuition Reimbursement ABOUT THE COMPANY The Plymouth Rock Company and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. We continuously invest in technology, our employees thrive in our empowering environment, and our customers are among the most loyal in the industry. The Plymouth Rock group of companies employs more than 1,900 people and is headquartered in Boston, Massachusetts. Plymouth Rock Assurance Corporation holds an A.M. Best rating of “A-/Excellent”. #LDNI

At least twenty-four (24) Medicaid related Claims Analyst and Claims Processors are needed for a long-term project in DC. These positions are 100% onsite and located downtown, near Farragut North Metro Station. The Midtown Group is teaming up with a leading technology company to support a D.C. government department that offers its residents a Medicaid program. Our collective goal is to modernize and optimize DC's Medicaid program while offering outstanding customer support. Our venture is focused on improving outcomes, enhancing provider experiences, and safeguarding program integrity. For this project, our partner will provide technology, and we will provide people and expertise across several functions, including contact center operations. Claims Analyst and Claims Processors will support D.C. medical providers who need assistance with Medicaid benefits. These positions are in-person, located in Downtown D.C. There are no plans to move to hybrid or fully remote models. Interviews begin on Tuesday, 12/9/25, and these engagements are expected to start on 1/16/26 and may continue for up to two or three years or longer. Key job tasks Claims/Financial Analyst/Processors have several job responsibilities, and some of the critical ones are: · Handle refund checks and state warrants received from healthcare providers and the State agency. · Contact providers, verbal and in writing, to resolve check-related issues. · Receive and respond to client inquiries. · Responsible for handling the Accounts Receivable transfer process, setting up expenditures, setting up Accounts Receivable transactions, and placing and recoupment caps using the Medicaid system. · Responsible for analyzing financial data to ensure accurate reporting. · Research highly complex claims processing or financial transactions. · Process adjustments and voids. · Ensure SLAs are compliant with client and Midtown Group expectations · Other duties as assigned. Performance measurement The Midtown Group measures performance in a number of ways, with the key ones being: Quality Assurance assessments: may have their calls monitored and assessed at any time during a shift. We and our partner monitor and assess our CSRs regularly. CSRs are expected to maintain or exceed a QA pass rate of 90%+. Calls are considered to have failed if a CSR misses or incorrectly performs any critical element of the job. These items are well-covered in training and reinforced during pre-shift and individual coaching sessions. Call handling metrics are a good measure of performance and the three focus areas are: Percent of your shift that you are either on a call or available to take a call. Length of call. We are here to provide efficient, professional assistance, so a consistent track record of very long or very short calls is generally frowned upon. Percent of calls that you transfer. This often indicates that a CSR is unable or unwilling to assist callers. Attendance Minimum requirements · High School Diploma or equivalent, 2-year post-high school Degree, or bachelor's degree. · A minimum of two years of previous experience for a government or private sector operations center in a similar or related field. · Two to four years of working experience in claims processing and financial analysis. · Organization skills to balance/prioritize work with the ability to multi-task. · Proficiency with basic help desk software, computer software and Microsoft Office applications. · Problem-solving skills to bring inquiries to effective resolution. · Customer service skills, with an emphasis on written and oral communication, to professionally and efficiently respond to inquiries. Other important skills The ability to provide operational excellence is extremely important to both the Midtown Group and our client. If you have the service gene - if helping others is in your DNA - we are happy to have you join us. Our most effective and successful Claims/Financial Analyst/Processors exhibit the following skills: · Conduct themselves with professionalism, empathy, patience, courtesy, and tact, at all times. · Communicate effectively, clearly, and professionally. · Quickly and effectively process transactions and analyze financial data, to a high standard. Operational quality is very important to us. · Know when and how to collaborate and escalate to quickly and effectively address and resolve issues. · Effectively collect and handle sensitive data and personal information, as needed. · Exercise good judgment at all times. · Deal well with conflict, as well as complex and emotional situations. · Be flexible, and able to work independently. Hours, project duration, etc. The contact center operating hours are Monday through Friday, from 8:00am to 5:00pm ET. However, schedules will be between the hours of 7:45am to 5:15pm ET, to allow for pre-shift sessions and last-minute contacts/wrap up. The contact center is closed on Federal holidays. Candidates must be able to work 40 hours per week. The base period for this contract is through November 2026, with two further annual option periods. So, this contract could run until November 2028.

At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities. Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose. When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers. What Makes This Opportunity Exciting? Are you a seasoned professional with a track record in insurance claims? As an Experienced Claims Specialist at GEICO, you'll leverage your expertise to manage cases and contribute to your team's success. You'll be at the heart of our commitment to outstanding customer service. You'll manage multiple steps impacting the claims life cycle, providing guidance, support, and solutions to policyholders during times of uncertainty. Your expertise and compassion will make a meaningful impact on their lives while contributing to GEICO's reputation for excellence. Claims Processing: Efficiently and accurately handle insurance claims, ensuring adherence to company policies and procedures. Customer Service: Communicate professionally and empathetically with customers, addressing concerns and questions about their claims. Investigation: Conduct thorough investigations to determine the extent of coverage and assess any potential fraud. Meaningful Impact: Make a real difference by resolving issues and enhancing customer satisfaction. Workplace Flexibility: After completing a comprehensive 5-month in-office training and orientation, transition to a hybrid work model with the best of both worlds-spend 80% of your time in the office and 20% working remotely. Plus, take advantage of the GEICO Flex Program, which offers up to four additional weeks of remote work annually for even greater flexibility. Professional Growth: Access GEICO's industry-leading training programs and development opportunities: Continuing education at no cost to you. Leadership development programs and hundreds of eLearning courses to enhance your skills. Access to GEICO Strive Program, providing associates with tuition assistance and access to high-quality education to advance their career. Incentives and Recognition: Pay Transparency: The starting salary for an Experienced Claims Specialist is between $31.62 per hour / $63,714 annually and $33.11 per hour / $66,736 annually. Sign-On Bonuses: $1,500 for active Florida All-Lines Adjuster License (6-20). Evening Shift Differentials: Earn a +10% pay differential for eligible shifts. Weekend Shift Differentials: Earn a +20% pay differential for eligible shifts. Additional Perks: Health & Wellness: Comprehensive healthcare and well-being support available on Day 1. 401(k) Match: From day one, you'll be automatically enrolled in our 401(k) plan with a 6% pre-tax contribution. We match 100% of your contributions, up to 6% of your eligible earnings, with employer contributions added to your account each paycheck and vesting immediately. What We're Looking For: A passion for providing outstanding customer service. Strong interpersonal, communication, and problem-solving skills. Adaptability and attention to detail in a dynamic environment. 2+ years of prior claims experience in the insurance industry. Active Florida All-Lines Adjuster License (6-20) required. High School Diploma required, College degree (2-4 year) preferred. Ability to prioritize and multi-task, while navigating through multiple business applications. Computer proficiency, including familiarity with Microsoft Office Suite. Flexibility to work evenings, weekends, and holidays as needed. #geico600 At this time, GEICO will not sponsor a new applicant for employment authorization for this position. The GEICO Pledge: Great Company: At GEICO, we help our customers through life's twists and turns. Our mission is to protect people when they need it most and we're constantly evolving to stay ahead of their needs. We're an iconic brand that thrives on innovation, exceeding our customers' expectations and enabling our collective success. From day one, you'll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people's lives. Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career - and your potential - in mind. You'll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels. Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose. As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers. Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future. Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family's overall well-being. Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance. Access to additional benefits like mental healthcare as well as fertility and adoption assistance. Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year. The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled. GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.

Responsible for non‐complex electronic and paper claim submissions to insurance payers. Coordinates required information for filing secondary and tertiary claims reviews and analyzes claims for accuracy, i.e. diagnosis and procedure codes are compatible and accurate. Makes charge corrections or follows up with appropriate parties as needed to ensure billing invoice is correct. Follows up with payers on unresponded claims. Works denied claims by following correct coding and payer guidelines resulting in appeal or charge correction. Teams with Insurance Billing Specialist II and Denial Resolution staff to work projects, request guidance on more complex billing issues and cross training for other payers and tasks. Responds to a variety of questions from insurance companies, government agencies and all Guthrie Medical Group offices. Partners with CRC and other Guthrie departments to field billing inquiries. Answers all correspondence from insurance carriers including requests for supportive documentation. Education, License & Cert: High school diploma required; CPC, CCA, RHIA, RHIT certification in medical billing and coding or Associates degree preferred. Experience: Strong organizational and customer service skills a must. Experience with office software such as Word and Excel required. Previous experience performing in a high volume and fast paced environment. Essential Functions: 1. Works pre‐AR edits, paper claims, reports and work queues as assigned to ensure accurate and timely claim submission to individual payers. Reports possible payer or submission issues. 2. Works closely with a Denial Resolution Specialist or Billing Specialist II mentor to cross train on various payers and tasks to expand insurance billing knowledge and skills. 3. Follows up on rejected and/or non‐responded claims as assigned. Utilizes internal rejection protocols, coding knowledge, reimbursement policies, payer guidelines and other sources in order to research rejections to secure appropriate payment. 4. Provides back up to Central Charge Entry and Cash Applications. Manually enters charges, posts and distributes insurance and patient payments. 5. Promptly reports payer, system or billing issues. 6. Utilizes Epic system functions accurately to perform assigned tasks. Ex: charge corrections, invoice inquiry, billing edits, insurance eligibility. 7. Exports and prepares spreadsheets, manipulating data fields for project work. 8. Identifies and provides appropriate follow up for claims that require correction or appeal. 9. Provides timely resolution of credit balance as identified and/or assigned. 10. Requests adjustments on invoices that have been thoroughly researched and/or were unable to reach payment resolution. Documents support on request forms and performs adjustments within policy guidelines. Other Duties: 1. Provides feedback related to workflow processes in order to promote efficiency. 2. Answers phone calls and correspondence providing request information. Documents action taken and provides appropriate follow up. 3. Acquires and maintains knowledge of and performs within the compliance of the Guthrie Clinic's Corporate Revenue Cycle policies and insurance payer regulations and guidelines. 4. Demonstrates excellent customer service skills for both internal and external customers. 5. Maintains strict confidentiality related to patient health information in accordance with HIPAA regulations. 6. Assists with and completes projects and other duties as assigned.

Lucent Health combines top-tier claims management with a compassionate, human-focused, data-driven care management solution. This approach helps self-insured employers provide care management that enables health plan participants to make smarter, cost-saving healthcare decisions. Continuous data analytics offer ongoing insights, ensuring participants receive the right care, at the right cost, at the right time. Join us as we build a company that aims to be a better health benefits partner for self-insured employers. Company Culture We believe that the success of Lucent Health relies on having employees who are honest, ethical and hardworking. These values are the foundation of Lucent Health. Honest Transparent Communication: be open and clear in all interactions without withholding crucial information Integrity: ensure accuracy in reporting, work outputs and any tasks assigned Truthfulness: provide honest feedback and report any issues or challenges as they arise Trustworthiness: build and maintain trust by consistently demonstrating reliable behavior Ethical Fair Decision Making: ensure all actions and decisions respect company policies and values Accountability: own up to mistakes and take responsibility for rectifying them Respect: treat colleagues, clients and partners with fairness and dignity Confidentiality: safeguard sensitive information and avoid conflicts of interest Hardworking Consistency: meet or exceed deadlines, maintaining high productivity levels Proactiveness: take initiative to tackle challenges without waiting to be asked Willingness: voluntarily offer to assist in additional projects or tasks when needed Adaptability: work efficiently under pressure or in changing environments Summary: Government Claims Processor/Examiners are a key part of the department's successful operation. Processor/Examiners are in daily contact with team members, clients and providers. This position reports to the Supervisor, Government Operations. A cheerful, competent and compassionate attitude will directly impact the productivity of the team. Attendance can also directly impact the satisfaction level of our clients and retention of our accounts. Responsibilities: Process claims accurately, efficiently and within production requirements Exhibit an attention to detail and a strong work ethic Ability to access research tools for accurate claims entry Be organized and able to manage time and resources efficiently and effectively Thorough knowledge of coding structures (CPT, HCPCS, Rev codes, ICD 9/10 etc) Ability to perform arithmetic calculations Knowledgeable of COB Familiarity with benefits and benefit calculations Ability to handle many types of claims pricing (Network, Medicare, UCR etc) Performs duties in a HIPAA compliant manner Participate as a Team Member to ensure the smooth operation of the entire department Maintain guidelines and notes with detail to enable accurate claims examination Maintain production goals regarding the number of claims entered and accuracy percentages. Qualifications: Proficient in the use of desktop computer software. Excellent communication via written, telephonic and personal Ability to manage and follow through consistently and accurately Attention to detail Completion of all responsibilities in a timely manner Highly organized work habits Equal Employment Opportunity Policy Statement Lucent Health is an Equal Opportunity Employer that does not discriminate based on actual or perceived race, color, creed, religion, alienage or national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth and related medical conditions), gender identity, gender expression, transgender status, sexual orientation, marital status, military service and veteran status.

At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities. Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose. When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers. Join a team where your expertise truly matters!Our Casualty Claims department is seeking a highly motivated and experienced Claims Supervisor (Bodily Injury). As a key leader within our Casualty organization, you will be responsible for empowering a team that handles attorney-represented automotive liability claims. Your team will manage: complex investigations coverage determinations liability assessments bodily injury claim resolutions-through both settlement and litigation. This role requires advanced knowledge of litigation processes and the ability to strategically support litigated and attorney-represented claims. If you're passionate about developing talent, driving results, and making an impact in the automotive liability space, we'd love to hear from you.Success in this role is built on the foundation of GEICO's core leadership behaviors: Ownership: You take responsibility for outcomes in all scenarios. Adaptability: You navigate dynamic environments with creativity and resilience. Leading People: You empower individuals and teams to achieve their best. Collaboration: You build and strengthen partnerships across organizational lines. Driving Value: You use data-driven insights to align actions with strategic goals. What You'll Do: Lead, mentor, and inspire a team of associates to deliver exceptional customer service while building trust. Leverage your property and casualty insurance expertise to guide team members in resolving complex customer inquiries and claims. Provide authority on evaluations that exceed your adjusters personal, assigned authority and work with others on claims that exceed your authority Personalize your leadership approach to develop team members' skills, fostering their growth and ensuring they consistently exceed customer expectations. Monitor and evaluate team performance using key performance indicators (KPIs) to enhance efficiency, customer satisfaction, and retention. Hold your team accountable for achieving results, maintaining compliance with insurance regulations, and delivering outstanding service. Address escalated customer concerns with professionalism and empathy, modeling GEICO's dedication to service excellence. Collaborate with leadership and cross-functional teams to identify and implement process improvements. Serve as a resource for team members on insurance-related questions providing mentorship and training to build their industry knowledge. What We're Looking For: Minimum of 2 years of leadership experience in Bodily Injury claims, including direct oversight of litigated cases. Active Adjuster license (required) Expertise in Casualty claims, including knowledge of industry regulations and best practices Strong ability to assess needs and guide associates in negotiating claim settlements as needed Experienced in the use of various claims tools with ability to assist associates Strong adherence to compliance and regulatory requirements Proven ability to motivate, inspire, and develop high-performing teams in a customer-centric environment Strong results orientation, with a history of meeting or exceeding performance goals Excellent interpersonal and communication skills, with the ability to adapt leadership styles to diverse individuals and situations Ability to analyze data and metrics to inform decision-making and improve customer outcomes Collaborative mindset with a commitment to fostering a culture of inclusivity and excellence Why Join GEICO? Meaningful Impact: Make a real difference by resolving issues and enhancing customer satisfaction. Inclusive Culture: Join a company that values diversity, collaboration, and innovation. Workplace Flexibility: This is a M-F, 8:00am - 4:30pm position offering a Hybrid work model based in Richardson, TX. GEICO reserves the right to adjust in-office requirements as needed to support the needs of the business unit. Professional Growth: Access GEICO's industry-leading training programs and development opportunities: Licensing and continuing education at no cost to you. Leadership development programs and hundreds of eLearning courses to enhance your skills. Increased Earnings Potential: Pay Transparency: The starting salary for this position is between $97,735 annually and $151,700 annually. Incentives and Recognition: Corporate wide bonus programs are in place to reward top performers. Beware of scams! As a recruiter, I will only contact you through ************ email address and will never ask you for financial information during the hiring process. If you think you are being scammed or suspect suspicious activity during the hiring process, please contact us at ...@geico.com. keywords: litigation, auto liability, liability claims#geico300#LI-AL2 At this time, GEICO will not sponsor a new applicant for employment authorization for this position. The GEICO Pledge: Great Company: At GEICO, we help our customers through life's twists and turns. Our mission is to protect people when they need it most and we're constantly evolving to stay ahead of their needs. We're an iconic brand that thrives on innovation, exceeding our customers' expectations and enabling our collective success. From day one, you'll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people's lives. Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career - and your potential - in mind. You'll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels. Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose. As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers. Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future. Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family's overall well-being. Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance. Access to additional benefits like mental healthcare as well as fertility and adoption assistance. Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year. The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled. GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.

Bankers Life , one of the most respected brands in the Financial Services industry, is seeking ambitious individuals to grow our team of Insurance Professionals. We offer award-winning training, access to mentors, and a workday that can be built around your lifestyle and an opportunity to advance your career within a leadership role. As an Insurance Professional, you will: Build a client base by growing relationships with your network and providing guidance Gain expertise through sponsored coursework and proprietary agent development training Guide clients through important financial decisions using the latest software and our expansive product portfolio Own your career by utilizing company sponsored leadership development programs to increase your potential for advancement to our mid or upper-level management roles Build manage, and lead teams of Insurance Professionals What makes a great Insurance Professional? Strong relationship building and communication skills Self-motivation to network and prospect for new clients, while demonstrating strong time management skills A competitive and entrepreneurial spirit to achieve success both for yourself and others The ability to present complicated concepts effectively What we offer: Highly competitive commission structure designed to grow with you Passive income opportunities and bonus programs Fully paid study programs for insurance licensing, SIE, Series 6, Series 63, CFP Award-winning training - Bankers Life has been named as a Training Apex Award Winner for the twelfth consecutive year Flexible in-office schedules once you complete your agent training Progressive advancement opportunities Retirement savings program and more Bankers Life , a subsidiary of CNO Financial, is a Fortune 500 company with a strong commitment to diversity and inclusion. We value an inclusive and belonging environment where everyone's different viewpoints bring new successes! Please visit our career site to learn more about our mission: ********************************

Join Our Team as a Claims Processing Expert! Are you a data-driven marketer who thrives on turning insights into impactful strategies? We are looking for a Claims Processing Expert to analyze key performance metrics, optimize marketing campaigns, and drive data-backed decision-making. Why You'll Love This Role: 📊 Data-Driven Impact - Play a critical role in shaping marketing strategies through analytics. 🚀 Career Growth - Access professional development and leadership opportunities. ⏰ Work-Life Balance - Enjoy a flexible schedule with full-time opportunities. 💰 Competitive Compensation - Earn a stable income with performance-based incentives. Your Responsibilities: Analyze marketing campaign performance, customer behavior, and market trends. Develop and track key performance indicators (KPIs) to measure marketing effectiveness. Provide data-driven insights and recommendations to optimize marketing strategies. Work with cross-functional teams to ensure data accuracy and consistency. Utilize analytics tools (Google Analytics, Tableau, etc.) to generate reports and dashboards. A/B test campaigns and refine strategies based on data insights. What We're Looking For: Proven experience in marketing analytics, data analysis, or a related field. Proficiency in analytics tools such as Google Analytics, Tableau, or SQL. Strong analytical and problem-solving skills. Ability to translate complex data into actionable marketing strategies. Experience with digital marketing metrics, reporting, and performance optimization. Perks & Benefits: Professional development and continuous learning opportunities. Health insurance and retirement plans. Performance-based bonuses and recognition programs. Leadership growth and career advancement opportunities. 🚀 Ready to Turn Data into Growth? If you're passionate about leveraging data to drive marketing success, apply today! Join us and help shape data-driven marketing strategies that make an impact. Your journey as a Claims Processing Expert starts here-let's optimize for success together!

Join Our Dynamic Insurance Team - Unlock Your Potential! Are you ready to take control of your future and build a career in one of the most stable and lucrative industries? We are seeking driven individuals to join our thriving insurance team, where you'll receive top-tier training, support, and unlimited income potential. NOW HIRING: ✅ Licensed Life & Health Agents ✅ Unlicensed Individuals (We'll guide you through the licensing process!) We're looking for our next leaders-those who want to build a career or an impactful part-time income stream. Is This You? ✔ Willing to work hard and commit for long-term success? ✔ Ready to invest in yourself and your business? ✔ Self-motivated and disciplined, even when no one is watching? ✔ Coachable and eager to learn? ✔ Interested in a business that is both recession- and pandemic-proof? If you answered YES to any of these, keep reading! Why Choose Us? 💼 Work from anywhere - full-time or part-time, set your own schedule. 💰 Uncapped earning potential - Part-time: $40,000 - $60,000 /month | Full-time: $70,000 - $150,000+++/month. 📈 No cold calling - You'll only assist individuals who have already requested help. ❌ No sales quotas, no pressure, no pushy tactics. 🧑 🏫 World-class training & mentorship - Learn directly from top agents. 🎯 Daily pay from the insurance carriers you work with. 🎁 Bonuses & incentives - Earn commissions starting at 80% (most carriers) + salary 🏆 Ownership opportunities - Build your own agency (if desired). 🏥 Health insurance available for qualified agents. 🚀 This is your chance to take back control, build a rewarding career, and create real financial freedom. 👉 Apply today and start your journey in financial services! ( Results may vary. Your success depends on effort, skill, and commitment to training and sales systems. )