American International Group, Inc. (NYSE: AIG) is a leading global insurance organization. AIG provides insurance solutions that help businesses and individuals in approximately 190 countries and jurisdictions protect their assets and manage risks through AIG operations and network partners.

Additional information about AIG can be found at www.aig.com | https://www.youtube.com/aig | https://twitter.com/aiginsurance | https://www.linkedin.com/company/aig/ | https://www.facebook.com/AIGInsurance | http://www.instagram.com/aiginsurance/

AIG is the marketing name for the worldwide property-casualty and general insurance operations of American International Group, Inc. All products and services are written or provided by subsidiaries or affiliates of American International Group, Inc. Products or services may not be available in all countries and jurisdictions, and coverage is subject to underwriting requirements and actual policy language. Non-insurance products and services may be provided by independent third parties. Certain property-casualty coverages may be provided by a surplus lines insurer. Surplus lines insurers do not generally participate in state guaranty funds, and insureds are therefore not protected by such funds.

AIG Social Media Community Guidelines:
https://www.aig.com/home/about/social-media-guidelines

Industry: Insurance
Company Size: 10,001+ employees

Savvy Admin PROD

At AIG, we are reimagining the way we help customers to manage risk. Join us as a **Claims Specialist - Aviation ** to play your part in that transformation. It’s an opportunity to grow your skills and experience as a valued member of the team.

**Make your mark in Claims**

Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported by consistent processes and leadership, we take pride in delivering responsive, fair and professional service with empathy and efficiency.

**How You Will Create An Impact**

As Claims Specialist for Aviation Claims you will responsible for handling claims across all sub-classes of NA Aerospace, with a focus on general aviation aircraft damage and liability claims. The You will identify loss trends and risk management opportunities and will effectively provide feedback to internal stakeholders. You need to be an experienced claims adjuster with a demonstrated ability to work independently, efficiently, and consistently in support of the client centric NA Aerospace claim proposition.

- Proactive and efficient management and adjusting of Aerospace claims across all sub-classes with a concentration in general aviation claims, including aircraft damage claims.

- Identify, and report claim trends, lessons learned and risk management opportunities to internal stakeholders.

- Contribute to the teams’ technical aerospace proficiencies through team meetings and internal roundtables.

- Effectively manage vendors, including attorneys and experts to minimize the total cost of Aerospace claims.

**What You Will Need To Succeed**

- Strong technical Aviation claim capability to manage and adjust AIG’s NA Aerospace general aviation hull and liability claims.

- Expertise in managing/minimizing the total cost of Aerospace claims.

- Ability to establish strong relationships with internal stakeholders, clients, and brokers.

- Excellent interpersonal and written communication skills, including the ability to explain technical issues and problem solve.

- Developed computer proficiency with an aptitude for claims systems.

- Self-motivated, ability to manage time and prioritize.

Ready to make a bigger impact? We look forward to reviewing your application.

At AIG, we value in-person collaboration as a vital part of our culture, which is why we ask our team members to be primarily in the office. This approach helps us work together effectively and create a supportive, connected environment for our team and clients alike.

At AIG, we value in-person collaboration as a vital part of our culture, which is why we ask our team members to be primarily in the office. This approach helps us work together effectively and create a supportive, connected environment for our team and clients alike.

**Enjoy Benefits That Take Care Of What Matters**

At AIG, our people are our greatest asset. We know how important it is to protect and invest in what’s most important to you. That is why we created our Total Rewards Program, a comprehensive benefits package that extends beyond time spent at work to offer benefits focused on your health, wellbeing and financial security—as well as your professional development—to bring peace of mind to you and your family.

**Reimagining insurance to make a bigger difference to the world**

American International Group, Inc. (AIG) is a global leader in commercial and personal insurance solutions; we are one of the world’s most far-reaching property casualty networks. It is an exciting time to join us — across our operations, we are thinking in new and innovative ways to deliver ever-better solutions to our customers. At AIG, you can go further to support individuals, businesses, and communities, helping them to manage risk, respond to times of uncertainty and discover new potential. We invest in our largest asset, our people, through continuous learning and development, in a culture that celebrates everyone for who they are and what they want to become.

**Welcome to a culture of inclusion**

We’re committed to creating a culture that truly respects and celebrates each other’s talents, backgrounds, cultures, opinions and goals. We foster a culture of inclusion and belonging through learning, cultural awareness activities and Employee Resource Groups (ERGs). With global chapters, ERGs are a cornerstone for our culture of inclusion. The talent of our people is one of AIG’s greatest assets, and we are honored that our drive for positive change has been recognized by numerous recent awards and accreditations.

~~AIG provides equal opportunity to all qualified individuals regardless of race, color, religion, age, gender, gender expression, national origin, veteran status, disability or any other legally protected categories.~~

AIG is committed to working with and providing reasonable accommodations to job applicants and employees with disabilities. If you believe you need a reasonable accommodation, please send an email to candidatecare@aig.com.

**Functional Area**

CL - Claims

AIG AEROSPACE ADJUSTMENT SERVICES INC

Claims Specialist - Aviation

Zurich North America is one of the largest providers of insurance solutions and services to businesses and individuals. Our customers represent industries ranging from agriculture to construction and include more than 90% of the Fortune 500. We’ve backed the building of some of the most recognizable structures in North America — from the Hoover Dam to Madison Square Garden to the Confederation Bridge. Our North American, LEED Platinum® headquarters is located in the Chicago area. We employ approximately 9,000 people in North America and have offices throughout the U.S. and Canada. Further information is available at www.zurichna.com.

Zurich North America is part of Zurich Insurance Group, a leading multi-line insurer that serves its customers in global and local markets. With approximately 55,000 employees, Zurich provides a wide range of property and casualty, and life insurance products and services in more than 215 countries and territories. Zurich’s customers include individuals, small businesses, and mid-sized and large companies, as well as multinational corporations. The Group is headquartered in Zurich, Switzerland, where it was founded in 1872. The holding company, Zurich Insurance Group Ltd (ZURN), is listed on the SIX Swiss Exchange and has a level I American Depositary Receipt (ZURVY) program, which is traded over-the-counter on OTCQX. Further information is available at www.zurich.com. 

Follow Zurich North America on Instagram: https://www.instagram.com

Please be respectful of all commenters on the site. Any comments that contain vulgar language, name calling, personal attacks or are off topic are not allowed and will be deleted. Also spam and/or advertisements will also be removed. We reserve the right to review and delete any posts or comments, or report users if they violate Zurich North America's Rules of Conduct or LinkedIn's Terms of Service.

Zurich North America's Rules of Conduct:  https://bit.ly/3Qb9OaW

Industry: Insurance
Company Size: 10,001+ employees

Zurich North America

Zurich is seeking an experienced Workman’s Compensation Claims Specialist to join our team! We are specifically seeking candidates who can work from the Northeast with jurisdictions of CT, MA and ME.

The Workers Compensation Claims Specialist will handle single and multi-party commercial line Workman’s Compensation claims of moderate to high exposure and complexity within specific authority limits, to ensure that claims are handled in the most efficient, effective way while delivering a customer-centric claims service.

In this role you will be responsible for:

- Document claims file by accurately capturing and updating claims data/information in compliance with best practices for low to moderate exposure and complexity personal or commercial line claims.

- Exercise judgement to determine liability by gathering and analyzing relevant facts; utilizing applicable law; establishing basic principles of negligence.

- Exercise judgment to determine policy verification and coverage determination by analyzing applicable coverage for claims and determining whether the loss falls within the coverage.

- Work to have a timely resolution to claims by developing case strategy; developing a case evaluation; escalating issues as appropriate.

- Establish timely reserves and perform ongoing review throughout claims cycle within authority limit by estimating and validating value of claims.

- Assess damages by calculating applicable damages or range of damages allowed by law.

- Negotiate settlement of claim by establishing appropriate negotiation strategy and utilizing available tools and resources within authority limits.

- Meet quality standards by following best practices.

- Ensure customer service by proactively communicating information; responding to inquiries; following customer protocols and may participating in customer marketing efforts.

- Manage expenses by working within vendor approved networks and managing scope of work assigned to outside contractors. Departs from approved vendors with manager approval, where in the best interests of the insured.

- Ensure legal compliance by following state and federal laws and regulations and internal control requirements.

- Refer claim to subrogation and fraud teams by identifying potential subrogation and fraud.

- Contribute to profitable growth by providing risk insight, information and trends to Business Unit or customer as needed.

- Protect Zurich’s reputation by keeping claims information confidential.

- Maintain professional and technical knowledge by participating in educational opportunities, staying current with industry trends, establishing personal networks. And participating in professional societies.

Basic Qualifications:

- Bachelor’s Degree and 3 or more years of experience in the Claims or Insurance area OR

- Zurich Certified Insurance Apprentice, including an associate degree and 3 or more years of experience in Claims or Insurance area OR

- Completion of Zurich Claims Training Program and 2 or more years of experience in the Claims or Insurance area OR

- High School Diploma or Equivalent and 5 or more years of experience in the Claims or Insurance area AND

- Must obtain and maintain required adjuster license(s)

- Knowledge of insurance regulations, markets and products

- Microsoft Office experience

Preferred Qualifications:

- Jurisdiction knowledge of Virginia, West Virginia, Pennsylvania, or New Jersey, Delaware or Washington DC.

- Effective verbal and written communication skills

- Strong analytical, critical thinking, and problem-solving skills

- Solid time management, prioritization, and multi-tasking skills

- Experience collaborating in a team environment and building cross functional working relationships

- Adept in identifying and explaining complex financial and/or actuarial concepts.

- Ability to determine the scope and exposure for moderately complex claims

- Demonstrates understanding of the reserving process for indemnity and expense in analyzing the potential exposure of moderately complex claims

- Ability to develop and execute a negotiation strategy and plan for resolution

- Ability to identify subtleties in customer/client and/or business partner interactions

- Ability to present information necessary to propose a claim resolution to stakeholders

Your pay at Zurich is based on your role, location, skills, and experience. We follow local laws to ensure fair compensation. You may also be eligible for bonuses and merit increases. If your expectations are above the listed range, we still encourage you to apply—your unique background matters to us. The pay range shown is a national average and may vary by location. The proposed Salary range for this position is $59,900.00 - $98,200.00, with short-term incentive bonus eligibility set at 10%.

We offer competitive pay and comprehensive benefits for employees and their families. [Learn more about Total Rewards here.]

**Why Zurich?**

At Zurich, we value your ideas and experience. We offer growth, inclusion, and a supportive environment—so you can help shape the future of insurance. Zurich North America is a leader in risk management, with over 150 years of expertise and coverage across 25+ industries, including 90% of the Fortune 500®.

Join us for a brighter future—for yourself and our customers.

Zurich in North America does not discriminate based on race, ethnicity, color, religion, national origin, sex, gender expression, gender identity, genetic information, age, disability, protected veteran status, marital status, sexual orientation, pregnancy or other characteristics protected by applicable law. Equal Opportunity Employer disability/vets.

Zurich complies with 18 U.S. Code

- 1033.

**Please note: ** Zurich does not accept unsolicited CVs from agencies. Preferred vendors should use our Recruiting Agency Portal.

Location(s): AM - Parsippany, AM - Boston, AM - Connecticut Virtual Office, AM - Delaware Virtual Office, AM - Maine Virtual Office, AM - Maryland Virtual Office, AM - Massachusetts Virt. Office, AM - New Hampshire Virt. Office, AM - New Jersey Virtual Office, AM - New York Virtual Office, AM - Pennsylvania Virtual Office, AM - Rhode Island Virtual Office, AM - Vermont Virtual Office, AM - Virginia Virtual Office, AM - Washington DC, AM - West Virginia Virt. Office

Remote Working: Hybrid

Schedule: Full Time

Employment Sponsorship Offered: No

Linkedin Recruiter Tag:

Workers Compensation Claims Specialist II

Newrez brings a unique combination of mortgage expertise, financial strength, and product innovation capabilities to the lending table. We believe the lending business isn't about financial transactions — it's about people.

© 2024 Newrez LLC, 601 Office Center Dr., Ste. 100, Fort Washington, PA 19034. 1-888-673-5521. NMLS #3013 (www.nmlsconsumeraccess.org). Doing business as Newrez Mortgage LLC in the state of Texas. Alaska Mortgage Lender License #AK3013. Arizona Mortgage Banker License #919777. Licensed by the Department of Financial Protection & Innovation under the California Residential Mortgage Lending Act. Loans made or arranged pursuant to a California Finance Lenders Law license. Massachusetts Lender #ML-3013. Licensed by the N.J. Department of Banking and Insurance. Licensed Mortgage Banker-NYS Banking Department. Additional licenses available at www.newrez.com. This communication does not constitute a commitment to lend or the guarantee of a specified interest rate. Loans secured by a lien against your property. Application required and subject to underwriting approval. Not all applicants will be approved. Interest rate subject to change due to market conditions. If you do not lock in a rate when you apply, your rate at closing may differ from the rate in effect when you applied. Upfront mortgage insurance premium may be rolled into new loan amount. Important information relating specifically to your loan will be contained in the loan documents, which alone will establish your rights and obligations under the loan plan. Fees and charges apply and may vary by product and jurisdiction. Call for details. Terms, conditions, and restrictions apply. This site is not authorized by the New York State Department of Financial Services. No mortgage loan applications for properties located in the state of New York will be accepted through this site.

Industry: Financial Services
Company Size: 5,001-10,000 employees

Newrez LLC

Primary Function

The Mortgage Insurance Claims Specialist II will be responsible for timely and accurate claims filing, as well as the compilation of complete claims packages, related to MI, government, and/or investor (GSE) reimbursement claims. This includes claims related post-sale functions such as property preservation and eviction updates, conveyance of title, title delivery, compilation of required documentation, and adherence to GSE (Freddie and Fannie) servicing requirements during the reimbursement timeframe, as well as responding appropriately to inquiries and requests from both internal and external sources.

Principal Duties

- Review and monitor timelines for claim due dates and other claim related deliverables.

- Perform a forensic review of servicing from date of default to claim filing to determine key data elements and claimable expenses to maximize recovery of losses and incentives.

- Review all servicing notes, monthly servicing reporting, timelines, supporting document, and claims detail to ensure all documentation is accurate and sufficient.

- Monitor and communicate servicing updates as required to maintain claim eligibility and adherence to guidelines.

- Perform post-sale servicing functions as required by the guidelines for MI, investor, and HUD/VA/USDA including responding accurately and timely to requests for information and documentation.

- Research and resolve issues that arise as a part of the post-sale and claim timelines.

- Reconcile claims proceeds and file supplemental claims as needed, and track deferments.

- Effectively manage time-dependent deliverables for multiple claim types.

- Identify trends affecting efficiency, quality, and accuracy of claims.

- Assist in the completion of special and seasonal projects, such as audit or year-end.

- Perform other duties as assigned by management.

Education and Experience Requirements

- High School Diploma or equivalent required.

- College degree preferred.

- 3+ years’ claims filing experience is required.

- Default-related mortgage servicing experience is required.

Knowledge, Skill, and Ability Requirements

- Knowledge of FHA/VA/USDA default servicing guidelines required.

- Proficient in Microsoft Office including, Outlook, Word, and Excel.

- Proven or other Claim System experience preferred.

- Familiar with GSE and government loan servicing guidelines.

- Experience reviewing processes, reports, and/or documents with a strong attention to detail.

- Ability to develop strong working relationships with key stakeholders, vendors, and peers.

- Excellent problem resolution and organizational skills.

- Excellent interpersonal and communication skills, written and verbal.

- Self-motivated with ability to work under timelines without direct supervision.

Mortgage Insurance Claims

AvonRisk is a leading third-party administrator (TPA) and managed care solutions provider, backed by Aquiline Capital Partners. Formed through the combination of established TPA and managed care businesses, AvonRisk is building a platform designed to elevate what clients expect from claims and risk partners.

We’re focused on creating a new kind of company—entrepreneurial at its core, collaborative in its model, and committed to bringing people, data, and technology together to deliver better outcomes across workers’ compensation, liability, and managed care.

At AvonRisk, we see opportunity in change and strength in partnership. Our goal is to bring together like-minded teams across the country to build a modern, national platform that remains grounded in local expertise, service, and accountability.

Industry: Insurance
Company Size: 501-1,000 employees

AvonRisk

Job Type

Full-time

**Description**

AvonRisk is the nation’s leading specialty risk manager for self-insured organizations, uniting respected regional leaders in workers’ compensation, liability, managed care, and risk management across 32 states. With nearly 700 professionals and brands including Intercare, InterMed, George Hills, and AS&G Claims Administration, we’re a people-focused, operations-driven organization that prioritizes reasonable caseloads, strong training, collaborative teams, and expert support. We invest in tools and workflows that reduce friction—not increase volume—and create real career paths for professionals who want to grow their careers or move into leadership. At AvonRisk, you’re part of a team that values good judgment, curiosity, and accountability, and gives you the support to succeed.

**Summary**

Reports directly to the unit Claims Supervisor but takes primary direction for the assigned Claims Specialist(s). Responsible for providing clerical operations support to assigned Claims Specialist(s).

**Essential Duties And Responsibilities**

- Prepares new claims files

- Calculates TTD, Wage Loss, VRMA and PD benefits

- Issues compensation payments on diary schedule

- Issues Benefit Notices

- Doctor status calls and Employee/Employer contact calls

- Employer contact calls to confirm light duty/modifies work

- Works closely with Claims Specialist to complete clerical assignments

- Prepares litigation documents such as C&R, Stipulations, Answers, etc

- Prepares rehabilitation forms for filing with the rehabilitation unit

- Handle calls from providers inquiring about unpaid bills and bill related questions

- Review Mail and process direct pays bills such as Mileage Reimbursement

- File and Serve duties (as needed)

- Notepad documentation in Portal

**Requirements**

**Competency:**

To perform the job successfully, an individual should demonstrate the following competencies:

- Problem Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem solving situations.

- Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments.

- Team Work - Supports everyone's efforts to succeed.

**Qualification Requirements**

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

**Education And/or Experience**

High school diploma or general education degree (GED); or 1-2 years related experience and/or training; or equivalent combination of education and experience.

**Salary Range**

The salary range listed is an estimate. Actual compensation will be determined based on several factors such as a candidate’s experience, qualifications, skill set, and work location.

Salary Range: $20-$22 hr

**Benefits**

We take care of our people so they can take care of their work and their teams. AvonRisk offers a competitive, people first benefits package designed to support your health, financial security, and career growth, including:first benefits package designed to support your health, financial security, and career growth, including:

- Comprehensive medical, dental, and vision benefits

- Company contributions to HSA and FSA plans

- Employer paid life and disability insurance

- 401(k) with company match

- Paid time off (PTO) and company paid holidays

- Learning and development opportunities that support real career advancement

- Employee assistance resources and a supportive culture that values balance and wellbeing

We’re an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

Pursuant to the Los Angeles and San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest or conviction records.

Workers Compensation Claims Assistant I

Rated A+ Superior by A.M. Best (as of 7/26/23), Berkshire Hathaway GUARD Insurance Companies provides Property & Casualty insurance including Excess & Surplus lines.

NOTICES:
(1) We do not accept claims and will not bind or alter insurance coverage through social media sites. If you are a policyholder and wish to report a new claim, please call 888-NEW-CLMS (888-639-2567). To discuss an existing claim, call 800-673-2465 or e-mail at claims3@guard.com. If you are a policyholder and have a question about or change to an existing policy, please contact your insurance agent or call our Customer Service Unit at 800-673-2465 or e-mail csr@guard.com. To protect the privacy of our customers, we will not respond to posts regarding specific claims or insurance policies through social media sites/LinkedIn.
(2) BH GUARD’s social media sites are intended for sharing relevant information about the company with the public. While we fully encourage interaction and discussion from interested parties, we ask that you remain respectful and responsible with your comments. Please understand that we reserve the right to remove any posts or comments we deem inappropriate, unlawful, obscene, defamatory, threatening, harassing, abusive, slanderous, hateful, redundant, or embarrassing to any person or entity. We reserve the right to ban/report users not in line with these guidelines.

Industry: Insurance
Company Size: 501-1,000 employees

Berkshire Hathaway GUARD Insurance Companies

**Overview**

**Good Things Start Here.**

Good things are happening at Berkshire Hathaway GUARD Insurance Companies—an A+ (Superior) rated, nationwide Property & Casualty insurer backed by Berkshire Hathaway. With supportive leadership, collaborative teams, and opportunities to grow, GUARD is a place where people build meaningful, long‑term careers.

**Good Things You Can Count On.**

-  Hybrid schedule: 2 days remote / 3 in‑office

-  Predictable hours (no nights, weekends, or holidays)

-  Competitive pay + generous PTO

-  Medical, dental & vision starting day one

-  401(k), tuition reimbursement & longevity bonuses

**Responsibilities**

**Berkshire Hathaway GUARD Insurance Companies ** is seeking a **Trucking Claims Specialist ** to join our P&C Claims Casualty team. This role reports to the **Director of Claims ** and is responsible for investigating and resolving **commercial auto liability and physical damage claims **, with a focus on **trucking exposures **.

The ideal candidate will bring strong legal and analytical skills, sound judgment, and a commitment to delivering high‑quality, defensible claims outcomes in complex and high‑exposure matters.

**Key Responsibilities**

-  Investigate and resolve commercial auto liability and physical damage claims involving trucking exposures.

-  Review and interpret policy language to determine coverage and collaborate with coverage counsel as needed.

-  Manage a caseload of moderate to high complexity and exposure, developing and executing effective resolution strategies.

-  Communicate with insureds, claimants, attorneys, body shops, and law enforcement to gather and evaluate relevant information.

-  Partner with defense counsel and vendors to support litigation strategy, negotiation, and recovery efforts.

-  Ensure claims are handled accurately, efficiently, and in compliance with service standards and regulatory requirements.

-  Participate in file reviews, team meetings, and ongoing training to support continuous learning and professional development.

**Qualifications**

-  Juris Doctor (JD) required.

-  3+ years of experience in the trucking industry, including commercial auto or trucking claims management.

-  Experience handling bodily injury and/or cargo exposures.

-  Familiarity with trucking operations, FMCSA/DOT regulations, and multi‑jurisdictional claims practices.

-  Strong analytical, negotiation, and legal reasoning skills, with the ability to manage multiple priorities.

-  Proven ability to handle sensitive, high‑stakes claims with professionalism and sound judgment.

-  Possession of applicable state adjuster licenses, or the ability to obtain required licenses.

**Salary $130,000 - $170,000 + bonus**

**In accordance with applicable pay transparency laws, this range represents a good ****‐faith estimate. Final compensation will be determined based on factors such as experience, credentials, geographic location, and other considerations permitted by law.**

**This role may be based out of any of our office locations, including:**

**New York, NY; Parsippany, NJ; Conshohocken, PA; Wilkes‑Barre, PA; Alpharetta, GA; Rosemont, IL; Plano, TX; Scottsdale, AZ; and Rancho Cordova, CA. **

Trucking Liability Claims Specialist (JD Required)

Minneapolis-based DCM Services, is the industry leader in estate and specialty account resolution services, maximizing the value of client portfolios across financial services, healthcare, retail, and telecom industries through innovation and performance. Its recovery solutions offer a full range of services from proprietary web-based solutions to full outsourcing, maintaining an unmatched spectrum of innovative solutions that increase recoveries, protect brand value, and enhance survivor relationships – with respect and sensitivity. For more information on all DCM Services’ offerings, visit www.dcmservices.com.

Industry: Financial Services
Company Size: 501-1,000 employees

DCM Services

Description:

**Estate Claims Specialist **

**Company: ** DCM Services & Forte, LLC

**Location: ** Bloomington, MN (On-site)

**Employment Type: ** Full-time, Non-Exempt

**Department: ** Probate Finder Claims

**Reports To: ** Probate Finder Claims Manager

**About DCM Services & Forte, LLC **

**DCM Services ** and **Forte, LLC ** are industry leaders specializing in estate account management and probate claims solutions for major clients nationwide. Our organizations combine advanced technology with compassionate, compliant processes to help businesses manage decedent accounts responsibly and efficiently.

We pride ourselves on a collaborative culture, strong core values, and a commitment to professional growth and operational excellence. If you’re looking to make an impact through meaningful work in a supportive environment, you’ll feel right at home here.

**Position Summary **

As an **Estate Claims Specialist **, you will play a key role in processing and filing estate-related claims nationwide. You’ll ensure accuracy, compliance, and timely submission of probate documentation while contributing to critical quality control and estate research functions. This position blends independent work with team collaboration and requires excellent attention to detail.

Requirements:

**Key Responsibilities **

- Prepare, process, and accurately file probate claims across multiple jurisdictions.

- Serve as an authorized company signatory and notarize claims (requires/notary commissioned or company-commissioned).

- Prepare claims to meet varying court requirements and record-keeping standards.

- Manage the mailing process for claims, including Certified Mail when required.

- Conduct quality control reviews of estate data to ensure accuracy and compliance.

- Perform estate match reviews to verify correct alignment with client information.

- Process returned claims efficiently and support senior claims staff as needed.

- Respond to internal client requests (Operations, Client Liaisons, Account Reps).

- Prepare filing fee checks to accompany claim packages.

- Research missing or incomplete estate data to maintain an accurate proprietary database.

- Assist with post-claim documents including releases, satisfaction forms, and withdrawals.

- Maintain compliance with company information security, privacy guidelines, and client-specific requirements.

- Complete other administrative or operations-related duties as assigned.

**Required Skills & Qualifications **

- High school diploma or GED required.

- Beginner to mid-level computer proficiency.

- Working knowledge of Microsoft Office (Word, Excel, Outlook).

- Strong written and verbal communication skills.

- Excellent attention to detail with a focus on accuracy and organization.

- Ability to independently manage tasks while also working effectively in team-oriented processes.

- Strong problem-solving and analytical abilities.

- Ability to sit for extended periods during the workday.

- Demonstrated ability to maintain professionalism with internal and external stakeholders.

**What We’re Looking For **

Candidates who excel in this role typically demonstrate:

- Strong active listening and communication skills.

- Logical decision-making based on data and situational awareness.

- Adaptability in a dynamic environment.

- A proactive approach to learning and tackling new challenges.

**Why Join Us **

- Collaborative team environment

- Mission-aligned work supporting responsible estate management

- Growth and development opportunities

- Competitive compensation & bonus eligibility

- Stable, reputable organization with long-standing industry presence

#DCMHP1

**Compensation details: ** 18-19 Hourly Wage

Estate Claims Specialist

PRS was established in 2000.  Our knowledge and experience in the Commercial Property/Casualty & Professional Liability Insurance field has branded us as one of the top recruiting firms in the industry.  We pride ourselves on our integrity, determination and reliability and we adhere to the highest degree of ethics in everything we do.

Industry: Staffing and Recruiting
Company Size: 2-10 employees

Polikov Recruitment Solutions

Our client is a**technology-driven company ** that specializes in simplifying and expediting small business insurance. Their mission is to make a small commercial insurance effortless through digital innovation and a partnership-based approach.

We are looking for an experienced **Liability Claims Specialist. ** Must have experience with **slip/falls, bodily injury, severe injuries, contractual capacity, risk transfer ** and be generally interested in working for a technology forward insurance company.

**Responsibilities: **

-Develop and implement strategy to resolve **Commercial P&C, GL, Property Liability **claims on very challenging and complex accounts

-Investigate, indentify, and assess coverage issues, draft coverage positions letters, and retain coverage counsel

-Analyze and direct initial risk transfer, subrogation/salvage action, additional insured issues, and contractual indemnity issues, to ensure equitable contributions

-Manage the litigation process including retaining counsel and directing counsel on resolution strategy

-Attend mediations and trials relevant to resolution

**Qualifications: **

-3-7 years of claims experience with BI/Bodily Injuries from a Liability perspective

-Excellent collaboration, communication, evaluation, negotiating, and interpersonal skills

-Proper adjuster licensing in applicable states

-Legal concept and process knowledge base

**What’s in it for you? **

-100% remote

-100% company paid health, dental, basic life and vision insurance

-4% 401K company match (immediate vesting)

-FSA/HSA options

-All employees are given equity!

This is a great opporunity to work for a company that offers tech-driven innovation and mission-driven culture along with a high-growth company with strong leadership and culture.

If you are intrested in learning more about this opportunity, please send your resume to Dave Peters at dpeters@prs2000.com

Keywords:

NY Labor Law, construction, liability, claims, Insurtech, claims specialist, claims representative, claims adjuster, MGA, commercial P&C, property and casualty, general liability, property damage, complex, risk transfer, BI, bodily injury, contractual capacity, adjuster, examiner, multiline, liability, GL, claim, claim adjuster, claims adjuster, claims examiner, construction claims, technology, adjusters license

Claims Specialist - Liability

PMA Companies (PMA) provides risk management solutions and services, specializing in workers’ compensation and offering property & casualty insurance, in the United States. 

Headquartered in Blue Bell, PA, PMA is a member of Old Republic International Corporation (NYSE: ORI), a Fortune 500 company and one of the nation’s 50 largest shareholder-owned insurance businesses. PMA includes PMA Insurance Group, specializing in workers’ compensation and providing other commercial property & casualty insurance solutions, and PMA Management Corp., a Top-10 national third-party administrator of workers’ compensation, property & casualty claims. 

At PMA, we leverage our strengths in commercial insurance and TPA solutions to excel in the moments that matter for our clients, injured workers, brokers, business partners, and each other—We Succeed. Together

Industry: Insurance
Company Size: 1,001-5,000 employees

PMA Companies

As a member of our Claims team, utilize your knowledge of Workers Compensation Claims to independently investigate, evaluate and resolve assigned claims of a more complex nature in order to achieve appropriate outcomes. In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance with legal statues, policy provisions, and company guidelines.

**Responsibilities**

- Promptly investigates all assigned claims with minimal supervision, including those of a more complex nature

- Determines coverage, compensability, potential for subrogation recovery, and second injury fund (when applicable)

- Alerts Supervisor and Special Investigations Unit to potentially suspect claims

- Ensures timely denial or payment of benefits in accordance with jurisdictional requirements

- Within granted authority, establishes appropriate reserves with documented rationale, maintains and adjusts reserves over the life of the claim to reflect changes in exposure

- Negotiates claims settlements within granted authority

- Establishes and implements appropriate action plans for case resolution including medical and disability management, litigation management, negotiation and disposition

- Works collaboratively with PMA nurse professionals to develop and execute return to work strategies

- Selects and manages service vendors to achieve appropriate balance between allocated expense and loss outcome

- Maintains a working knowledge of New York jurisdictional requirements and applicable case law for each state serviced

- Demonstrates technical proficiency through timely, consistent execution of best claim practices

- Communicates effectively, verbally and in writing with internal and external parties on a wide variety of claims and account issues

- Provides a high degree of customer service to clients, including face to face interactions during claims reviews, stewardship meetings and similar account-specific sessions

- Authorizes treatment based on the practiced protocols established by statute or the PMA Managed Care department

- Assists PMA clients by suggesting panel provider information in accordance with applicable state statutes.

- Demonstrate commitment to Company’s Code of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards and laws applicable to job responsibilities in the performance of work.

**Requirements**

- Bachelor's degree and/or four or more years of equivalent work experience required in an insurance related industry required

- CA jurisdiction experience required; AX experience is a plus

- Associate in Claims (AIC) Designation or similar professional designation desired

- License required or ability to obtain license within 90 days of employment in mandated states

- Familiarity with medical terminology and/or Workers' Compensation

- Working knowledge of Workers Compensation regulations, preferably jurisdiction-specific

- Strong organizational skills with demonstrated ability to work independently and deal effectively with multiple tasks simultaneously

- Proven critical thinking skills that demonstrate analysis/judgment and sound decision making with focus on attention to details

- Strong verbal, written communication skills and customer service skills gained through previous work experience

- Computer literacy, including working knowledge of MS Office Product Suite, i.e. Word, Excel, PowerPoint

- Ability to travel for business purposes, approximately less than 10%.

Claims Specialist

We live in a time of unprecedented change. A time when economies, regulations, and social safety nets are all in flux.

Customers around the globe have told us they’re overwhelmed by the pace of change and are looking for a trusted partner to help them manage life’s twists and turns.

MetLife is committed to being that partner. That’s why we’re transforming our business: Delivering greater value for the people we serve by becoming a simpler, more focused, and future-facing company. We’ll be introducing new ways to meet our customers’ evolving needs, with flexible products; simpler, more intuitive experiences and a range of new services. 

MetLife. Navigating life together.

For customer service: https://www.metlife.com/support-and-manage/contact-us/

For social media notices: https://www.metlife.com/about-us/terms-and-conditions/social-media/

MetLife, Inc. (NYSE: MET), through its subsidiaries and affiliates (“MetLife”), is one of the world’s leading financial services companies, providing insurance, annuities, employee benefits and asset management to help its individual and institutional customers navigate their changing world. Founded in 1868, MetLife has operations in more than 40 markets globally and holds leading positions in the United States, Japan, Latin America, Asia, Europe and the Middle East.

Industry: Insurance
Company Size: 10,001+ employees

MetLife

**Requirements**

**Description and Requirements**

**The Opportunity**

The Absence Management Claims Specialist is responsible for Handle, review, and administer Family & Medical Leave Act / and or Americans with Disabilities Act(ADA) claims and adhere to federal and state regulatory and/or company plan requirements. Establish FMLA/ADA workflow procedures and evaluate against appropriate leave plans and make initial claim decisions.

Complete eligibility decisions during intake call, gather pertinent data when necessary, from employee or other supporting systems as well as perform leave-ups as required, including recertification of health condition, intermittent claim tracking, RTW confirmation, etc. Update systems to accurately reflect leave status and ensure appropriate diary documentation exists.

Guided by our purpose – a lways with you building a more confident future – and our New Frontier strategy focused on stronger growth, attractive returns and all-weather performance, this is an exciting opportunity to make a meaningful impact in the lives of our customers and our communities.

**Key Responsibilities**

- Lead claims intake calls, gather pertinent data when necessary, from employee or other supporting systems as well as perform leave-ups as required, including recertification of health condition, intermittent claim tracking, RTW confirmation, etc. to complete eligibility decisions.

- Create innovative solutions for accurate and timely absence management claims processing.

- Oversee claims eligibility decisions for absence management.

- Manage an individual book of absence management claims.

- Develop meaningful relationships with MetLife policy holders.

- Coordinate all aspects of absence management claims from intake to resolution.

**Required Qualifications**

-  High school diploma.

-  1+ yrs. related experience and strong customer satisfaction focus and attention to detail.

-  New hires should live a commutable distance from the site the role is posted in.

- This role has mandatory paid training starting on May 27th lasting for up to 7 weeks. Candidates must be available and present for all training days.

**Preferred Qualifications**

-  Bachelor’s degree or higher.

-  FMLA/ADA/Insurance claims knowledge of process and procedures.

-  Call center experience in an insurance setting.

-  Demonstrated critical thinking in activities requiring analysis, investigation, and/or planning.

The expected salary range for this position is 45,500 - 49,000. This role may also be eligible for annual short-term incentive compensation. All incentives and benefits are subject to the applicable plan terms.

**Benefits We Offer**

Our U.S. benefits address holistic well-being with programs for physical and mental health, financial wellness, and support for families. We offer a comprehensive health plan that includes medical/prescription drug and vision, dental insurance, and no-cost short- and long-term disability. We also provide company-paid life insurance and legal services, a retirement pension funded entirely by MetLife and 401(k) with employer matching, group discounts on voluntary insurance products including auto and home, pet, critical illness, hospital indemnity, and accident insurance, as well as Employee Assistance Program (EAP) and digital mental health programs, parental leave, paid time off, paid holidays, volunteer time off, tuition assistance and much more!

**About MetLife**

Recognized on Fortune magazine's list of the "World's Most Admired Companies", Fortune World’s 25 Best Workplaces™, as well as the Fortune 100 Best Companies to Work For®, MetLife, through its subsidiaries and affiliates, is one of the world’s leading financial services companies; providing insurance, annuities, employee benefits and asset management to individual and institutional customers. With operations in more than 40 markets, we hold leading positions in the United States, Latin America, Asia, Europe, and the Middle East.

Our purpose is simple - to help our colleagues, customers, communities, and the world at large create a more confident future. United by purpose and guided by our core values - Win Together, Do the Right Thing, Deliver Impact Over Activity, and Think Ahead - we’re inspired to transform the next century in financial services. At MetLife, it’s #AllTogetherPossible . Join us!

MetLife is an Equal Opportunity Employer. All employment decisions are made without regards to race, color, national origin, religion, creed, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, marital or domestic/civil partnership status, genetic information, citizenship status (although applicants and employees must be legally authorized to work in the United States), uniformed service member or veteran status, or any other characteristic protected by applicable federal, state, or local law (“protected characteristics”).

If you need an accommodation due to a disability, please email us at accommodations@metlife.com. This information will be held in confidence and used only to determine an appropriate accommodation for the application process.

MetLife maintains a drug-free workplace.

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liabilities.

45,500 - 49,000

Absence Management Claims Specialist

Coterie Insurance puts insurance agents and brokers first, delivering instant business insurance across the United States. 

Coterie uses a partnership-based approach to help insurance professionals unlock untapped revenue in the small commercial space. 

With an innovative quoting platform that delivers accurate pricing and bindable quotes in less than one minute, Coterie is making small business insurance effortless.

Industry: Insurance
Company Size: 51-200 employees

Coterie Insurance

**Who We Are**

Through a partnership-based approach, Coterie helps insurance professionals unlock untapped revenue in the small commercial space. With an innovative quoting platform that delivers accurate pricing and bindable quotes in less than one minute, Coterie makes small business insurance effortless.

We are on a mission to build and foster a world-class team to bring speed, simplicity, and service to commercial insurance. We value integrity, humility, passion, and intelligence. If you want to push yourself, promote social good, and reshape a $200B+ market, we’re excited to talk to you!

**What will the Liability Claims Specialist do?**

Coterie is evolving its claims experience, and we need an experienced Liability Claims Specialist. You’ll be working closely with our Claims Leadership Team, assisting internal and external stakeholders. If you are a go-getter who has passion for commercial property and casualty claims and want to change the insurance industry, we want to talk to you!

Core Hours Needed: Monday-Friday 8:00am-5:00pm (in your US time zone)

- Develop and implement strategy to resolve Commercial Property and Casualty, General Liability, Property and Professional Liability claims of moderate level of severity and complexity, but may be required to handle volume

- Coordinate and collaborate with cross-functional Coterie team members on process, product, project, insurance, and other global enterprise initiatives

- Investigate claim and review the insureds' and claimants’ materials, documents, reports etc.

- Identify and assess coverage issues, draft coverage position letters, and retain coverage counsel, when necessary as well as review coverage counsel's opinion letters and analysis

- Develop and implement strategy relative to coverage issues which correlate with the overall strategy of matters entrusted to the handler's care

- Analyze coverage and damages for purposes of estimating, assessing and recommending reserves

- Maintain a diary of all claims, post reserves in a timely fashion, and expeditiously respond to claims inquiries from insured, counsel, underwriters, brokers, and senior management

- Negotiate resolution of claims

- Assist in the development, shaping, adherence to, and execution of best practices

- Maintain vendors list for field investigators, appraiser’s, experts, fraud investigators and CAT alerts.

- Maintain contact and oversight with the TPA claim staff

- Work with underwriting on appetite selection, form development.

- Identify and review of each jurisdiction's applicable statutes, rules, and case law

- Analyze, and direct initial risk transfer, subrogation/salvage action, additional insured issues, and contractual indemnity issues, to ensure equitable contribution across all claim stakeholders

- Retain counsel when necessary and direct counsel in accordance with resolution strategy

- Prepare and present written/oral reports to senior management setting forth all issues influencing evaluation and recommending reserves

Travel to and from locations within the United States to attend mediations, trials, and other proceedings relevant to the resolution of the matter. Expected travel

**What We Are Looking For**

- Ability to work regular work the core hours of Monday-Friday 8:00am-5:00pm in your time zone. Additional off hours may be needed pending business needs.

- 5-7 years of work experience at an insurance company and/or insurance claims loss adjustment service provider resolving property and casualty claims.

- Considerable working knowledge of insurance industry and insurance claims operations particularly around commercial property and casualty claims, policy construction, ISO Commercial BOP forms.

- Proper adjuster licensing in all applicable states.

- Legal concepts and processes knowledge base

- Exceptional communication (written and verbal), influencing, evaluation, negotiating, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines

- Strong time management and organizational skills

- Ability to take part in active strategic discussions

- Excellent collaboration skills, self-motivated and willing to take initiative

- Able to understand and synthesize day-to-day work within the team into trends, themes, successes and opportunities over periods of time

- Strong negotiation and persuasion abilities

- Exceptional interpersonal and client service skills

- Detail oriented and superior organizational skills

- Team player with the ability to collaborate with others

- Ability to work independently, with support, in a fast-paced, evolving environment

- Hands-on experience and strong aptitude with Microsoft Office

**What Will Make You Stand Out**

- College degree (preferred)

- Previous experience supporting a business through explosive growth

- Quality Assurance (QA), Continuous Process Improvement (CPI), User Experience (UX/UI), Design Thinking, Lean, Agile, Project Management (PM), and/or Product Owner (PO) experience

- AIC and PTC designations a plus

**Our Interview Process**

Our hiring process generally consists of 4 phases. The goal is to provide an opportunity for us to learn more about our candidates while allowing them to get to know us as well!

- Phase 1: Qualified candidates will first meet with a member of our People Operations team for a phone interview. This discussion is a high-level conversation to understand more about your background and interests and for us to share more about Coterie and the position.

- Phase 2: Selected candidates will be invited to meet with our Hiring Manager for a 2nd interview via Teams video. This interview is designed to be more detail oriented and allows you to learn more about the role and expected to be 30 minutes in length.

- Phase 3: Top candidates will receive an invite for our final interview series via Teams video. This series will include an experiential exercise project (provided in advance) followed by a 1-hour panel interview with our claims team and a 1:1 interview with a member of our senior leadership team. The final series is roughly 1.5 hours in total but can be scheduled over a few days for flexibility.

**What's In It For You**

Coterie has excellent benefits for all full-time employees. We offer the following:

- 100% remote

- Health insurance through Aetna (we pay 100% of premiums)

- Dental and vision insurance through Guardian (we pay 100% of premiums)

- Basic life insurance (we pay 100% of premiums)

- Access to flexible spending account (FSA) or health savings account (HSA) (for those using HSA eligible plans)

- 401K plan (up 4% match with immediate vest)

- Flexible PTO policy offering employees approximately 3–4 weeks of PTO in their first 12 months. Thereafter, PTO usage aligns with company standards and typically does not exceed 5 weeks per calendar year.

- 12 company-paid holidays each year

- Annual salary estimated between 75,000-110,000 based on national data. Candidates who meet all the minimum requirements and possess additional relevant experience, as outlined in the job description, may be considered for a salary above the midpoint of the above range. Salary is based on internal equity; internal salary ranges; market data/ranges; applicant’s skills; prior relevant experience; degrees or certifications, etc.

**Work Authorization**

At this time, Coterie Insurance is unable to consider candidates who require current or future visa sponsorship. Applicants must have authorization to work in the United States without the need for sponsorship now or in the future. Falsification of an application, including work authorization status, is immediate grounds for dismissal from consideration.

Liability Claims Specialist

Society Services LLC thrives in giving the best service to our clients, translation services done by humans not computer algorithms, we know we are the best on the business. We offer services to over 12 different languages with fast turnarounds. offering graphic design, desktop publishing (formatting), Apostillé services and notarized translations for legal and immigration services.

Industry: Translation and Localization
Company Size: 2-10 employees

SOCIETY SVC LLC

**Job Information **

**Job Title **

Claims Specialist (Workers’ Compensation)

**Home Department: **

Claims

**Employment Status: **

Non-Exempt; Full-time

**Schedule: **

40 hours/week with Flexible Scheduling Opportunities

**Position Location: **

Home Office, Hybrid, and Remote Opportunities in:

CO, GA, IL, IN, IA, MN, TN, TX, & WI

** **

**Overview **

Protecting our policyholders’ dreams, passions, and livelihoods has a direct impact on the communities we serve. We work towards excellence, conduct ourselves with high integrity, and take our work seriously, but not ourselves. Small Details. Big Difference. Find out how you can make a difference with a career at Society.

Society Insurance is seeking an entry-level Claims Specialist to join our Workers’ Compensation team. With manager guidance and structured training, the Claims Specialist will learn to investigate and resolve mild to moderate complex claims that may have limited period of indemnity; and will monitor ongoing permanency/death claims in accordance to claims handling practices.

**About the Role **

Handles and settles mild to moderate complex claims that may have limited period of indemnity; monitors ongoing permanency/death claims; reaching agreement with claimant according to policy provisions and authority level; and handling subrogation within authority level.Resolves questionable claims by investigating and comparing claims information with evidence.Identifies files involving potential investigation with manager guidance by analyzing documentation and records, evaluating evidence, and referring files to appropriate staff. Determines insurance coverage by examining claim forms, policies, and other records; interviewing claimants, insureds, and witnesses; reviewing police and hospital records; and consulting with experts. Promotes early return to work by communicating and coordinating between involved parties.Keeps current with claims through follow-up discussions with injured workers and insureds; and makes recommendations regarding future handling of files based on claim facts. Ensures accurate file documentation by complying with claims handling guidelines and state requirements. Ensures company guidelines and procedures are followed by overseeing independent adjusters during investigations and attorneys in the handling of discovery and settlement. Develops and maintains professional, technical knowledge and expertise in a specified line(s) of business through training courses and continuing education coursework.Contributes to team effort by participating in determining department investigation guidelines; providing feedback to underwriting as needed.

**About Yo ****u **

You enjoy communicating and building relationships with others.You are composed, cool under pressure, and can negotiate without damaging relationships. You hold yourself accountable and act in accordance with rules and regulations. You enjoy analyzing, investigating, and using the facts to make decisions. You are naturally curious and have a desire to know more.You apply an investigative approach to identifying facts and evaluating evidence.

**What it Will Take **

Bachelor’s Degree in business or related field

**OR**

1+ years of claims handling experience involving the exercise of discretionary decision-making as determined by Society Insurance

**OR **

3+ years of knowledge in the property & casualty insurance industryFamiliarity with PC applications including word processing, Internet, spreadsheets, and e-mail software.Ability to obtain and maintain proper licensing prior to handling a state that requires it.Valid driver’s license and a satisfactory driving record as determined by Society Insurance.Prior workers’ compensation indemnity experience highly desirable.Professional insurance designations highly desirable.

**What Society Can Offer **

Comprehensive Benefits Package: Salary with bonus plan; health, dental, life, and vision insuranceRetirement: Traditional or Roth 401(k) Defined Contribution Plan PLUS Profit-Sharing PlanWork-Life Balance: Company-paid holidays; flexible scheduling; PTO; telecommuting optionsEducation: Career Coaching; company-paid courses; student loan and tuition reimbursementCommunity: Charitable Match; paid volunteer time; team sponsorshipsWellness: Employee Assistance Program; wellness initiatives/rewards; health coaching; and more

Society Insurance prohibits discrimination and harassment of any type against applicants and employees on the basis of race, color, religion, sex, national origin, age, handicap, disability, genetics, veteran status or military service, marital status or sexual orientation, gender identity or expression, or any other characteristic or status protected by federal, state or local laws. Society Insurance also provides reasonable accommodations to qualified individuals with disabilities in accordance with the requirements of the Americans with Disabilities Act and applicable state and local laws. Society Insurance is a drug-free workplace.

Claims Specialist (Workers Compensation)

Headquartered in Austin, Texas, Hanger, Inc. provides comprehensive, outcomes-based orthotic and prosthetic (O&P) services through its Patient Care segment, with more than 900 Hanger Clinic locations nationwide. Through its Products & Services segment, Hanger distributes branded and private label O&P devices, products and components, and provides rehabilitative solutions. Rooted in 160 years of clinical excellence and innovation, Hanger is a purpose-driven company with a vision to lead the O&P markets by providing superior patient care, outcomes, services and value, aimed at empowering human potential.

Read about Hanger's commitment to diversity and inclusion at: Hanger.com/Diversity.

Industry: Hospitals and Health Care
Company Size: 5,001-10,000 employees

Hanger, Inc.

**Why Us?**

With a mantra of Empowering Human Potential, Hanger, Inc. is the world's premier provider of orthotic and prosthetic (O&P) services and products, offering the most advanced O&P solutions, clinically differentiated programs and unsurpassed customer service. Hanger's Patient Care segment is the largest owner and operator of O&P patient care clinics nationwide. Through its Products & Services segment, Hanger distributes branded and private label O&P devices, products and components, and provides rehabilitative solutions to the broader market. With 160 years of clinical excellence and innovation, Hanger's vision is to lead the orthotic and prosthetic markets by providing superior patient care, outcomes, services and value. Collectively, Hanger employees touch thousands of lives each day, helping people achieve new levels of mobility and freedom.

**Could This Be For You?**

The **Priority Claims Specialist III - Remote **will ensure payment for services provided is accurate, timely and fully documented. Provide efficient cash collection through excellent reimbursement practices while ensuring compliance with relevant laws, regulations and established Hanger policies and compliance programs. Provides strict adherence to adjustment, refund and write-off policies/procedures as outlined in Hanger Clinic Standard Operating Procedures. Maintain exceptional support and communication with all partners, internal and external.

This is a high-dollar medical collections role operating within a Centralized Revenue Cycle Team. This is a full time, remote opportunity. Schedule will be Monday - Friday, day shift.

**Your Impact**

**Responsibilities For The Role Will Include**

-  Maintain a working knowledge and understanding of DMEOPS CPT and ICD-10 codes.

-  Utilize the company billing and collections system to identify and resolve any claims that have been unpaid, short paid and/or denied.

-  Review EOB's and other correspondence from insurance companies for correct reimbursement according to rules and regulations and contract terms.

-  Follow up with insurance companies by online portal, phone, email and/or fax.

-  Identify billing errors and submitted corrected claims insurance carriers.

-  Provide timely and accurate follow up on accounts until they are resolved.

-  File and follow up on appeals and disputes.

-  Communicate identified AR issues that may cause payment delays or write offs to management.

-  Document all findings with clear and concise detail.

-  Research insurance guidelines and manuals for additional information.

-  Perform adjustments in the system as needed.

-  Submit medical records upon request.

-  Resolves outstanding accounts receivable problems. Respond to and resolve inquiries from customers or external collection resources.

-  Primary focus is on complex denials and appeals.

-  Review, monitor and resolve assigned encounters and all assigned reports.

-  Identify issues attributing to account delinquency and discuss them with management as needed.

-  Provide timely follow-up on all tasks.

-  Effective communication with Patient Care Clinics related to collection efforts.

-  Complete, review, and research any deficiency to ensure that any deficiency is properly addressed and resolved.

**Minimum Qualifications**

**Minimum**

-  High school education or equivalent

-  5+ years of related experience to include at least one of the following areas: Insurance reimbursement, medical policy, payor appeal requirements or patient collection laws.

-  Experience in a medical office.

**Preferred**

-  Associate’s degree.

-  Experience with NextGen and/or OnBase.

-  Licensed Medicare auditor or Certified Medical Audit Specialist

**Knowledge And Skill**

-  Attention to detail with the ability to quickly identify trends.

-  Strong communication and interpersonal skills.

-  Working knowledge of the Medicare audit, appeals, reimbursement, Local Coverage Determinations (LCDs) , and policy articles.

-  Working knowledge of medical terminology.

-  Self-starter / take initiative to proactively resolve problems.

-  Ability to multi-task.

-  Strong sense of personal accountability to meet deadlines.

-  Working knowledge of MS Office suite programs.

-  Working knowledge of Electronic Health Records (EHR); such as, OPS and NextGen

-  Demonstrated ability to pull data and migrate into online records management systems such as OnBase;

-  Demonstrate high ethical standards regarding confidential patient and billing information.

**Additional Success Factors**

**The ideal candidate will also demonstrate:**

-  Strong interpersonal, oral (including telephone) and written communication skills, including the ability to follow written and verbal directions.

-  Works well under pressure

-  Attention to detail with the ability to quickly identify trends.

-  Resourceful and flexible team player who excels at building trusting relationships with patients, insurance companies and colleagues.

-  Excellent knowledge and understanding of state, federal, regional collection and reimbursement laws, HIPAA and other medical insurance regulations and terminology ( CPT, ICD-9, HCPCS, modifiers, coding, and documentation guidelines) for private payer, state and federal plans including coding, billing and reimbursement protocols.

-  Proficient computer skills including Windows based office technologies (ex. Word, Excel, PowerPoint), e-mail and automated billing systems.

-  Excellent organizational skills and the ability to manage multiple tasks (ex. multitasking) with a high degree of detail orientation while working in a fast-paced environment.

-  Keep the patient at the center of everything that you do, building lifelong trust.

-  Foster open collaboration and constructive dialogue with everyone around you.

-  Continuously innovate new solutions, influencing and responding to change.

-  Focus on superior outcomes and calibrate work processes for outstanding results.

Pay range of $20.00 to $25.00 per hour + annual bonus: up to 5% of base pay depending on bonus criteria. This pay range is posted to comply with wage transparency laws. Hanger salary ranges vary based on skill, ability, knowledge, geographic location and other variables.

**Our Investment in You**

-  Competitive Compensation Packages

-  8 Paid National Holidays & 4 additional Floating Holidays

-  PTO that includes Vacation and Sick time

-  Medical, Dental, and Vision Benefits

-  401k Savings and Retirement Plan

-  Paid Parental Bonding Leave for New Parents

-  Flexible Work Schedules and Part-time Opportunities

-  Generous Employee Referral Bonus Program

-  Mentorship Programs- Mentor and Mentee

-  Student Loan Repayment Assistance by Location

-  Relocation Assistance

-  Regional & National traveling CPO/CO/CP opportunities

-  Volunteering for Local and National events such as Hanger’s BAKA Bootcamp and EmpowerFest

Hanger, Inc. is committed to providing equal employment opportunity in all aspects of the employer-employee relationship. All conditions and privileges of employment are administered to all employees without discrimination or harassment because of race, religious creed, color, age, sex, sexual orientation, gender identity, national origin, religion, marital status, medical condition, physical or mental disability, military service, pregnancy, childbirth and related medical conditions, special disabled veteran status, or any other classification protected by federal, state, and local laws and ordinances. The company will comply with all applicable state or local fair employment laws that forbid discrimination or harassment on the basis of other protected characteristics. Retaliation against any employee for filing or supporting a complaint of discrimination or harassment is prohibited.

#ERF-HRC

Priority Claims Specialist III

Sixt SE with its registered office in Pullach near Munich, is a leading international provider of high-quality mobility services. With its products SIXT rent, SIXT share, SIXT ride and SIXT+ the company offers a uniquely integrated premium mobility service across the fields of vehicle and commercial vehicle rental, car sharing, ride hailing and car subscriptions. The products can be booked, among others, through the SIXT App, which also contains the services of its renowned mobility partners. SIXT has a presence in more than 100 countries around the globe. The company offers its customers experiences that inspire and exceed their expectations – through a lived culture of innovation, a consistent premium offering in terms of fleet and service, and an attractive price-performance ratio. According to preliminary calculations, the Group achieved consolidated earnings before taxes of EUR 335,2 million in 2024 and a significant increase in consolidated revenue to reach for the first time EUR 4.00 billion. Sixt SE has been listed on the Frankfurt Stock Exchange since 1986 (ISIN ordinary share: DE0007231326, ISIN preference share: DE0007231334). For more information, please visit https://about.sixt.com/en/

Industry: Reisebürodienstleistungen
Company Size: 5.001–10.000 Beschäftigte

SIXT

Are you ready to take the wheel and drive success? As a full-time Claims Specialist at SIXT, you’ll be at the heart of our dynamic operation, ensuring every detail aligns for a seamless process. If you’re a pro at juggling tasks, thrive in fast-paced environments, and love turning challenges into wins, this is the role for you. Apply now!

**YOUR ROLE AT SIXT**

- You collaborate with external organizations to streamline the collections process and improve efficiency in recovering owed amounts

- You make informed decisions regarding the pursuit or closure of damage claims, balancing accountability, and strategic judgment

- You de-escalate and resolve outstanding damage claims, turning complex situations into satisfactory outcomes for all parties

- You provide exceptional customer service, addressing client inquiries with empathy and professionalism

- You explain the claims process and Sixt coverage, ensuring clients fully understand their options

- You gather necessary documentation from clients, insurers, and other parties, ensuring thoroughness in the claims process while maintaining confidentiality and legal compliance

**YOUR SKILLS MATTER**

- **Experience **You have a minimum of 1 year of experience in claims, collections, or an administrative role

- **Education **You have a high school diploma or bachelor’s degree (preferred)

- **Technical Proficiency ** You are proficient in computer navigation, including Microsoft Office Applications

- **Soft Skills ** You demonstrate strong organizational skills, can multi-task effectively, and excel in professional communication

- **Commitment To Excellence **You are success-oriented and willing to take on multiple tasks

**WHAT WE OFFER**

- **Comprehensive Health Insurance ** Healthcare coverage (medical, dental, vision), life insurance, critical illness, hospital indemnity, pet insurance, and a 401k retirement plan

- **Paid Time Off & Sick Leave **Access Enjoy PTO, sick leave, floating paid holidays and a healthy work-life balance

- **Exclusive Employee Rentals **Leverage special rental discounts exclusive to employees, offering great savings for you and your immediate family

- **Additional Perks **Experience the advantages of working in a cutting-edge office in Oklahoma City, OK, free parking, and ample opportunities for professional advancement

**About us:**

We are a globally leading mobility service provider with a revenue of €4.00 billion and around 9,000 employees worldwide. Our mobility platform ONE combines our products SIXT rent (car rental), SIXT share (car sharing), SIXT ride (taxi, ride, and chauffeur services), and SIXT+ (car subscription), giving our customers access to our fleet of 350,000 vehicles, the services of 4,000 cooperation partners, and around 5 million drivers worldwide. Together with our franchise partners, we are present in more than 110 countries at 2,000 rental stations. At SIXT, top-tier customer experience and outstanding customer service are our highest priorities. We believe in true entrepreneurship and long-term stability and align our corporate strategy with foresight. Get started with us and apply now!

Renew Medic by FIX specializes in emergency cabinet removal, bracing, restoration, and replacement after water or fire damage. We partner with mitigation contractors and adjusters to streamline claims and restore homes faster.

When disaster strikes, we act fast—removing cabinets the same day, bracing countertops to avoid additional loss, and keeping families in their homes. Our rapid response reduces ALE costs and helps claims close in as little as 1–2 weeks.

Our expert team restores or replaces custom cabinetry in less than three weeks—far below industry average—and we back every job with our satisfaction guarantee: if the homeowner isn’t happy, you don’t pay.

From high-end kitchens to complex insurance jobs, we’re your dedicated cabinet solution—reliable, responsive, and easy to work with.

Let’s get your customers back in their homes—with craftsmanship they’ll love and timelines you can trust.

Industry: Construction
Company Size: 11-50 employees

Renew Medic by FIX

We’re offering the unique opportunity for a driven leader to develop alongside the top-performing franchisees in the Renew Medic system and, within three to six months, take over as General Manager of the Atlanta business as our founders focus on launching a second location in Houston, TX.  We anticipate significant future growth as our Atlanta business is still very young, and you will have the opportunity to grow your responsibility and compensation commensurately.

Our CEO, Chas Smithgall, previously led the largest franchisee in the Aaron's system with over $150 million in revenue and 104 locations before exiting, and he and David Maldonado have partnered to build a platform in the restoration space with a tremendous opportunity for growth.

**What You’ll Do: **

- Train under experienced, highly successful franchise operators

- Lead day-to-day operations

- Foster a sales-driven culture and build relationships with mitigation and restoration contractors, insurance adjusters, agents, and other referral partners

- Build a high-performance culture where technicians, builders, finishers and project coordinators feel supported, respected, and set up for long-term success

- Lead hiring efforts and create upward mobility through skill development and clear career pathing

- Ensure operational excellence across scheduling, production, invoicing, and collections

- Manage financial activities including budgeting and forecasting, with full accountability for P&L performance

- Serve as a visible, hands-on leader with daily in-person presence

**Who We’re Looking For: **

- 3+ years of experience leading and motivating teams; experience in home services or restoration is a plus

- Proven operational leadership experience required; exposure to P&L responsibility is a plus

- Bachelor’s degree required; MBA preferred

- Playbook-driven leadership style with a bias for action

- Strong interpersonal, motivational, and communication skills

- High energy, adaptability, and a proven track record of delivering results

- Strong critical thinking and problem-solving skills

- Deep respect for the Skilled Trades or other people-driven, operationally intensive industries

**Our Core Values: **

- **F **﻿ocus on the customer

- Act with **I **ntegrity

- Strive for e**X **cellence

If you’re a high-performing operator who wants to join a fantastic team and a well-capitalized platform at its early stage and values hustling, accountability, and taking care of the people doing the work, we want to hear from you.

General Manager in Training

Symetra is a financial services company offering annuities, life insurance and employee benefits that help people create secure retirements, protect their families and get benefits at work. We are headquartered in Bellevue, Washington, and have offices across the country.

Interested in a career at Symetra, but think you’re not "the insurance type?” You might be surprised by the variety of jobs that keep Symetra rolling.  Plus the vast majority of our roles are open to being full-time remote.  Check out our latest opportunities at symetra.com/about-us/careers/

To see our social media guidelines, visit: symetra.com/social

Symetra Life Insurance Company is the parent company of First Symetra National Life Insurance Company of New York (collectively, “Symetra”). Symetra Life Insurance Company does not solicit business in the state of New York and is not authorized to do so. Each company is responsible for its own financial obligations.

Industry: Insurance
Company Size: 1,001-5,000 employees

Symetra

Symetra offers a thrilling chance to become part of our team as an **Associate Claims Examiner **!

**About The Role**

Provide claims assistance as directed including sole responsibility for researching, recording, and reporting findings from DMF monthly runs across both life and retirement divisions. Maintains individual life waiver of premium, individual disability income and various accelerated benefits reports and databases including monthly reviews and administration. Prepares communication for initial death claims and follow-ups claims communications for our customers for at least two of the claims divisions. Provides claims assistance by communicating with our customers both via written letters and verbal communication. Acts as accuracy check for keying of ACH payments to customers and maintains both ingoing and outgoing communication coordination.

**What You Will Do**

- Prepares written communication for death claim notifications in at least two divisions. Provides assistance with both written and verbal communication with our customers and serves as backup to claims examiners on telephones.

- Perform peer reviews for staff, support Retain Asset Program and service as primary EFT Table N Entry coordinator.

- Ensures compliance with internal and external regulations and maintains accurate and timely records including ensuring that customers are tracked and kept aware of their accounts.

- Assist or service as back-up for monthly death master file review for IA, Deferred and Life products. Review includes

**Why Work at Symetra**

Here’s what some of our employees share about why they choose to work at Symetra:

~~“I chose Symetra because I heard it was a pro-employee company—and it’s absolutely true. The work environment is supportive, the people are great, and the benefits are generous. Symetra truly cares about its employees. The relaxed atmosphere and opportunities to learn and grow—both within your role and beyond—make it a great place to build your career.” - Alicia L., Claims Examiner~~

**What We Offer You**

**Benefits and Perks**

We don’t take a “one-size-fits-all” approach when it comes to our employees. Our programs are built to make your life better both at work and at home.

- Flexible full-time or hybrid telecommuting arrangements.

- Plan for your future with our 401(k) plan and take advantage of immediate vesting and company matching up to 6%.

- Paid time away including vacation and sick time, flex days and ten paid holidays.

- Give back to your community and double your impact through our company matching.

- Want more details? Check out our Symetra Benefits Overview.

**Compensation**

**Hourly Range: $22.00 - $30.87 ** plus eligibility for annual bonus program.

**Who You Are**

- High school diploma or equivalent work experience, college degree a plus.

- 1-3 years of cumulative, relevant experience

- Good written and verbal communication skills

**Please Review Symetra’s Remote Network Minimum Requirements**

As a remote-first organization committed to providing a positive experience for both employees and customers, Symetra has the following standards for employees’ internet connection:

- Minimum Internet Speed: 100 Mbps download and 20 Mbps upload, in alignment with the FCC's definition of "broadband."

- Internet Type: Fiber, Cable (e.g., Comcast, Spectrum), or DSL.

- Not Permissible: Satellite (e.g., Starlink), cellular broadband (hotspot or otherwise), any other wireless technology, or wired dial-up.

When applying to jobs at Symetra, you will be asked to test your internet speed. You must confirm that your internet connection meets or exceeds Symetra’s standard as outlined above.

**Identity Verification**

Symetra is committed to fair and secure hiring practices. After the initial phone screen, candidates must be on video for all interviews. Symetra will verify at key points that candidates are not seeking employment fraudulently, such as using a false identity.

Failure to align with verification procedures may result in

- Disqualification from the recruitment process.

- Withdrawal of a job offer.

- Termination of employment and other criminal and/or civil remedies, if fraud is discovered.

**We empower inclusion**

At Symetra, we aspire to be the most inclusive insurance company in the country. We’re building a place where every employee feels valued, respected, and has opportunities to contribute.

Inclusion is about recognizing our assumptions, considering multiple perspectives, and removing barriers. We accept and celebrate diverse experiences, identities, and perspectives, because lifting each other up fuels thought and builds a stronger, more innovative company. We invite you to learn more about our efforts here.

**Crafting a world where more people have access to financial freedom.**

Symetra is a nationwide financial services company committed to assisting individuals in achieving their financial goals and gaining confidence about their future. Our actions are guided daily by the principles of Value, Transparency, and Sustainability. We provide essential products and services at fair prices, maintain open communication so customers clearly understand their purchases, and develop products and manage the company with a focus on long-term success. We emphasize supporting communities, empowering employees, and advancing diversity, equity, and inclusion (DEI). Join us to help create a world where financial freedom is accessible to more people.

For more information about our careers visit: https://symetra.eightfold.ai/careers

**Work Authorization**

This position does not offer employer-sponsored work visas or related assistance. Candidates must already have legal permission to work in the United States when hired. They must keep this authorization for the entire duration of their employment with our company.

Associate Claims Examiner

Primerica is a leading financial services company in North America, with more than 2,000 corporate employees who support more than 135,000 licensed independent representatives providing financial education and offering financial products and services to their clients. Primerica has been operating for more than 46 years and is publicly traded on the New York Stock Exchange (NYSE) under the symbol "PRI". 

Primerica’s focus is on serving the needs of middle-income families by providing products such as term life insurance, mutual funds, annuities, mortgages, and senior health. In addition to the products and services we offer, Primerica also offers entrepreneurial-minded individuals the opportunity to build their own financial services business. More information about Primerica's Business Opportunity can be found on www.primericabusinessopportunity.com. 

Headquartered in Duluth, GA, Primerica operates throughout the U.S., Canada, and the territories of Puerto Rico and Guam. We believe financial security should be possible for everyone, so we strive to meet families where they are today and help them be better prepared for their future.

Industry: Financial Services
Company Size: 1,001-5,000 employees

Primerica

**Join Our Team**

In 2025, USA Today recognized Primerica as a Top Workplace USA for the fifth year in a row, and Newsweek named Primerica one of America’s Greatest Workplaces for Diversity for the second consecutive year. In 2024, the Atlanta Journal-Constitution named Primerica as a Top Workplace for the eleventh consecutive year, and Forbes recognized Primerica as one of America’s Best Employers for Women for the fifth year in a row. In addition, for the tenth time Primerica has been voted a Best Employer by Gwinnett Magazine. Primerica is a great place to work!

**About This Position**

The Life Claims Examiner III is responsible for reviewing and adjudicating complex, large dollar contestable and incontestable claims. This includes deaths in a foreign country and Terminal Illness Accelerated death claims. The person in this position will be responsible for communicating delicate information to beneficiaries, agents and attorneys in a professional manner; both written and verbally, in order to bring claims to their completion. The Examiner III will work with Underwriting and outside Vendors to obtain the necessary requirements and input necessary to adjudicate a contestable claim.

Salary range up to 60K USD Annual

**Responsibilities & Qualifications**

Responsibilities and Duties:

- Review Policy information to determine coverage eligibility and proper beneficiary

- Conduct timely investigations consisting of obtaining Beneficiary and Agent statements, medical records, prescription records, criminal records and motor vehicle records

- Review any statutory requirements regarding fair claim practices, investigation timeframes, divorce revocation, estate requirements, minor beneficiary rulings and post-mortem claim interest

- Make solid claim recommendations

- Proactively contact beneficiaries and agents in order to keep a claim moving without delay

- Actively participate in Underwriting and Claim Collaboration calls

- Document timeline, facts and recommendations

- Handle high volume caseload with competing priorities

**Qualifications**

- 6-10 Years’ experience in Life Insurance Claims

- High School or College degree

- Strong Critical thinking skills

- Strong Research and organizational skills

- Strong verbal and written communication skills

- Strong Computer skills

- Ability to prioritize workload

- LOMA or ICA designation a plus

**Remote position**

**FLSA Status**

This position is exempt (not eligible for overtime pay):

No

**Our Benefits**

- Day one health, dental, and vision insurance

- 401(k) Plan with competitive employer match

- Vacation, sick, holiday and volunteer time off

- Life and disability insurance

- Flexible Spending Account & Health Savings Account

- Professional development

- Tuition reimbursement

- Company-sponsored social and philanthropy events

It has been and will continue to be the policy of Primerica, Inc., and its subsidiaries to be an Equal Opportunity Employer. We provide equal opportunity to all qualified individuals regardless of race, sex, color, religious creed, religion, national origin, citizenship status, age, disability, pregnancy, ancestry, military service or veteran status, genetic or carrier status, marital status, sexual orientation, or any classification protected by applicable federal, state or local laws.

At Primerica, we believe that diversity and inclusion are critical to our future and our mission – creating a foundation for a creative workplace that leads to innovation, growth, and profitability. Through a variety of programs and initiatives, we invest in each employee, seeking to ensure that our people are not only respected as individuals, but also truly valued for their unique perspectives.

Claims Examiner 3

Blue Shield of California strives to create a healthcare system worthy of its family and friends that is sustainably affordable. 

Blue Shield of California is a tax-paying, nonprofit, independent member of the Blue Shield Association with 4.7 million members, 7,800 employees, and $22.9 billion in annual revenue. 

Founded in 1939 in San Francisco and now headquartered in Oakland, Blue Shield of California and its affiliates provide health, dental, vision, Medicaid and Medicare healthcare service plans in California. 

Blue Shield of California complies with applicable state laws and federal civil rights laws, and does not discriminate on the basis of race, color, national origin, ancestry, religion, sex, marital status, gender, gender identity, sexual orientation, age, or disability.

Blue Shield of California cumple con las leyes estatales y las leyes federales de derechos civiles vigentes, y no discrimina por motivos de raza, color, país de origen, ascendencia, religión, sexo, estado civil, género, identidad de género, orientación sexual, edad ni discapacidad.

Blue Shield of California 遵循適用的州法律和聯邦公民權利法律，並且不以種族、膚色、原國籍、血統、宗教、性別、婚姻
狀況、性別認同、性取向、年齡或殘障為由而進行歧視。

Industry: Insurance
Company Size: 5,001-10,000 employees

Blue Shield of California

**Job Description**

**Your Role**

The Medi-Cal Operations team is responsible for ensuring claims are processed accurately and timely. The Claims Processor, Specialist will report to the Medi-Cal Operations Supervisor. In this role you will be responsible for interfacing with other departments and vendors involved in the Claims process and will also serve as the primary point of contact for priority claim cases.

Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

**Responsibilities**

**Your Work**

In this role, you will:

- Handle most complex activities including backup for all areas of claims processing

- Actively participate in projects

- Handle escalated issues independently

- Mentor experienced team members

- Assist with training when needed

- Collaborate with peers, staff in other department's vendors, and Management to improve processes and department work quality.

- Must be able to work in a fast-paced environment with minimal supervision

- Read and interpret documents such as provider contracts procedure manuals, various reports, division of financial responsibility matrix

**Qualifications**

**Your Knowledge and Experience**

- Requires a high school diploma or GED

- Requires at least 7 years of experience

- Minimum of 3 years of experience in claims processing and/or auditing experience in a manage care setting required

- Experience examining multiple claim types in the Medi-Cal/Medicare environment preferred

- Knowledge of medical claims regulatory guidelines such as AB1455 and Medicare preferred

- Proficiency in Microsoft Office programs such as Excel, Word and Outlook required

**Hybrid Virtual Work**

This role allows employees to work virtually full-time, however employees will be expected to come to the office based on business need.

**About The Team**

**About Blue Shield of California**

As of January 2025, Blue Shield of California became a subsidiary of Ascendiun. Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions. Together, these organizations are referred to as the Ascendiun Family of Companies.

At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends and sustainably affordable. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience.

To achieve our mission, we foster an environment where all employees can thrive and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals.

Blue Shield is a U.S. News Best Company to work for, a Deloitte U.S. Best Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360 as a Top Regional Company, and one of the 50 most community-minded companies in the United States by Points of Light. Here at Blue Shield, we strive to make a positive change across our industry and communities – join us!

**Our Values:**

- Honest. We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short.

- Human. We strive to listen and communicate effectively, showing empathy by understanding others' perspectives.

- Courageous. We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals.

**Our Workplace Model**

We believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility - providing clear expectations while respecting the diverse needs of our workforce. Our workplace model is designed around intentional in-person interaction, collaboration, connection, creativity and flexibility:

- For most teams, this means coming into the office two days per week.

- Employees living more than 50 miles from an office location, out of state employees, and employees in certain member-facing roles should work with their manager to determine in-office time based on business need.

- For employees with medical conditions that may impact their ability to work in-office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well-being.

The Company reserves the right to require more presence in the office based on business needs, and requirements are subject to change with periodic reviews.

**Physical Requirements:**

Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.

Please click here for further physical requirement detail.

**Equal Employment Opportunity:**

External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.

Claims Processor, Specialist

CareFirst. It’s not just our name. It’s our promise. Over 3.5 million people trust us with their healthcare needs, and we take this responsibility seriously.  

Our vision for healthcare is clear. Quality care should be easy to afford, easy to use and available to everyone. And what we’re building for you is exactly what we expect for ourselves and those we love.  

Every day, we make a meaningful difference in the communities where we live and work. We solve real problems for the people we serve with equal parts empathy and urgency—simplifying the complex, delivering tailored solutions and stepping forward with new ideas. 

RECRUITMENT FRAUD NOTICE: CareFirst is aware of an increase in fraudulent job offers being made on behalf of our recruitment team. Legitimate CareFirst recruiters will always contact you from an email address ending in “@carefirst.com” and will never ask for a payment in exchange for a job opportunity or ask you to submit sensitive personal information via email, phone, or text.  

Independent licensee of BCBSA.

Industry: Insurance
Company Size: 5,001-10,000 employees

CareFirst BlueCross BlueShield

**Resp & Qualifications**

**PURPOSE:**

Under direct supervision, reviews and adjudicates paper/electronic claims. Determines proper handling and adjudication of claims following organizational policies and procedures.

**Essential Functions**

- Examines and resolves non-adjudicated claims to identify key elements of processing requirements based on contracts, policies and procedures. Process product or system-specific claims to ensure timely payments are generated and calculate deductibles and maximums as well as research and resolve pending claims. The Claims Processor also use automated system processes to send pending claims to ensure accurate completion according to medical policy, contracts, policies and procedures allowing timely considerations to be generated using multiple systems.

- Completes research of procedures. Applies training materials, correspondence and medical policies to ensure claims are processed accurately. Partners with Quality team for clarity on procedures and/or difficult claims and receives coaching from leadership. Required participation in ongoing developmental training to performing daily functions.

- Completes productivity daily data that is used by leadership to compile performance statistics. Reports are used by management to plan for scheduling, quality improvement initiatives, workflow design and financial planning, etc.

- Collaborates with multiple departments providing feedback and resolving issues and answering basic processing questions.

**Qualifications**

**Education Level: **High School Diploma or GED.

**Experience: **Less than one year experience processing claim documents.

**Preferred Qualifications**

- Less than one year claims processing, billing, or medical terminology experience.

**Knowledge, Skills And Abilities (KSAs)**

- Demonstrated analytical skills.

- Demonstrated reading comprehension and ability to follow directions provided.

- Basic written/oral communication skills.

- Demonstrated ability to navigate computer applications.

- Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.

**Salary Range: **$31,968 - $58,608

**Salary Range Disclaimer**

The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).

**Department**

Large Group Claims Operations

**Equal Employment Opportunity**

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

**Where To Apply**

Please visit our website to apply: www.carefirst.com/careers

**Federal Disc/Physical Demand**

Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

**Physical Demands**

The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.

**Sponsorship in US**

Must be eligible to work in the U.S. without Sponsorship

Claims Processor I (Remote)

Founded in 2008, Indianapolis-based Northwind Health Company provides comprehensive employer-funded health solutions including third-party administration, pharmacy benefit management, pharmacy services as well as chronic disease management. Northwind is an industry pioneer known for dramatically reducing wasteful spending and producing member health to improve their client’s bottom line.

Industry: Hospitals and Health Care
Company Size: 51-200 employees

Northwind Health Company

**Company Description **

Founded in 2008 and based in Indianapolis, Northwind Health Company provides comprehensive employer-funded health solutions, including third-party administration, pharmacy benefit management, pharmacy services, and chronic disease management. Northwind is recognized as an industry pioneer, known for driving significant cost savings and improving health outcomes for its clients. The company's innovative approach is focused on minimizing wasteful spending and optimizing member health, ensuring value for organizations and their employees.

**Role Description **

This is a full-time on-site role located in Indianapolis, IN, for a Senior Claims Processor. Responsibilities include accurately reviewing, processing, and adjudicating insurance claims while ensuring compliance with company policies and regulatory standards. The Senior Claims Processor will validate claim information, resolve discrepancies, maintain up-to-date records, and provide exceptional customer service by addressing inquiries and resolving claim-related issues. Collaborating with internal teams to streamline processes and ensure efficiency is also a critical part of this role.

**Qualifications **

- Proficiency in claims processing, documentation, and analysis

- Strong attention to detail, accuracy, and ability to work independently

- Knowledge of regulatory compliance related to healthcare or insurance claims

- Excellent communication and customer service skills

- Familiarity with claims management systems and software

- Problem-solving skills and ability to resolve complex claim discrepancies

- Previous experience in a similar role and/or healthcare-related field preferred

- Bachelor’s degree in Business Administration, Health Management, or a related field is an advantage

Senior Claims Processor

Our mission is clear: to become a lifelong mobility partner for our customers and communities by creating meaningful progress through clean energy, connected technology, and human-centered innovation.

Hyundai Motor Company is a global mobility leader committed to shaping a better future. With more than 120,000 employees across 200+ countries, we are redefining the way the world moves, not just through innovation in automotive design, but through bold investments in smart mobility, sustainability, and technology.

Each year, we bring over 4.6 million vehicles to drivers around the globe – from award-winning sedans to cutting-edge electric and hydrogen-powered solutions.

Industry: 자동차 제조
Company Size: 직원 10,001명 이상

Hyundai Motor Company

**Company Description**

Hyundai Motor Company, founded in 1967, is a global leader in mobility solutions, operating in over 200 countries with a workforce of more than 120,000 employees. Guided by the vision of "Progress for Humanity," Hyundai focuses on addressing real-world mobility challenges through innovative solutions, including next-generation electric vehicles, robotics, and hydrogen-powered advancements. With a commitment to human-centered innovation, we continuously strive to drive positive change and shape the future of mobility. Join us in creating groundbreaking solutions to improve the way the world moves.

**Role Description**

This contract role for an Incentive Claims Processor is based on-site in Fountain Valley, CA. The position involves reviewing and processing incentive claims in accordance with company policies and procedures. The Incentive Claims Processor will ensure accuracy and compliance in claim submissions, liaise with internal teams and stakeholders, provide support to claimants, and generate regular reports on claim trends and outcomes. Strong organizational skills and attention to detail are essential in this role.

**Qualifications**

- Proficiency in Claims Processing and understanding of Claims Management principles

- Basic knowledge or experience in Insurance concepts and processes

- Strong Communication and Customer Service skills to interact effectively with stakeholders

- Excellent organizational skills, attention to detail, and ability to manage deadlines

- Proficiency in using claims management systems and office software

- Relevant experience or a background in customer support roles is advantageous

- Bachelor's degree in a relevant field is a plus but not required

Incentive Claims Processor

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