Claims Adjusters, Examiners, and Investigators

**Title:**

Contact Center Customer Care Specialist (SCA)

**_HomeSafe Alliance_** is the single global household goods movement manager of over 300,000 Military Household Goods moves per year for USTRANSCOM and the U.S. Armed Forces, Department of Defense civilians, U.S. Coast Guard, and their families.

When you become part of our team at HomeSafe Alliance, your opportunities are endless. Through internal collaboration, and with our partners and customers, we’re defining tomorrow’s challenges, then providing the innovative solutions to overcome those challenges, always maintaining our commitment to Zero Harm and Sustainability Platform.

Working at HomeSafe Alliance means being rewarded for your contributions. In addition to competitive benefits and professional development, our people are empowered to use all their potential, creating meaningful change for themselves and our clients. We attract the best minds in the world because our expertise thrives on creativity, resourcefulness and collaboration. That is how we supply our clients with cutting-edge solutions.

As the needs of the world change, we’re ready to respond and guide the way forward with strategic, sustainable, and technological advancements grounded in more than a century of practical application and execution.

The HomeSafe team is dedicated to providing fast, easy, and efficient relocation experiences. More than 300,000 military and government households are relocated every year. Coordinating these transfers is a massive undertaking—and we’re proud to say that HomeSafe is positioned to improve the customers’ moving experience. As the GHC prime contractor and household goods moving service integrator, we provide earlier visibility into upcoming moves and greater network throughput capacity—ensuring household goods shipments are picked up and delivered on time. With cutting-edge technology and proven logistics expertise, we’re transforming the moving process by continuously evaluating, refining, and improving our tools and techniques. We’re dedicated to making sure that every move is better than the last.

**About the Role**

**HomeSafe Alliance** is seeking Customer Care Specialist’s to support the Customer Care contact center by providing immediate support to answer customer inquiries, troubleshoot application access, and network with internal and external move partners to resolve concerns. The goal is to be readily available and responsive to meet customer needs with exceptional quality and service.

**This is an SCA position** .

**NOTE: Openings on various shifts to include weekend support.**

**Responsibilities:**

As a Customer Care Specialist, you will be responsible for all shipment activities in your workload from assignment through delivery.

+ Be the “first face” of HomeSafe via inbound calls/chat/email from customers, internal colleagues, and external partners.

+ Ensures first call resolution through problem solving and effective call/email/chat/text.

+ Counseling customers on their entitlements for their move.

+ The Customer Care Specialist role requires a patient and stable work style and consistency in dealing with repetitive routine.

+ The role demands a cooperative, agreeable, and sympathetic listener who can build good relationships with others and enjoys being helpful to them.

+ Troubleshooting with customers on how to use the HomeSafe Connect Application.

+ Provide accurate details of the status of Customer move at designated points.

+ Customer service via a multichannel contact center within a team-oriented focus is of utmost importance.

+ The pace of the role follows the customary scope of measuring a CCS productivity contact center metrics (i.e. Average Handle Time, After Call Work, Unavailable Codes).

+ Complete outbound communications to customers and business partners.

+ Readily resolve all customer, agent or military base inquiries and concerns.

+ Identify and resolve issues utilizing critical thinking skills and sound judgment.

+ Utilize strong time management, organization skills and prioritization in a fast-paced environment.

+ Utilize various systems and tools to initiate and assist customer requests.

+ Ensure a complete and accurate record of all contacts, both internally and externally, is maintained in the relevant systems.

+ Continually maintain a working knowledge of all services and requirements for processing customer orders.

+ May function as designated representative for move accounts.

+ May perform other related duties and responsibilities as assigned and/or required

+ Attend and participate in all team meetings.

**Minimum Qualification and Skills Requirements** :

+ High School Diploma, GED or equivalent education experience is required .

+ 1+ year customer service experience, with military move experience preferred.

+ Must be a U.S. citizen due to contractual requirements.

**Demonstrated experience:**

+ Experience working in a multi-channel (voice, chat, email, and text) contact center.

+ The role requires attention to the details of work, handling them with better-than-average accuracy and with careful attention to the quality of the work.

+ The focus is on working comfortably remotely within a stable, secure team.

+ Manage multiple priorities, with the ability to work in a fast-paced environment.

+ Ability to manage difficult customers and situations and be able to solve problems.

+ Excellent written & verbal communication skills, patience, and empathy.

+ Proficient with basic computer skills.

**Preferred Education and Experience** :

+ Bilingual

+ Prior military move management experience.

**Schedule flexibility:** Customer Care will operate 24 hours per day x 365 days per year; nights, weekends and holidays required.

**Note** : This position is fully remote / work from home. HomeSafe will supply appropriate equipment. **To be successful in this role,** **you must have reliable high-speed internet access with a minimum download speed of 100 Mbps to support frequent online collaboration, large file transfers, and video conferencing** **.**

Benefits:

+ Medical, Dental and Vision Insurance.

+ Paid time off (PTO) Three weeks of PTO for newly hired employees

+ 401(k)

+ Health and Wellness Programs

+ Disability, Life and AD&D insurance

+ Employee Support program

+ Family Support: Bright Horizons, child and elder care services

+ Teladoc Medical Experts, second opinion program

+ Travel Accident & Medical

+ TRICARE Supplement Plan

+ Voluntary Benefit Plans

+ And more!

Belong, Connect and Grow at KBR

At HomeSafe, we are passionate about our people and our Zero Harm culture. These inform all that we do and are at the heart of our commitment to, and ongoing journey toward being a People First company. That commitment is central to our team of team’s philosophy and fosters an environment where everyone can Belong, Connect and Grow. We Deliver – Together.

HomeSafe is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, disability, sex, sexual orientation, gender identity or expression, age, national origin, veteran status, genetic information, union status and/or beliefs, or any other characteristic protected by federal, state, or local law.

**HomeSafe​ — Delivering Solutions, Changing the World.**

HomeSafe has been established to be the premier household goods move management service provider for the U.S. Armed Forces, Department of Defense (DoD) civilians, and their families. Our team is dedicated to providing fast, easy, and efficient relocation experiences.

More than 300,000 military and government households are relocated every year. Coordinating these transfers is a massive undertaking—and we’re proud to say that HomeSafe is positioned to improve the customers’ moving experience. As a household goods moving service integrator, we provide earlier visibility into upcoming moves and greater network throughput capacity—ensuring household goods shipments are picked up and delivered on time.

With cutting-edge technology and proven logistics expertise, we’re transforming the moving process by continuously evaluating, refining, and improving our tools and techniques. We’re dedicated to making sure that every move is better than the last.

We thank you for your service, and for the privilege of serving you in return.

**A** **t HomeSafe,** **We Deliver.**

**Fraud Alert**

Fraud has infiltrated the job placement market via the internet, email and direct phone contact. Attempts have included unauthorized use of HomeSafe’s name and logo to solicit potential job seekers or to extend false job offers. Bad actors may mix in fake job advertisements with legitimate postings. These ads can include contact instructions and require job seekers to send sensitive personal information or money to pay for visa applications, processing fees, etc., in exchange for consideration for a high-paying position.

HomeSafe will never ask for any sort of advance payment as part of the recruiting/hiring process. Candidate profiles are carefully managed to protect personal information.

Benefits:

+ Medical, Dental and Vision Insurance.

+ Paid time off (PTO) Three weeks of PTO for newly hired employees

+ 401(k)

+ Health and Wellness Programs

+ Disability, Life and AD&D insurance

+ Employee Support program

+ Family Support: Bright Horizons, child and elder care services

+ Teladoc Medical Experts, second opinion program

+ Travel Accident & Medical

+ TRICARE Supplement Plan

+ Voluntary Benefit Plans

+ And more!

Complex Liability Claims Specialist

121370

Zurich is currently looking for an experienced claims adjuster to join our Complex Liability Claims team.

If you are ready for a career move, consider working for a company with a global footprint that offers an excellent work/life balance, terrific benefits including an incentive plan, 401K match and a second 401K company contribution, flexible work options, summer hours and a great culture.

This position requires management of complex primary high exposure auto and general liability claims and litigation involving bodily injury, property damage, personal injury and advertising injury. The Claims Specialist is responsible for proactively managing claims and litigation effectively in accordance with our Best Practices while delivering outstanding customer service. The position requires regular communication with customers, brokers, our Business Units and senior Claims management.

The ideal candidate will have experience managing and resolving high severity injury claims and litigation in multiple jurisdictions, proven skills in time management and caseload management, and must be able to document claim files by accurately capturing and updating claims data/information in compliance with best practices.

Basic Qualifications:

+ Bachelors Degree and 6 or more years of experience managing general liability and/or auto claims and litigation including some experience with high severity claimsOR

+ Juris Doctor and 2 or more years of experience managing general liability and/or auto claims and litigation including some experience with high severity claimsOR

+ Zurich Certified Insurance Apprentice, including an Associate Degree with 6 or more years of experience managing general liability and/or auto claims and litigation including some experience with high severity claimsOR

+ Completion of Zurich Claims Training Program and 6 or more years of experience in the Claims and/ or Litigation Management area.OR

+ High School Diploma or Equivalent and 8 or more years of experience managing general liability and/or auto claims and litigation including some experience with high severity claimsAND

+ Must obtain and retain required adjuster licenses

+ Microsoft Office experience

+ Knowledge of insurance regulations, markets, and products

Preferred Qualifications:

+ JD, SCLA, AIC or CPCU

+ Experience working in a collaborative team environment and across work groups

+ Excellent verbal and written communication skills

+ Expertise resolving severe bodily injury and property damage claims and litigation in multiple jurisdictions

+ Strong skills in coverage, claim evaluation and negotiation

+ Proven organization and time management skills

+ Ability to work independently

Compensation for roles at Zurich varies depending on a wide array of factors including but not limited to the specific office location, role, skill set, and level of experience. As required by local law, Zurich provides in good faith a reasonable range of compensation for roles. For additional information about our Total Rewards, click here . Other rewards may include short term incentive bonuses and merit increases. **Candidates with salary expectations outside of the range are encouraged to apply, and will be considered based on experience, skill, and education.** The salary provided is a nationwide market range and has not been adjusted for the applicable geographic differential associated with the location where the position may be filled. The starting salary range for this position is $75,000.00 - $130,000.00,with short-term incentive bonus eligibility set at 15%.

As an insurance company, Zurich is subject to 18 U.S. Code § 1033.

As a condition of employment at Zurich, employees must adhere to any COVID-related health and safety protocols in place at that time ( https://www.zurichna.com/careers/faq ).

A future with Zurich. What can go right when you apply at Zurich?

Now is the time to move forward and make a difference. At Zurich, we want you to share your unique perspectives, experiences and ideas so we can grow and drive sustainable change together. As part of a leading global organization, Zurich North America has over 150 years of experience managing risk and supporting resilience. Today, Zurich North America is a leading provider of commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We serve more than 25 industries, from agriculture to technology, and we insure 90% of the Fortune 500®. Our growth strategy is not limited to our business. As an employer, we strive to provide ongoing career development opportunities, and we foster an environment where voices are diverse, behaviors are inclusive, actions drive equity, and our people feel a sense of belonging. Be a part of the next evolution of the insurance industry. Join us in building a brighter future for our colleagues, our customers and the communities we serve. Zurich maintains a comprehensive employee benefits package for employees as well as eligible dependents and competitive compensation. Please clickhere (https://www.zurichna.com/careers) to learn more.

As a global company, Zurich recognizes the diversity of our workforce as an asset. We recruit talented people from a variety of backgrounds with unique perspectives that are truly welcome here. Taken together, diversity and inclusion bring us closer to our common goal: exceeding our customers’ expectations. Zurich does not discriminate on the basis of age, race, ethnicity, color, religion, sex, sexual orientation, gender expression, national origin, disability, protected veteran status or any other legally protected status. EOE disability/vet

Zurich does not accept unsolicited resumes from search firms or employment agencies. Any unsolicited resume will become the property of Zurich American Insurance. If you are a preferred vendor, please use our Recruiting Agency Portal for resume submission.

Location(s): AM - Remote Work (US)

Remote Working: Yes

Schedule: Full Time

Employment Sponsorship Offered: No

Linkedin Recruiter Tag: #LI-KO1 #LI-ASSOCIATE #LI-REMOTE

**Become a part of our caring community and help us put health first**

The Pharmacy Claims Representative assists local pharmacies with claims adjudication to support medication access for HC & LTC hospice patients and reconcile historic billing issues.

**Location: Remote US**

**Shift: Monday-Friday 2:30pm-11pm EST. Flexibility to work alternating weekends between the hours of 9am-8pm EST. Flexibility to work 2 holidays per year.**

**Essential Duties and Responsibilities:**

• Assist in setting up and maintaining hospice/facility/pharmacy relationships under the direction of the Pharmacy Claims Team Leaders & the Pharmacy Claims (Support Services) Manager

• Assist pharmacies with claims adjudication

• Complete incoming tasks as assigned by the Pharmacy Claims Team Leaders and the Pharmacy Claims (Support Services) Manager

• Obtain all necessary information for facilities and their related pharmacies

• Assist the Call Center management team with projects to enhance the workflow and success of the Call Center

• Assist Customer Service team with claims research/resolution

*Assist with new hires training

**Billing:**

· Assist pharmacies with claims adjudication by adjusting/correcting autho rizations in dispensing systems and PBM systems

· Ensure timely adjudication of prescription claims through PBM systems

· Contact hospices for authorizations/approvals for submitted claims where necessary

· Ensure accuracy of patient profile data including related/not related status, authorization status, etc

· Research and correct pharmacy invoices from hospices

· Demonstrate basic understanding of Enclara Pharmacia standard/custom formularies

· Understand formulary and billing platform differences (PD vs. FFS) from hospice to hospice

· Assist Customer Service team with claims research/resolution via dispensing systems, PBM systems and fax systems

· Evaluate compound claims for proper ingredients/qtys/cost and ensure timely claims adjudication

· Research claims for hospice/pharmacy audits

**New Hospice Start-Ups:**

· Complete assigned facility/pharmacy spreadsheet by contacting both the facilities and pharmacies to verify accuracy of all information provided.

· Coordinate all information for facility pharmacies including verification of PBM systems.

· Update facility pharmacy spreadsheets and implementation team members on the progress with these pharmacies.

· Communicate with the facility pharmacies on proper billing procedures and contact information for rejected claims.

**New Facilities:**

· Gather partial information from Call Center on facilities not listed and obtain correct information to be entered into the database.

· Link facilities to their respective hospices once all information is obtained.

· Assist with Confirmation Fax reports to update facility and pharmacy relationships and demographic information.

**Use your skills to make an impact**

**Qualifications:**

+ Strong verbal and written communication skills, including the ability to tailor communication to audience.

+ Self-motivated, organized

+ Strong attention to detail

+ Team player

+ Problem-solving skills and ability to follow through on tasks assigned

+ Ability to handle multiple tasks, meet deadlines, and follow-up timely.

**Required Education and/or Experience:**

+ 1+ years of Pharmacy Technician experience

+ Strong knowledge working with pharmacy claims judication

+ **Must have experience with electronic claims submissions OR be a current internal Enclara Pharmacia associate**

**Preferred Experience:**

+ PBM experience

+ Dispensing system experience

+ CPhT or EXCPT

+ Drug knowledge

+ High school diploma

**Scheduled Weekly Hours**

40

**Pay Range**

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$40,000 - $52,300 per year

**Description of Benefits**

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Application Deadline: 02-23-2025

**About us**

About Enclara: Pharmacia Enclara Pharmacia is the nation’s largest full-service hospice and palliative care Pharmacy Benefits Manager, offering compassionate and cost-effective services to our most vulnerable patients. As a wholly owned subsidiary of Humana, Enclara works closely with hospice providers to reduce pharmacy costs, improve patient care and support caregivers through digital innovations, flexible medication access, one-on-one clinical support and excellent customer service.

About Humana: Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers, and our company. Through our Humana insurance services, and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

**Equal Opportunity Employer**

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.

**Title:**

Assistant Claims Manager (Military Move)

**_HomeSafe Alliance_** is the single global household goods movement manager of over 300,000 Military Household Goods moves per year for USTRANSCOM and the U.S. Armed Forces, Department of Defense civilians, U.S. Coast Guard, and their families.

When you become part of our team at HomeSafe Alliance, your opportunities are endless. Through internal collaboration, and with our partners and customers, we’re defining tomorrow’s challenges, then providing the innovative solutions to overcome those challenges, always maintaining our commitment to Zero Harm and Sustainability Platform.

Working at HomeSafe Alliance means being rewarded for your contributions. In addition to competitive benefits and professional development, our people are empowered to use all their potential, creating meaningful change for themselves and our clients. We attract the best minds in the world because our expertise thrives on creativity, resourcefulness and collaboration. That is how we supply our clients with cutting-edge solutions.

As the needs of the world change, we’re ready to respond and guide the way forward with strategic, sustainable, and technological advancements grounded in more than a century of practical application and execution.

The HomeSafe team is dedicated to providing fast, easy, and efficient relocation experiences. More than 300,000 military and government households are relocated every year. Coordinating these transfers is a massive undertaking—and we’re proud to say that HomeSafe is positioned to improve the customers’ moving experience. As the GHC prime contractor and household goods moving service integrator, we provide earlier visibility into upcoming moves and greater network throughput capacity—ensuring household goods shipments are picked up and delivered on time. With cutting-edge technology and proven logistics expertise, we’re transforming the moving process by continuously evaluating, refining, and improving our tools and techniques. We’re dedicated to making sure that every move is better than the last.

We are currently seeking a highly skilled and motivated Assistant Claims Manager to assist in all aspects of claims management, to support and promote process improvement methodologies and best practices that enhance claims service.

**About the Role**

The Assistant Claims Manager role is a remote opportunity responsible for ensuring the claim settlements meet or exceed customer expectations and comply with regulatory and company standards. Manage large claims, catastrophic loss situations, mold, unusual occurrences, inconvenience claims, property damage claims, and MCO demands and ensure the settlement practices allow for prompt subrogation recoveries. Raising awareness of any settlement practices, trends, or areas of concern to the Director of Claims. Responds to internal and external customer disputes and inquiries according to company policies. Must be exceptionally customer service oriented, have effective listening, verbal, and written communication skills, and possess a friendly, helpful demeanor.

**Required Education, Knowledge & Skills:**

+ Undergraduate Degree in Business or related 4-year degree preferred

+ Minimum 3-4 years personal property claims adjusting experience preferred

+ Prior experience in a Supervisor or leadership role.

+ Prior experience assessing employee productivity and identifying areas of improvement to provide constructive feedback and coaching as needed

+ Must be a U.S. citizen due to contractual requirements.

+ Excellent oral and written communication skills

+ Proficient computer skills – MS Office: Outlook, Word, Excel, PowerPoint)

+ Detail-oriented with superior organizational and strong time management with the ability to prioritize and complete assignments on schedule

**Job Functions:**

+ Perform and monitor claim adjudication and subrogation's to ensure claim timelines are met and repayment of claim payments are recovered quickly.

+ Address and file claims with any agent, insurance company, or military office with information and documentation as needed to ensure prompt recovery of claim expenses.

+ Work with the Director of Claims and Claims Managers to ensure any concerns or issues are addressed.

+ Perform training of new hires as necessary.

+ Monitor workflows and identify any improvements necessary.

+ Review claim settlement and subrogation's when disputes escalate to ensure proper settlement and chargeback practices are followed.

+ Work with service providers and other liable parties to resolve disputes on claim settlement.

+ Analyze, process, and settle incoming Military Claim Office demands. Reviewing that proper settlement practices were followed.

+ Addressing with Claims Adjuster on any areas of improvement and involving the Claims Manager and Director of Claims when necessary.

+ Manage and monitor large loss and catastrophic situations ensuring all urgent matters have attention.

+ Approval of Claim payables and receivables as necessary.

+ Analyze, process, and settle any claims assigned in accordance with company policies, within assigned time limits, and per DoD regulations.

+ Performs other job-related duties as needed.

**Note** : This position is fully remote / work from home. HomeSafe will supply appropriate equipment, employee provided **high speed internet is required.**

Benefits:

+ Medical, Dental and Vision Insurance.

+ Paid time off (PTO) Three weeks of PTO for newly hired employees

+ 401(k)

+ Health and Wellness Programs

+ Disability, Life and AD&D insurance

+ Employee Support program

+ Family Support: Bright Horizons, child and elder care services

+ Teladoc Medical Experts, second opinion program

+ Travel Accident & Medical

+ TRICARE Supplement Plan

+ Voluntary Benefit Plans

+ And more!

Belong, Connect and Grow at KBR

At HomeSafe, we are passionate about our people and our Zero Harm culture. These inform all that we do and are at the heart of our commitment to, and ongoing journey toward being a People First company. That commitment is central to our team of team’s philosophy and fosters an environment where everyone can Belong, Connect and Grow. We Deliver – Together.

HomeSafe is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, disability, sex, sexual orientation, gender identity or expression, age, national origin, veteran status, genetic information, union status and/or beliefs, or any other characteristic protected by federal, state, or local law.

**HomeSafe​ — Delivering Solutions, Changing the World.**

HomeSafe has been established to be the premier household goods move management service provider for the U.S. Armed Forces, Department of Defense (DoD) civilians, and their families. Our team is dedicated to providing fast, easy, and efficient relocation experiences.

More than 300,000 military and government households are relocated every year. Coordinating these transfers is a massive undertaking—and we’re proud to say that HomeSafe is positioned to improve the customers’ moving experience. As a household goods moving service integrator, we provide earlier visibility into upcoming moves and greater network throughput capacity—ensuring household goods shipments are picked up and delivered on time.

With cutting-edge technology and proven logistics expertise, we’re transforming the moving process by continuously evaluating, refining, and improving our tools and techniques. We’re dedicated to making sure that every move is better than the last.

We thank you for your service, and for the privilege of serving you in return.

**A** **t HomeSafe,** **We Deliver.**

**Fraud Alert**

Fraud has infiltrated the job placement market via the internet, email and direct phone contact. Attempts have included unauthorized use of HomeSafe’s name and logo to solicit potential job seekers or to extend false job offers. Bad actors may mix in fake job advertisements with legitimate postings. These ads can include contact instructions and require job seekers to send sensitive personal information or money to pay for visa applications, processing fees, etc., in exchange for consideration for a high-paying position.

HomeSafe will never ask for any sort of advance payment as part of the recruiting/hiring process. Candidate profiles are carefully managed to protect personal information.

Benefits:

+ Medical, Dental and Vision Insurance.

+ Paid time off (PTO) Three weeks of PTO for newly hired employees

+ 401(k)

+ Health and Wellness Programs

+ Disability, Life and AD&D insurance

+ Employee Support program

+ Family Support: Bright Horizons, child and elder care services

+ Teladoc Medical Experts, second opinion program

+ Travel Accident & Medical

+ TRICARE Supplement Plan

+ Voluntary Benefit Plans

+ And more!

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work.

Great Place to Work®

Most Loved Workplace®

Forbes Best-in-State Employer

General & Product Liability Claims Examiner | Telecommuter | Litigation Experience Required

Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands?

+ Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.

+ Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations.

+ Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.

+ Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights.

+ Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.

+ Enjoy flexibility and autonomy in your daily work, your location, and your career path.

+ Access diverse and comprehensive benefits to take care of your mental, physical, financial, and professional needs.

**ARE YOU AN IDEAL CANDIDATE?** To analyze General & Product Liability claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.

**PRIMARY PURPOSE OF THE ROLE:** We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

**ESSENTIAL RESPONSIBLITIES MAY INCLUDE**

+ Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.

+ Negotiating settlement of claims within designated authority.

+ Communicating claim activity and processing with the claimant and the client.

+ Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.

**QUALIFICATIONS**

Education & Licensing: 3-5 years of claims management & litigation experience.

High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred.

Professional certification as applicable to line of business preferred.

**Licensing: Home state licensing required**

**TAKING CARE OF YOU**

+ Flexible work schedule.

+ Referral incentive program.

+ Career development and promotional growth opportunities.

+ A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

Work environment requirements for entry-level opportunities include:

Physical: Computer keyboarding

Auditory/visual: Hearing, vision and talking

Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines.

\#claims #claimsexaminer #remote

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is (61,857 - 86,600). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

**If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.**

**Taking care of people is at the heart of everything we do. Caring counts**

Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing – one where caring counts. Watch this video to learn more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work.

Great Place to Work®

Most Loved Workplace®

Forbes Best-in-State Employer

General & Product Liability Claims Examiner | Telecommuter | Litigation Experience Required

Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands?

+ Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.

+ Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations.

+ Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.

+ Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights.

+ Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.

+ Enjoy flexibility and autonomy in your daily work, your location, and your career path.

+ Access diverse and comprehensive benefits to take care of your mental, physical, financial, and professional needs.

**ARE YOU AN IDEAL CANDIDATE?** To analyze General & Product Liability claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.

**PRIMARY PURPOSE OF THE ROLE:** We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

**ESSENTIAL RESPONSIBLITIES MAY INCLUDE**

+ Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.

+ Negotiating settlement of claims within designated authority.

+ Communicating claim activity and processing with the claimant and the client.

+ Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.

**QUALIFICATIONS**

Education & Licensing: 3-5 years of claims management & litigation experience.

High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred.

Professional certification as applicable to line of business preferred.

**Licensing: Home state licensing required**

**TAKING CARE OF YOU**

+ Flexible work schedule.

+ Referral incentive program.

+ Career development and promotional growth opportunities.

+ A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

Work environment requirements for entry-level opportunities include:

Physical: Computer keyboarding

Auditory/visual: Hearing, vision and talking

Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines.

\#claims #claimsexaminer #remote

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is (61,857 - 86,600). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

**If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.**

**Taking care of people is at the heart of everything we do. Caring counts**

Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing – one where caring counts. Watch this video to learn more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work.

Great Place to Work®

Most Loved Workplace®

Forbes Best-in-State Employer

General & Product Liability Claims Examiner | Telecommuter | Litigation Experience Required

Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands?

+ Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.

+ Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations.

+ Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.

+ Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights.

+ Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.

+ Enjoy flexibility and autonomy in your daily work, your location, and your career path.

+ Access diverse and comprehensive benefits to take care of your mental, physical, financial, and professional needs.

**ARE YOU AN IDEAL CANDIDATE?** To analyze General & Product Liability claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.

**PRIMARY PURPOSE OF THE ROLE:** We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

**ESSENTIAL RESPONSIBLITIES MAY INCLUDE**

+ Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.

+ Negotiating settlement of claims within designated authority.

+ Communicating claim activity and processing with the claimant and the client.

+ Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.

**QUALIFICATIONS**

Education & Licensing: 3-5 years of claims management & litigation experience.

High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred.

Professional certification as applicable to line of business preferred.

**Licensing: Home state licensing required**

**TAKING CARE OF YOU**

+ Flexible work schedule.

+ Referral incentive program.

+ Career development and promotional growth opportunities.

+ A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

Work environment requirements for entry-level opportunities include:

Physical: Computer keyboarding

Auditory/visual: Hearing, vision and talking

Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines.

\#claims #claimsexaminer #remote

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is (61,857 - 86,600). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

**If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.**

**Taking care of people is at the heart of everything we do. Caring counts**

Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing – one where caring counts. Watch this video to learn more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)

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**

Customer Care Specialist Sr

**Job Description**

This position is a frontline service position providing assistance to members and providers regarding programs, policies, and procedures. Responsibilities include answering incoming calls related to eligibility, benefits, claims and authorization of services from members or providers. Responsibilities also include the administration of intake documentation into the appropriate systems. Overall expectations is to provide outstanding service to internal and external customers and strive to resolve member and provider needs on the first call. Performance expectations are to meet or exceed operationsproduction and quality standards.

**Responsibilities**

+ Listens and probes callers in a professionally and timely manner to determine purpose of the calls.

+ Researches and articulately communicates information regarding member eligibility, benefits, EAP services, claim status, and authorization inquiries to callers while maintaining confidentiality.

+ Resolves customer administrative concerns as the first line of contact this may include claim resolutions and other expressions of dissatisfaction.

+ Assist efforts to continuously improve by assuming responsibility for identifying and bringing to the attention of responsible entities operations problems and/or inefficiencies.

+ Assists in the mentoring and training of new staff.

+ Assumes full responsibility for self-development and career progression; proactively seek and participate in ongoing trainings (formal and informal).

+ Assembles and enters patient information into the appropriate delivery system to initiate the EAP, Care and Utilization management programs.

+ Demonstrates flexibility in areas such as job duties and schedule in order to aid in better serving members and help achieve its business and operational goals.

+ Educates providers on how to submit claims and when/where to submit a treatment plan.

+ Identifies and responds to Crisis calls and continues assistance with the Clinician until the call has been resolved.

+ Informs providers and members on appeal process.

+ Leads or participates in activities as requested that help improve Care Center performance, excellence and culture.

+ Links or makes routine referrals and triage decisions not requiring clinical judgment.

+ Performs necessary follow-up tasks to ensure member or provider's needs are completely met.

+ Provides information regarding in-network and out-of-network reimbursement rates and states multiple networks to providers.

+ Refers callers requesting provider information to Provider Services regarding professional provider selection criteria and application process.

+ Refers patients/EAP clients to the Care Management team for a provider, EAP affiliate, or Facility.

+ Updates self on ever changing information to ensure accuracy when dealing with members and providers.

+ Supports team members and participate in team activities to help build a high-performance team.

+ Documents customers comments/information and forwards required information to the appropriate staff.

**Education & Experience**

+ Education Level

+ Associates

+ Bachelors

+ GED

+ High School

+ Required

+ Preferred

+ Preferred

+ Yes

+ Yes

+ Fields of Study

+ Experience Level

+ 2+ years

+ Required

+ Yes

+ Details

+ Customer Service

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

**Additional Qualifications**

+ Must be flexible in scheduling and comfortable with change as customer service is an ever-changing environment.

+ Responsible for meeting call handling requirements and daily telephone standards as set forth by management.

+ Must agree to observing service for the purpose of training and quality control.

+ Must be a proficient typist (avg. 35+ WPM) with strong written and verbal communication skills.

+ Must be able to maneuver through various computer platforms while verifying information on all calls.

+ Must be able to talk and type simultaneously.

**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 $19.23 - $28.85 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, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, marital status, pregnancy or related condition (including breastfeeding), expecting or parents-to-be, or any other basis protected by 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, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, marital status, pregnancy or related condition (including breastfeeding), expecting or parents-to-be, or any other basis protected by 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 [email protected].

About the Team

The Risk & Insurance team at DoorDash is responsible for all things corporate insurance at the company. We are a rapidly growing and exciting function that helps DoorDash manage risk and safety with a close lens on the company's bottom line. The team is divided into three separate subgroups: Actuarial, Claims Operations, and Risk Management & Mitigation. We are looking for forward thinkers excited to help build out this newly-formed team and match our ambitious cross-functional partners at DoorDash.

About the Role

We are seeking an experienced claims specialist who will be a member of DoorDash's Corporate Risk & Insurance function with the Finance & Strategy team. You will work with our insurance carrier partners and third-party claims administrators with a focus on auto insurance claims. You will help form a comprehensive strategy around claims handling at DoorDash. Prior insurance experience and an understanding of injury and property damage claims are required.

You will report to the Insurance Claims Manager and work a hybrid schedule at our Tempe, AZ office.

During the onboarding period, which will last 4-6 weeks, you will work Monday to Friday and be required to come into the Tempe, AZ office 4-5 days a week.

Once you have completed the onboarding process, your regular work schedule will be Monday through Friday, with the possibility of working on a Saturday within our operating hours of 8 a.m. to 7 p.m. Additionally, you will be required to come into the Tempe, AZ office every Wednesday, with the potential of working in the office 2-3 days a week in the future, based on your performance.

You're excited about this opportunity because you will…

+ Review loss reports and supporting materials for workers' compensation and occupational accidents.

+ Addresses escalating incidents. This involves identifying potential issues, assessing the severity of the risk, and taking appropriate steps to mitigate the risk and prevent further escalation. It also means maintaining detailed records of the incident and following up with stakeholders to ensure that the issue has been resolved.

+ Contribute to process improvements and provide constructive input regularly.

+ Partner with leadership to manage ongoing projects. This involves working closely with management to set project goals, establish timelines, and allocate resources.

+ Enjoy a hybrid work schedule.

+ Enter accurate data in CRMs, G-Suite, and related tools.

+ Manage multiple operating systems simultaneously.

+ Maintain a high level of confidentiality and ensure that sensitive information is not disclosed to unauthorized parties.

We're excited about you because…

+ 1+ years of experience handling bodily injury claims

+ 2+ years of experience managing personal lines, commercial lines, or general liability claims.

+ Experience working with or for a gig or sharing economy company

+ Experience handling high-priority escalations and working promptly to provide resolutions

+ Enthusiasm for Insurance

Notice to Applicants for Jobs Located in NYC or Remote Jobs Associated With Office in NYC Only

We use Covey as part of our hiring and/or promotional process for jobs in NYC and certain features may qualify it as an AEDT in NYC. As part of the hiring and/or promotion process, we provide Covey with job requirements and candidate submitted applications. We began using Covey Scout for Inbound (https://getcovey.com/product/covey-scout-inbound) from August 21, 2023, through December 21, 2023, and resumed using Covey Scout for Inbound (https://getcovey.com/product/covey-scout-inbound) again on June 29, 2024.

The Covey tool has been reviewed by an independent auditor. Results of the audit may be viewed here: Covey (https://getcovey.com/nyc-local-law-144)

About DoorDash

At DoorDash, our mission to empower local economies shapes how our team members move quickly, learn, and reiterate in order to make impactful decisions that display empathy for our range of users—from Dashers to merchant partners to consumers. We are a technology and logistics company that started with door-to-door delivery, and we are looking for team members who can help us go from a company that is known for delivering food to a company that people turn to for any and all goods.

DoorDash is growing rapidly and changing constantly, which gives our team members the opportunity to share their unique perspectives, solve new challenges, and own their careers. We're committed to supporting employees’ happiness, healthiness, and overall well-being by providing comprehensive benefits and perks including premium healthcare, wellness expense reimbursement, paid parental leave and more.

Our Commitment to Diversity and Inclusion

We’re committed to growing and empowering a more inclusive community within our company, industry, and cities. That’s why we hire and cultivate diverse teams of people from all backgrounds, experiences, and perspectives. We believe that true innovation happens when everyone has room at the table and the tools, resources, and opportunity to excel.

Statement of Non-Discrimination : In keeping with our beliefs and goals, no employee or applicant will face discrimination or harassment based on: race, color, ancestry, national origin, religion, age, gender, marital/domestic partner status, sexual orientation, gender identity or expression, disability status, or veteran status. Above and beyond discrimination and harassment based on “protected categories,” we also strive to prevent other subtler forms of inappropriate behavior (i.e., stereotyping) from ever gaining a foothold in our office. Whether blatant or hidden, barriers to success have no place at DoorDash. We value a diverse workforce – people who identify as women, non-binary or gender non-conforming, LGBTQIA+, American Indian or Native Alaskan, Black or African American, Hispanic or Latinx, Native Hawaiian or Other Pacific Islander, differently-abled, caretakers and parents, and veterans are strongly encouraged to apply. Thank you to the Level Playing Field Institute for this statement of non-discrimination.

Pursuant to the San Francisco Fair Chance Ordinance, Los Angeles Fair Chance Initiative for Hiring Ordinance, and any other state or local hiring regulations, we will consider for employment any qualified applicant, including those with arrest and conviction records, in a manner consistent with the applicable regulation.

If you need any accommodations, please inform your recruiting contact upon initial connection.

Are you an experienced, passionate pioneer in technology who wants to work in a collaborative environment? As an experienced Epic PB/PB Claims Specialist you will have the ability to share new ideas and collaborate on projects as a consultant without the extensive demands of travel. If so, consider an opportunity with Deloitte under our Project Delivery Talent Model. Project Delivery Model (PDM) is a talent model that is tailored specifically for long-term, onsite client service delivery.

Work you'll do/Responsibilities

+ Epic PB/PB Claims Support

+ Provide support for operations break-fix tickets, standards changes, maintenance and some small projects

+ Communicate regularly with Engagement Managers (Directors), project team members, and representatives from various functional and / or technical teams, including escalating any matters that require additional attention and consideration from engagement management.

Recruiting for this position will end on March 31, 2025.

The Team

Operations and Technology Transformation delivers market leading expertise and industry depth by harnessing deep sector knowledge, scaling the power of hybrid services and products, and unlocking the power of Process Bionics to deliver sustainable and impactful solutions to our clients. We advise, design, implement, and deploy innovative and technology enabled solutions focused on "heart of the business" issues in specific sectors including Health Care & Life Sciences, Digital Banking & Payments, Investment & Wealth Management, Insurance, Telecom, Media and Energy & Resources.

Our OTT team brings clients the knowledge of industry leaders who understand the relevant processes and technologies for their industry-and apply them with a process and mindset that tailors transformational change to their specific organization.

Qualifications

Required

+ Must have a current Epic Certification

+ 3+ years of recent experience on Epic Support & Maintenance

+ Experience in application design, workflows, build, troubleshooting, testing, and support.

+ Bachelor's degree, preferably in Computer Science, Information Technology, Computer Engineering, or related IT discipline; or equivalent experience

+ Limited immigration sponsorship may be available.

+ Ability to travel 10%, on average, based on the work you do and the clients and industries/sectors you serve

+ Role is remote

Preferred

+ Hospital or Clinic operations experience

+ Additional Epic Certifications

+ ITIL process knowledge

+ Analytical/ Decision Making Responsibilities

+ Analytical ability to manage multiple projects and prioritize tasks into manageable work products

+ Can operate independently or with minimum supervision.

+ Excellent Written and Communication Skills

+ Ability to deliver technical demonstrations.

The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At Deloitte, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $102,750 to $137,000.

You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance.

Information for applicants with a need for accommodation: https://www2.deloitte.com/us/en/pages/careers/articles/join-deloitte-assistance-for-disabled-applicants.html

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or protected veteran status, or any other legally protected basis, in accordance with applicable law.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or protected veteran status, or any other legally protected basis, in accordance with applicable law.