Claims Adjusters, Examiners, and Investigators

**UMR, UnitedHealthcare’s** third-party administrator (TPA) solution, is the nation’s largest TPA. When you work with **UMR** , what you do matters. It's that simple . . . and it's that rewarding.

In providing consumer - oriented health benefit plans to millions of people; our goal is to create higher quality care, lower costs and greater access to health care. Join us and you will be empowered to achieve new levels of excellence and make a profound and personal impact as you contribute to new innovations in a vital and complex system. Opportunities are endless for your career development and advancement within **UMR** due to our record-breaking growth.

Regardless of your role at **UMR** , the support you feel all around you will enable you to do what you do with energy, quality, and confidence. So, take the first step in what is sure to be a fast - paced and highly diversified career.

This position is full-time (40 hours/week), Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 6:00am - 5:30pm CST. It may be necessary, given the business need, to work occasional overtime.

We offer 4-6 weeks of paid training. The hours during training will be 8:00am - 4:30pm, Monday - Friday. **Training will be conducted virtually from your home.**

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

**Primary Responsibilities:**

+ Provide expertise or general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims

+ Analyze and identify trends and provide reports as necessary

+ Consistently meet established productivity, schedule adherence and quality standards

This is a challenging role that takes an ability to thoroughly review, analyze and research complex health care claims in order to identify discrepancies, verify pricing, confirm prior authorizations and process them for payment. You’ll need to be comfortable navigating across various computer systems to locate critical information. Attention to detail is critical to ensure accuracy, which will impact the timely processing of the member's claim.

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

**Required Qualifications:**

+ High School Diploma / GED OR equivalent work experience

+ Must be 18 years of age OR older

+ Proficiency with Windows PC applications, which includes the ability to navigate multiple programs and learn new and complex computer system applications

+ Ability to work Monday - Friday, in any of our 8-hour shift schedules during our normal business hours of 6:00am - 5:30pm CST, including the flexibility to work occasional overtime, given the business need

**Preferred Qualifications:**

+ 1+ years of experience processing medical, dental, prescription OR mental health claims

+ 1+ years of experience in a related environment (i.e., office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools

**Telecommuting Requirements:**

+ Ability to keep all company sensitive documents secure (if applicable)

+ Required to have a dedicated work area established that is separated from other living areas and provides information privacy

+ Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $17.74 - $31.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

**_Application Deadline:_** _This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants._

_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission._

_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._

_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._

\#RPO

Consultant Claims - CH08CESr Representative Claims - CH08BE

We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals – and to help others accomplish theirs, too. Join our team as we help shape the future.

COMPLEX CLAIMS UNIT CONSTRUCTION DEFECT– SR. CLAIM REPRESENTATIVE / CLAIM CONSULTANT

This role will be filled as a Sr. Claim Representative or Claim Consultant based on the experience level and qualifications of the candidate(s). The Sr. Claim Representative/Claim Consultant is a claim handling role within the Complex Claims Unit (CCU). CCU Construction is a highly specialized claim organization responsible for the management of construction defect and construction related claims involving bodily injury and property damage. Claims in CCU Construction are often associated with complex fact patterns requiring contract analysis, and coverage issues that may involve multiple years and types of insurance coverage. CCU Construction claims also commonly involve litigation, require subject matter expertise to manage and can involve higher exposures.

RESPONSIBILITIES :

The Sr. Claim Representative/Claim Consultant will demonstrate the ability to timely manage medium to high exposure accounts exhibiting detailed claim knowledge, a well-reasoned analytical focus and a claim resolution strategy. Other responsibilities include:

+ Provide proactive communications to customers and business partners in the management of claims;

+ Respond to inquiries from customers and provide superior customer service;

+ Review and analyze multiple complex policies and coverage parts;

+ Write and articulate clear and concise coverage positions;

+ Conduct investigations regarding claims and/or lawsuits;

+ Manage litigation and counsel, inclusive of litigation planning, budgeting and implementing a liability resolution strategy;

+ Develop coverage, liability and damages assessments and provide recommendations to leadership;

+ Pursue coverage and liability risk transfer against other liable parties and insurance carriers;

+ Conduct complex negotiations and articulate coverage/liability positions.

+ Attend mediations and trials as necessary;

+ Manage expenses, reserves and financial transactions;

+ Consistently maintain up to date claims metrics.

QUALIFICATIONS :

+ Bachelor’s degree preferred; J.D. or CRIS designation is a plus;

+ 3+ years general liability claim handling experience, construction defect claim handling experience is preferred;

+ Experience in handling affirmative/defensive risk transfer;

+ Strong verbal and written communication skills;

+ Strong analytical and critical thinking skills;

+ Ability to present in a roundtable setting with a well-reasoned and analytical evaluation;

+ Strong customer service and active listening skills;

+ Strong time management and organization skills;

+ Strong negotiation and conflict resolution skills;

+ Working proficiency with MS Office, especially Word and Excel;

+ Active Property & Casualty State Insurance Adjuster license, preferred.

+ Depending on experience can hire position as Sr Claim Representative or Claim Consultant.

This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office locations (Hartford, CT, San Antonio, TX, Lake Mary, FL, Phoenix, AZ, Naperville, IL) will have the expectation of working in an office 3 days a week (Tuesday through Thursday). Candidates who do not live near an office will have a remote work arrangement, with the expectation of coming into an office as business needs arise.

Compensation

The listed annualized base pay range is primarily based on analysis of similar positions in the external market. Actual base pay could vary and may be above or below the listed range based on factors including but not limited to performance, proficiency and demonstration of competencies required for the role. The base pay is just one component of The Hartford’s total compensation package for employees. Other rewards may include short-term or annual bonuses, long-term incentives, and on-the-spot recognition. The annualized base pay range for this role is:

$84,000 - $126,000

The posted salary range reflects our ability to hire at different position titles and levels depending on background and experience.

Equal Opportunity Employer/Sex/Race/Color/Veterans/Disability/Sexual Orientation/Gender Identity or Expression/Religion/Age

About Us (https://www.thehartford.com/about-us) | Our Culture (https://www.thehartford.com/about-us/corporate-culture) | What It’s Like to Work Here (https://www.thehartford.com/careers/our-employees) | Perks & Benefits (https://www.thehartford.com/careers/benefits)

Every day, a day to do right.

Showing up for people isn’t just what we do. It’s who we are – and have been for more than 200 years. We’re devoted to finding innovative ways to serve our customers, communities and employees—continually asking ourselves what more we can do.

Is our policy language as simple and inclusive as it can be? Can we better help businesses navigate our ever-changing world? What else can we do to destigmatize mental health in the workplace? Can we make our communities more equitable?

That we can rise to the challenge of these questions is due in no small part to our company values that our employees have shaped and defined.

And while how we contribute looks different for each of us, it’s these values that drive all of us to do more and to do better every day.

About Us (https://www.thehartford.com/about-us)

Our Culture

What It’s Like to Work Here (https://www.thehartford.com/careers/our-employees)

Perks & Benefits (https://www.thehartford.com/careers/benefits)

Legal Notice (https://www.thehartford.com/legal-notice)

Accessibility StatementProducer Compensation (https://www.thehartford.com/producer-compensation)

EEO

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Unincorporated Areas of LA County, CA (Applicant Information)

MA Applicant Notice (https://www.thehartford.com/ma-lie-detector)

Join a large Pharmacy Benefit Management company based out of MN to help analyze and correct pharmaceutical claims!!

Job Description:

+ This role is responsible for performing basic and intermediate level client, member and pharmacy remediation analysis caused by errors coded into the RxClaim processing system, along with claims monitoring and data validation activities.

+ The research and remediation steps can vary based on the issue so this person must be very thorough and detailed.

+ Research and analyze information by employing analytics and data science techniques to research and validate errors, isolate impacted claims, reprocess claims, and determine financial impact to members, health plans and/or pharmacies; translate data into usable client facing reports.

+ The more research and auditing experience they have the more they will succeed in this role. The understanding of medical terminology (Copays, deductibles, and benefit plans) will help them in this role.

Main Position Details:

Job Title: Claims Analyst

Start Date: 7/14

Pay: $24.00/Hr

Training: 4-5 weeks in length Monday-Friday, 8:00am-4:30pm CST

Schedule: Pick your schedule, start time between 7:00am - 9:00am CST

Location: 100% remote. All equipment is provided.

Duration: Contract. Set to finish at the end of the year.

Qualifications:

+ 2+ years of claims experience with emphasis on researching & auditing (not processing or production).

+ Claims software experience with RxClaims being preferred

Pay and Benefits

The pay range for this position is $24.00 - $24.00/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:

• Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully remote position.

Application Deadline

This position is anticipated to close on Jun 20, 2025.

h4>About TEKsystems:

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

About TEKsystems and TEKsystems Global Services

We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

Responsible for building a complete document package with all appropriate/applicable supporting invoices, breakdowns, ledgers, foreclosure, bankruptcy, and loss mitigation relevant documents based on a specific claim type in a timely and efficient manner. This position is responsible for adhering to all guidelines set forth by insurer, investor, and master servicing guidelines.

+ Evaluates/reconciles loan level balances (corporate and escrow advances) for expenses incurred to determine claimable vs non claimable to maximize reimbursement on behalf of the servicer and/or client

+ Files respective investor/insurer initial and final claims based on the respective guidelines for allowable limits

+ Reviews MI claim Explanation of Benefits (EOB) or Insurer Advice of Payments (AOP) and research curtailment reasons for potential rebuttal

+ Files Appeal or Supplemental Claims ensuring all allowable advances and interest are recovered from the MI companies and/or Insurer.

+ Monitors pre/post conveyance processes on government loans

+ Satisfies audit requests

+ Monitors claim deadlines and exceptions reports

+ Monitors REO activity on investor claim files

+ Ensures all receivables are paid w/ no penalties or interest curtailments

+ Ensures payment to vendors in a timely manner

+ Corresponds with attorney/trustees, vendors, and agency representatives to ensure claims are processed within insurer and investor guidelines

+ Works in conjunction with attorneys, agencies, PMI companies, investors and master servicers to expedite the completion of the claim to minimize losses

+ Complies with and have working knowledge of all FNMA, FHLMC, PMI, FHA, VA, investor and master servicer rules and regulations

+ Performs regular reviews of all cases/claims on a regular basis

+ Requests UPB removal on loans from Investor Reporting Department once the claim process has been completed

+ Assists in the training of new employees

+ Performs other work and duties as assigned

Skills & Qualifications:

+ Claims analysis, claims preparation, mortgage, default, MSP, loss mitigation, default servicing

+ Must be very strong in Excel and have used Vlookup and Pivot Tables on a consistent daily basis.

+ Working knowledge of the Black Knight MSP servicing system

+ Working knowledge of MS Outlook, Word, Excel, Power Point, and ability to learn industry related systems

+ Able to work both independently and within a team environment

+ Excellent time management skills

+ Working knowledge with Microsoft Office, spreadsheets and software applications

+ Strong analytical skills

+ Excellent verbal and written communication skills

+ Detail oriented with ability to successfully manage multiple priorities

+ Able to work in fast paced environment with the ability to meet deadlines

Pay and Benefits

The pay range for this position is $26.00 - $38.00/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:

• Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a hybrid position in Phoenix,AZ.

Application Deadline

This position is anticipated to close on Jun 27, 2025.

h4>About TEKsystems:

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

About TEKsystems and TEKsystems Global Services

We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

Location:

2721 N Central Ave, Phoenix, Arizona 85004 United States of America

Repwest Insurance is seeking a Claims Adjuster to handle Bodily Injury claims.

This is an in-office position in our Phoenix, Arizona office.

As a Bodily Injury Adjuster at Repwest, you will be responsible for investigating, evaluating, and resolving bodily injury and property damage claims involving U-Haul equipment and properties.

Essential Duties:

+ Review claims to determine coverage

+ Conduct liability investigation by obtaining statements, review of photos, videos, police reports and any other evidence

+ Working with independent adjusters as needed for field work

+ Prepare forms and correspondence such as denial letters and release forms

+ Gather necessary documents to determine settlement value of claim

+ Maintain productivity within company set standards

Requirements:

+ Experience handling bodily injury claims

+ Good communication and organizational skills

+ Basic computer skills with knowledge of Microsoft Word and Excel

+ High School Diploma or equivalent

+ Must obtain an Arizona adjuster’s license within 30 days of employment

U-Haul Offers:

+ Full Medical coverage

+ Prescription plans

+ Dental & Vision Plans

+ New indoor fitness gym

+ Gym Reimbursement Program

+ Registered Dietitian Program

+ Weight Watchers

+ Onsite medical clinic for you and your family

+ Career stability

+ Opportunities for advancement

+ Valuable on-the-job training

+ Tuition reimbursement program

+ Free online courses for personal and professional development at U-Haul University®

+ Business and travel insurance

+ You Matter Employee Assistance Program

+ Paid holidays, vacation, and sick days

+ Employee Stock Ownership Plan (ESOP)

+ 401(k) Savings Plan

+ Life insurance

+ Critical Illness/Group Accident

+ 24-hour physician available for kids

+ MetLaw Legal program

+ MetLife auto and home insurance

+ Mindset App Program

+ Discounts on cell phone plans, hotels, and more

+ LifeLock Identity Theft

+ Savvy consumer wellness programs - from health care tips to financial wellness

+ Dave Ramsey’s SmartDollar Program

+ U-Haul Federal Credit Union

+ Wellness Program

U-Haul Holding Company, and its family of companies including U-Haul International, Inc. (“U-Haul”), continually strives to create a culture of health and wellness. Consistent with applicable state law, U-Haul will not hire or re-hire individuals who use nicotine products. The states in which U-Haul will decline to hire nicotine users are: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Pennsylvania, Texas, Utah, Vermont, Virginia, and Washington. U-Haul has observed this hiring practice since February 1, 2020 as part of our commitment to a healthy work environment for our team.

U-Haul is an equal opportunity employer. All applicants for employment will be considered without regard to race, color, religion, sex, national origin, physical or mental disability, veteran status, or any other basis protected by applicable federal, provincial, state or local law. Individual accommodations are available on requests for applicants taking part in all aspects of the selection process. Information obtained during this process will only be shared on a need to know basis.

Join the Adventure: Business Operations Coordinator

_Camping World is growing—and so can your career._

We’re on the lookout for a detail-driven, organized, and energetic Business Operations Coordinator to join our thriving team. In this pivotal role, you’ll play a key part in supporting dealership operations, managing inventory records, and ensuring smooth and efficient administrative processes that keep our business moving forward.

**What** **You’ll** **Do**

+ Deliver professional, friendly, and solutions-focused service to customers throughout their RV selling journey

+ Collaborate with internal teams to keep operations organized, efficient, and focus on customer satisfaction

+ Handle, scan, and manage important customer and transaction documents using our internal database

+ Support incoming RV purchases by organizing and stocking new inventory into our system, ensuring timely and accurate processing for our customers

+ Oversee the completion of purchase contracts

+ Ensure high levels of accuracy and compliance across all customer-facing documentation and processes

**What** **You’ll** **Need to Succeed**

+ Proficiency in Microsoft Office tools, including Outlook, Word, and Excel

+ Experience with working within multiple business or dealership systems

+ Strong attention to detail and organizational skills, especially when managing documentation and time-sensitive tasks

+ Ability to handle confidential information with professionalism and discretion

+ Excellent written and verbal communication skills, with a customer-first mindset

+ Comfortable communicating with team members and customers across multiple departments and levels

+ Solid understanding of general office procedures and comfort using standard office equipment

+ Ability to thrive in a fast-paced environment and manage multiple priorities efficiently

+ Ability to occasionally lift items up to 25 lbs.

**Compensation Transparency**

Compensation for this role is based on multiple factors including skills, experience, certifications, and organizational needs. It is uncommon for new hires to start at the top of the range, as pay is tailored to each individual’s background and qualifications. A reasonable estimate of the current pay range for this position is listed below.

**Pay Range:**

In addition to competitive pay, we offer Paid Time Off, 401(k), an Employee Assistance Program, Good Sam Roadside Assistance, discounts, paid parental leave (if eligibility is met), Tuition Reimbursement (if eligibility is met), and on the job training opportunities. Full-time associates are offered a comprehensive benefit package including medical, dental, vision and more! Part-time associates are offered access to dental & vision coverage! For more information please visit: www.mycampingworldbenefits.com

We are an equal employment opportunity employer. The Company's policy is not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (40 and over), disability, veteran or uniformed service-member status, genetic information, or any other basis protected by applicable federal, state, or local laws.

Sr Representative Claims - CH08BESr Representative Clms CA - CH08ANConsultant Claims CA - CH08BNConsultant Claims - CH08CE

We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals – and to help others accomplish theirs, too. Join our team as we help shape the future.

The General Liability Litigation Senior Claim Representative or Consultant is accountable for delivering superior customer service and successfully investigating, reserving, recommending and implementing strategies to resolve claims consistent with corporate claim standards, policies and procedures and statutory, regulatory and ethics requirements. The selected candidate will partner with Staff Legal and outside counsel to resolve General Liability cases including: Premise Liability, Operations Claims, Product Liability, Professional Claims, Advertising Injury claims, Homeowner Liability, Employment Liability exposures and others. Additional key responsibilities are as follows:

Claim File Management

+ Plan, recommend, reserve and execute file strategies including investigation, valuation, disposition and settlement of assigned claims, in a manner consistent with corporate claim settlement policies and procedures, and statutory, regulatory and ethics requirements

+ Properly assess the exposure of assigned claims. Plan and organize, establish priorities, anticipate issues, determine realistic completion dates, know and communicate the status of assignments, appropriately manage vendors

+ Develop advanced functional knowledge to appropriately interpret and apply insurance coverage. Develop technical and jurisdictional expertise

+ Maintain current knowledge of claim loss cost management initiatives, and utilize them appropriately and in a manner consistent with company practices and procedures

+ Identify and properly mitigation, subrogation, and other recovery opportunities

Customer Service

+ Maintain dedication to meeting or exceeding expectations and requirements of internal and external customers

+ Obtain first-hand customer information; use it for improvements in products and services

+ Establish and maintain effective relationships with customers, gaining their trust and respect. Demonstrate diplomacy and tact to effectively avoid or diffuse high-tension situations

Business Acumen and Technical Expertise

+ Utilize verbal and numerical critical thinking skills to gather information, apply sound reasoning and draw appropriate conclusions; make sound decisions based upon mixture of analysis, experience and judgment

+ Accurately resolve complex coverage and compensability issues

+ Possess the ability to investigate, evaluate and negotiate highly complex claims to appropriate disposition

+ Possess superior analytical and critical thinking skills; expert knowledge of complex medical terms, excellent time management abilities

+ Possess the advanced technical knowledge to properly reserve highly complex claims

+ Properly apply statutory laws and regulations of applicable jurisdiction

+ Demonstrate advanced expertise to utilize claim management practices to effectively manage loss costs

+ Expertly contribute to loss cost management by recognizing potential for Subrogation and Special Investigation

Teamwork and Team Building

+ Support and help create a team environment that celebrates diversity and inclusion

+ Support and assist in building a high performing team with diverse characteristics, where individual differences are valued

+ Build appropriate rapport and constructive and effective relationships with people inside and outside the organization

Location: This role will support the Eastern Region but candidates can be located anywhere within the U.S. and work their own time zone hours.

Start Date: Open

Hours: 8:00 AM- 5:00 PM Monday- Friday

Qualifications

+ 2 to 5+ years relevant experience managing general liability claims strongly preferred

+ Technical expertise in managing claims of high complexity

+ Strong computer proficiency in utilizing software programs

+ Excellent communication skills, oral, written, collaboration and negotiation

+ Excellent time management and organizational skills

+ Effective customer service skills

+ Adept at managing conflict as an opportunity to listen and share information while negotiating a win/win outcome that supports The Hartford's and the claimant’s best interests

+ Leader among claim handlers providing advanced expertise to teammates in solving problems

+ College degree preferred or 5+ years relevant work experience required

+ Consistent high level of performance and achievement over career span

+ State required certification exams and adjusting licenses

+ JD, SCLA or CPCU designation a plus

This position may be filled as a Senior Claim Representative or Consultant commensurate with a candidate’s experience:

Senior Rep ($61,600 - $94,800)• Lower complexity and lower value cases, generally up to $750k. • Low to moderate complexity litigation • Loss types include but are not limited to premises, products, and completed operations general liability losses

Consultant ($84,000 - $126,000)• Higher complexity and case values up to $1m+• Complex litigation with multiple co-defendants, multiple plaintiffs, and complex coverage and risk transfer issues • Able to handle a wide variety of litigation and/or loss types

Additional Information

+ This role can have a Hybrid or Remote work schedule. Candidates who live near one of our office locations (Hartford, CT, San Antonio, TX, Scottsdale, AZ Lake Mary, FL, Naperville, IL and Danbury, CT) will have the expectation of working in an office 3 days a week (Tuesday through Thursday).Candidates who do not live near an office will have a remote work schedule, with the expectation of coming into an office as business needs arise.

+ For full-time, occasional, part-time or remote positions: (1) high speed broadband internet service is required, we do not recommend or support DSL, wireless, WIFI, Hotspots, Fiber without a modem and Satellite; (2) Internet provider supplied modem/router/gateway is hardwired to the Hartford issued computer with an ethernet cable; and (3) minimum upload/download speeds of 10 Mbps/75 Mbps will be required. To confirm whether your Internet system has sufficient speeds, please visit http://www.speedtest.net from your personal computer.

+ Licensing Requirements: As a condition of your employment, you must obtain and maintain a State Adjuster's License to process Property & Casualty Insurance Claims in the states supported by your office. Continued employment with The Hartford is contingent upon the successful passage of the Licensing exam(s) within 30 business days from the completion of the licensing training.

Compensation

The listed annualized base pay range is primarily based on analysis of similar positions in the external market. Actual base pay could vary and may be above or below the listed range based on factors including but not limited to performance, proficiency and demonstration of competencies required for the role. The base pay is just one component of The Hartford’s total compensation package for employees. Other rewards may include short-term or annual bonuses, long-term incentives, and on-the-spot recognition. The annualized base pay range for this role is:

$61,600 - $126,000

The posted salary range reflects our ability to hire at different position titles and levels depending on background and experience.

Equal Opportunity Employer/Sex/Race/Color/Veterans/Disability/Sexual Orientation/Gender Identity or Expression/Religion/Age

About Us (https://www.thehartford.com/about-us) | Our Culture (https://www.thehartford.com/about-us/corporate-culture) | What It’s Like to Work Here (https://www.thehartford.com/careers/our-employees) | Perks & Benefits (https://www.thehartford.com/careers/benefits)

Every day, a day to do right.

Showing up for people isn’t just what we do. It’s who we are – and have been for more than 200 years. We’re devoted to finding innovative ways to serve our customers, communities and employees—continually asking ourselves what more we can do.

Is our policy language as simple and inclusive as it can be? Can we better help businesses navigate our ever-changing world? What else can we do to destigmatize mental health in the workplace? Can we make our communities more equitable?

That we can rise to the challenge of these questions is due in no small part to our company values that our employees have shaped and defined.

And while how we contribute looks different for each of us, it’s these values that drive all of us to do more and to do better every day.

About Us (https://www.thehartford.com/about-us)

Our Culture

What It’s Like to Work Here (https://www.thehartford.com/careers/our-employees)

Perks & Benefits (https://www.thehartford.com/careers/benefits)

Legal Notice (https://www.thehartford.com/legal-notice)

Accessibility StatementProducer Compensation (https://www.thehartford.com/producer-compensation)

EEO

Privacy Policy (https://www.thehartford.com/online-privacy-policy)

California Privacy Policy

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**Job Description**

At Boeing, we innovate and collaborate to make the world a better place. We’re committed to fostering an environment for every teammate that’s welcoming, respectful and inclusive, with great opportunity for professional growth. Find your future with us.

The Boeing Company’s Human Resources organization is currently seeking an **Experienced Customer Care Specialist - Benefits** to join our Heath and Insurance Operations team in **Mesa, AZ, Charleston, SC, Chicago, IL, or Seattle, WA.**

A successful candidate will have strong written and verbal communication skills, collaborate well cross-functionally, and be skilled in data integration and analysis.

**Position Responsibilities:**

+ Researches, responds to, and resolves inquiries and problems of various complexities referring to established precedents and policies regarding benefit issues and concerns.

+ May be called upon to resolve unique situations or issues.

+ Provides employee benefits presentations (e.g. new hire, group layoff, retirees) as required.

+ Responds to unique questions in a timely manner with thorough explanation and clear communication.

+ Researches and documents benefit provisions related to restructuring, as required.

+ Coordinates employee benefit data transfer with vendors and internal customers.

+ Validates and/or corrects employee data.

+ Researches, reviews and compiles benefit data for audits and other legal inquiries, as directed.

+ Compiles information relevant to benefit appeals from the appropriate sources and forward to supervision.

+ Compiles data and respond to benefit surveys.

+ Researches and validates general benefits data and performs other specific functions (e.g. pension calculations, deceased employee benefits processing, Qualified Domestic Relations Order, etc.).

+ Audits vendor/carrier compliance to performance standards and report status.

**This position is expected to be 100% onsite. The selected candidate will be required to work onsite at one of the listed location options.**

**Basic Qualifications (Required Skills/Experience):**

+ 3+ years of customer care experience working with multiple internal stakeholders and suppliers

+ 3+ years of experience establishing strong on-going communication with customers, suppliers and/or vendors

+ 1+ years of experience using critical business and financial acumen in order to influence and shape process and/or strategy

**Preferred Qualifications (Desired Skills/Experience):**

+ Experience presenting to HR teams and Vendors on employee benefits

+ Experience working on claims and appeals to support approval decisions

+ Experience working in a benefits role for a large company

**Drug Free Workplace:**

Boeing is a Drug Free Workplace where post offer applicants and employees are subject to testing for marijuana, cocaine, opioids, amphetamines, PCP, and alcohol when criteria is met as outlined in our policies.

**Shift:**

This position is for 1st shift.

**Pay & Benefits:**

At Boeing, we strive to deliver a Total Rewards package that will attract, engage and retain the top talent. Elements of the Total Rewards package include competitive base pay and variable compensation opportunities.

The Boeing Company also provides eligible employees with an opportunity to enroll in a variety of benefit programs, generally including health insurance, flexible spending accounts, health savings accounts, retirement savings plans, life and disability insurance programs, and a number of programs that provide for both paid and unpaid time away from work.

The specific programs and options available to any given employee may vary depending on eligibility factors such as geographic location, date of hire, and the applicability of collective bargaining agreements.

Pay is based upon candidate experience and qualifications, as well as market and business considerations.

Summary pay range: $87,550 - $118,450

Applications for this position will be accepted until **Jun. 20, 2025**

**Export Control Requirements:** This is not an Export Control position.

**Relocation**

Relocation assistance is not a negotiable benefit for this position.

**Visa Sponsorship**

Employer will not sponsor applicants for employment visa status.

**Shift**

This position is for 1st shift

**Equal Opportunity Employer:**

Boeing is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, national origin, gender, sexual orientation, gender identity, age, physical or mental disability, genetic factors, military/veteran status or other characteristics protected by law.

Boeing is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, national origin, gender, sexual orientation, gender identity, age, physical or mental disability, genetic factors, military/veteran status or other characteristics protected by law.

Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.

**Job Posting Title**

Lead Claims Processor, Government Programs

**Job Description**

Adjudicate or submit claims and adjustments as required. Track and trend performance of root cause analysis and provide additional training as needed. Resolve claims edits and suspended claims.

**Responsibilities**

+ Adjudicate or submit claims and adjustments as required.

+ Implementation and maintenance of claims processing programs and procedures

+ Verify that claims are being adjudicated or submitted according to contracts in a consistent and accurate manner.

+ Manage projects and administrative duties as required by business need.

+ Lead and implement positive changes with a high level of quality and professionalism.

+ Provide backup support to other team/group members in the performance of job

+ Other duties as assigned

**Education & Experience**

+ Education Level

+ A Combination of Education and Work Experience May Be Considered.

+ Bachelors

+ Required

+ Yes

+ Yes

+ Fields of Study

+ Experience Level

+ 5+ years

+ Required

+ Yes

+ Details

+ Claims

Must be eligible to work in the United States without the need for work visa or residency sponsorship.

**Additional Qualifications**

+ Ability to quickly use a 10-key machine

**Preferred Qualifications**

**Physical Demands**

+ Must be able to remain in a stationary position 50% of the time. Must be able to "move or traverse"

+ Must be able to constantly operate a computer and/or other office productivity equipment

+ Must be able to hear and constantly communicate information and ideas. Must be able to exchange accurate information

+ Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.

Potential pay for this position ranges from $21.15 - $31.73 based on experience and skills.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page (https://www.primetherapeutics.com/benefits) and click on the "Benefits at a glance" button for more detail.

_Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law. _

_We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law._

_Prime Therapeutics LLC is a Tobacco-Free Workplace employer._

Positions will be posted for a minimum of five consecutive workdays.

Prime Therapeutics' fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members.

If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people's lives.

Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1.866.469.1257 or email Careers@primetherapeutics.com.

**I. Job Summary**

Manages activities and staff in identifying and quantifying risk of loss, and controls "claims cost" through the management, control and evaluation of expenditures associated with loss.

**II. Essential Duties and Responsibilities**

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Other minor duties may be assigned.

+ Designs, implements and manages systems for effective claims handling with consideration given to reporting procedures, investigation, evaluation, reserving and recording practices to control "cost of loss".

+ Supervises loss adjusting firms to ensure satisfactory levels of service, favorable settlement and suitable pricing.

+ Coordinates communications between property underwriters and locations relating to loss control recommendations, ensuring all recommendations are evaluated.

+ In the event of a property loss, evaluates, documents and negotiates the settlement of the collectible property claim, ensuring compliance with statutory and policy requirements.

+ Analyzes and identifies State Regulations regarding the Company insurance program to ensure compliance with those regulations.

**III. Supervisory Responsibilities**

Will not supervise WM employees, but will manage external adjusters.

**IV. Qualifications**

The requirements listed below are representative of the qualifications necessary to perform the job.

A. Education and Experience

Required: Bachelor's Degree, or equivalent experience, in Human Resources, Business Administration or similar area of study, and seven to ten years previous experience.

Preferred: Master's Degree, or equivalent experience, in Human Resources, Business Administration or similar area of study, and seven to ten years previous experience.

B. Certificates, Licenses, Registrations or Other Requirements

None required.

C. Other Knowledge, Skills or Abilities Required

+ Must be authorized to work in the US.

**V. Work Environment**

Listed below are key points regarding environmental demands and work environment of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job.

Required to use motor coordination with finger dexterity (such as keyboarding, machine operation, etc.) most of the work day.

Normal setting for this job is: Remote.

The expected base pay range for this position across the U.S. is $103,445 to 139,955. This range represents a good faith estimate for this position. The specific salary offered to a successful candidate may be influenced by a variety of factors including the candidate’s relevant experience, education, training, certifications, qualifications, and work location.

**Benefits**

At WM, each eligible employee receives a competitive total compensation package including Medical, Dental, Vision, Life Insurance and Short Term Disability. As well as a Stock Purchase Plan, Company match on 401K, and more! Our employees also receive Paid Vacation, Holidays, and Personal Days. Please note that benefits may vary by site.

If this sounds like the opportunity that you have been looking for, please click “Apply.”

Equal Opportunity Employer: Minority/Female/Disability/Veteran