Claims Adjusters, Examiners, and Investigators

Sr. Claims Specialist, Workman's Compensation

119565

Zurich North America is seeking an experienced Senior Claims Specialist in Workers' Compensation to join our team.

At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it comes to choosing your next career move. Designed with our employees' needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, allowing claims employees to conduct individual work in their preferred location, while facilitating in-person connections and collaborative activities when meaningful and valuable. While the model provides a high level of flexibility and autonomy, occasional circumstances requiring in-office attendance should be expected. While we prefer candidates who can work on a hybrid schedule from our Woodland Hills, CA office, we are also open to fully remote applicants residing in California or Arizona.

The Senior Workers' Compensation Claims Specialist will manage multi-party commercial claims of moderate to high exposure and complexity, within defined authority limits. This role focuses on ensuring claims are handled efficiently and effectively, with an emphasis on delivering exceptional, customer-centric service.

In this role, you will be responsible for:

+ Documenting claims files by accurately capturing and updating claims data and information, ensuring compliance with best practices for single- and multi-party personal or commercial claims of moderate to high exposure and complexity.

+ Exercising sound judgment to determine liability by gathering and analyzing relevant facts, applying applicable law, and establishing basic principles of negligence.

+ Conducting policy verification and making coverage determinations by analyzing applicable coverage for claims and assessing if the loss falls within the policy’s terms.

+ Driving timely claims resolutions by developing case strategies, performing case evaluations, and escalating issues as appropriate.

+ Setting and reviewing reserves promptly throughout the claims cycle within authority limits, including estimating and validating claim values.

+ Assessing damages by calculating applicable damages or the range permitted by law.

+ Negotiating claim settlements by establishing an effective negotiation strategy and using available tools and resources within authority limits.

+ Meeting quality standards by adhering to established best practices.

Basic Qualifications:

+ Bachelor’s Degree and 6 or more years of experience in the Claims and/ or Litigation Management area.OR

+ Juris Doctor and 2 or more years of experience in the Claims and/ or Litigation Management area.OR

+ Zurich Certified Insurance Apprentice, including an Associate Degree with 6 or more years of experience in the Claims and/ or Litigation Management area.OR

+ 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 Equivalent and 8 or more years of experience in the Claims and/ or Litigation Management area.AND

+ Must obtain and maintain required adjuster license(s)

+ Microsoft Office experience

+ Knowledge of insurance regulations, markets and products

Preferred Qualifications:

+ 8 + years of experience handling Workers Compensation claims with high severity and exposure.

+ 8 + years of experience in Litigation Management.

+ Effective verbal and written communication skills.

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

+ Strong multi-tasking and prioritization skills.

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

+ Proactively shares and promotes sharing of insights.

+ Ability to gather unique perspectives from other teams/functions to optimize outcomes.

+ Understands, analyzes, and applies the component parts of an insurance policy for complex claims.

+ Ability to follow reserving process for indemnity and expense in analyzing the potential exposure of complex claims.

+ Ability to determine the scope and exposure for complex claims.

+ Ability to leverage trend and relationships to provide high-quality customer service.

+ Well-versed in identifying, understanding and explaining complex financial and/or actuarial trends/concepts.

+ Ability to effectively communicate coverage determinations to customers/clients/brokers for complex claims.

+ Ability to direct counsel on an ongoing basis to guide the course of complex litigation and settlement strategies.

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 - Woodland Hills, AM - Arizona Virtual Office, AM - California Virtual Office

Remote Working: Hybrid

Schedule: Full Time

Employment Sponsorship Offered: No

Linkedin Recruiter Tag: #LI-MD1 #LI-ASSOCIATE

**About Sutherland**

Artificial Intelligence. Automation.Cloud engineering. Advanced analytics.For business leaders, these are key factors of success. For us, they’re our core expertise.

We work with iconic brands worldwide. We bring them a unique value proposition through market-leading technology and business process excellence.

We’ve created over 200 unique inventions under several patents across AI and other critical technologies. Leveraging our advanced products and platforms, we drive digital transformation, optimize critical business operations, reinvent experiences, and pioneer new solutions, all provided through a seamless “as a service” model.

For each company, we provide new keys for their businesses, the people they work with, and the customers they serve. We tailor proven and rapid formulas, to fit their unique DNA.We bring together human expertise and artificial intelligence to develop digital chemistry. This unlocks new possibilities, transformative outcomes and enduring relationships.

Sutherland

_Unlocking digital performance. Delivering measurable results._

This is a full-time permanent healthcare claims adjudicator position. A claims adjudicator determines how much money will be paid after an insurance claim has been examined. This is not a customer service or customer facing position. This is a data entry position where you will be processing medical claims per the specific client requirements. Claims can vary and are highly customized depending on the service level. You will work independently with the assistance of knowledge base and support personnel. You will also be expected to meet all Key Performance Indicators and Quality goals throughout Training and beyond.

What you will be doing as a Claims Examiner:

+ Work independently, processing claims via data entry for 90% of your day.

+ Be responsible for effectively adjudicating claims to meet production, quality, and other metrics in accordance with policy/procedures and regulatory guidelines

+ Follow up on claims needing additional information

+ Refer problem claims to a Lead and/or auditor for additional review

+ Make sure that the integrity of the information is accurate and kept private according to HIPPA guidelines

+ Work with specific software

+ May be assigned special projects

We offer:

+ Salary of $13.50/hour + monthly incentives up to $1500/month

+ Monthly rewards & recognition programs

+ Medical, dental and vision benefits

+ Paid training & PTO

+ Cross program and advancement opportunities – 80% of our frontline leaders have been promoted from within

+ Employee Discounts

+ EAP & Health and Wellness programs including a personal trainer dedicated to Sutherland

+ Health or health insurance claims experience

+ Knowledge of medical terminology

+ Some experience in a medical office

+ Accurate typing of 40 WPM

We will provide equipment, however to work from home, you must have:

+ Excellent Internet connectivity:

+ Internet access speeds of 2 Mbps upload and 10 Mbps download – the faster the better!

+ In-house network, and a hard-wired Internet connection capable of continuously supporting outstanding call quality and high-speed response rates. (wireless and/or satellite Internet Service Providers are not compatible with our systems)

+ A quiet and distraction-free, secure place to work.

**_IMPORTANT NOTE_** : This job is open only to residents of the United States, and you must be authorized to work in the US in order to be considered for employment.

**_About Us_**

_Sutherland, recently recognized as a Great Place to Work in the US, is a digital transformation company, making digital processes feel more human for the customers that we serve. We have been helping customers globally, across industries from financial services to healthcare, entertainment to retail, insurance to gaming, and everything in between, provide exceptional experiences for their customers for over 35 years._

EEOC and Veteran Documentation

During employment, employees are treated without regard to race, color, religion, sex, national origin, age, marital or veteran status, medical condition or handicap, or any other legally protected status.

At times, government agencies require periodic reports from employers on the sex, ethnicity, handicap, veteran and other protected status of employees. The purpose of this Administrative EEO Record is for statistical analysis only and is used to comply with government record keeping, reporting, and other legal requirements. Periodic reports are made to the government on the following information. The completion of the Administrative EEO record is optional. If you choose to volunteer the requested information, please note that all

Administrative EEO Records are kept in a Confidential File and are not part of your Application for Employment or Personnel file.

Please note: YOUR COOPERATION IS VOLUNTARY. INCLUSION OR EXCLUSION OF ANY DATA WILL NOT AFFECT ANY EMPLOYMENT DECISION.

EEOC and Veteran Documentation

During employment, employees are treated without regard to race, color, religion, sex, national origin, age, marital or veteran status, medical condition or handicap, or any other legally protected status.

At times, government agencies require periodic reports from employers on the sex, ethnicity, handicap, veteran and other protected status of employees. The purpose of this Administrative EEO Record is for statistical analysis only and is used to comply with government record keeping, reporting, and other legal requirements. Periodic reports are made to the government on the following information. The completion of the Administrative EEO record is optional. If you choose to volunteer the requested information, please note that all

Administrative EEO Records are kept in a Confidential File and are not part of your Application for Employment or Personnel file.

Please note: YOUR COOPERATION IS VOLUNTARY. INCLUSION OR EXCLUSION OF ANY DATA WILL NOT AFFECT ANY EMPLOYMENT DECISION.

**Alternate Locations:** Work from Home; Charlotte, NC (North Carolina); Dover, NH (New Hampshire); Omaha, NE (Nebraska)

**Work Arrangement:**

Hybrid/Flexible : Work at home and use the office as appropriate for in-person collaboration.

**Relocation assistance:** is not available for this opportunity.

**Requisition #:** 74142

**The Role at a Glance**

We are excited to bring on highly motivated STAT / PFL Claims Specialists to staff our ever-growing claims organization.

As a STAT / PFL Claims Specialist, you will be responsible for conducting initial and ongoing interviews with claimants, obtaining, and reviewing medical records and making timely and ethical claim determinations. You’ll complete a thorough training to develop new skills and give you the confidence you need to be successful in your new role. If you enjoy working in a fast-paced team environment from the comfort of your own home, then please read on!

**What you'll be doing**

+ Communicating with claimants, employers and various medical professionals through phone and e-mail to gather information regarding the Short Term Disability claim.

+ Collaborating with fellow case managers, nurse case managers and consulting physicians to make appropriate and timely claim determinations.

+ Reviewing complex medical records and effectively leveraging a variety of tools and resources to understand appropriate approval durations and future action planning

+ Completing accurate financial calculations consistent with company and state guidelines.

+ Providing exceptional customer service and proactively recognizing customer needs and areas of opportunity.

**What we’re looking for**

_Must haves:_

+ High School diploma or GED

+ 1-2 years of experience in claims, leaves or customer service

+ Strong written and verbal communication skills

+ Excellent organization skills with the ability to multi-task

_Nice to haves_ :

+ Experience with disability and/or absence management

+ Strong mathematical skills for payment calculations

**Application Deadline**

Applications for this position will be accepted through January 27, 2025 subject to earlier closure due to applicant volume.

**What’s it like to work here?**

At Lincoln Financial Group, we love what we do. We make meaningful contributions each and every day to empower our customers to take charge of their lives. Working alongside dedicated and talented colleagues, we build fulfilling careers and stronger communities through a company that values our unique perspectives, insights and contributions and invests in programs that empower each of us to take charge of our own future.

**What’s in it for you:**

+ Clearly defined career tracks and job levels, along with associated behaviors for each Lincoln leadership Attribute.

+ Leadership development and virtual training opportunities

+ PTO/parental leave

+ Competitive 401K and employee benefits (https://hrdirectdocs.lfg.com/misc/HR/Recruiting/BenefitsResourcesGuide.pdf)

+ Free financial counseling, health coaching and employee assistance program

+ Tuition assistance program

+ A leadership team that prioritizes your health and well-being; offering a remote work environment and flexible work hybrid situations

+ Effective productivity/technology tools and training

The pay range for this position is $21.54 - $29.14 with **anticipated pay for new hires between the minimum and midpoint of the range** and could vary above and below the listed range as permitted by applicable law. Pay is based on non-discriminatory factors including but not limited to work experience, education, location, licensure requirements, proficiency and qualifications required for the role. The base pay is just one component of Lincoln’s total rewards package for employees. In addition, the role may be eligible for the Annual Incentive Program, which is discretionary and based on the performance of the company, business unit and individual. Other rewards may include long-term incentives, sales incentives and Lincoln’s standard benefits package.

**About The Company**

Lincoln Financial Group helps people to plan, protect and retire with confidence. As of Dec. 31, 2023, approximately 17 million customers trust our guidance and solutions across four core businesses – annuities, life insurance, group protection and retirement plan services. As of December 31, 2023, the company had $295 billion in end-of-period account balances, net of reinsurance. Headquartered in Radnor, Pa., Lincoln Financial Group is the marketing name for Lincoln National Corporation (NYSE: LNC) and its affiliates. Learn more at LincolnFinancial.com.

Lincoln is committed to creating a diverse and inclusive (https://www.lfg.com/public/aboutus/companyoverview/diversityinclusion?audience\_page\_id=1422918942386) environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

Follow us on Facebook (http://www.facebook.com/lincolnfinancialgroup) , X (https://mobile.twitter.com/lincolnfingroup) , LinkedIn (https://www.linkedin.com/company/4307?trkInfo=tas%3Alincoln+financial%2Cidx%3A3-1-3&trk=tyah) , and Instagram (https://www.instagram.com/lincolnfingroup/) . For the latest company news, visit our newsroom (https://www.lincolnfinancial.com/public/aboutus/newsroom) .

**Be Aware of Fraudulent Recruiting Activities**

If you are interested in a career at Lincoln, we encourage you to review our current openings and apply on our website. Lincoln values the privacy and security of every applicant and urges all applicants to diligently protect their sensitive personal information from scams targeting job seekers. These scams can take many forms including fake employment applications, bogus interviews and falsified offer letters.

Lincoln will not ask applicants to provide their social security numbers, date of birth, bank account information or other sensitive information in job applications. Additionally, our recruiters do not communicate with applicants through free e-mail accounts (Gmail, Yahoo, Hotmail) or conduct interviews utilizing video chat rooms. We will never ask applicants to provide payment during the hiring process or extend an offer without conducting a phone, live video or in-person interview. Please contact Lincoln's fraud team at [email protected] if you encounter a recruiter or see a job opportunity that seems suspicious.

**Additional Information**

This position may be subject to Lincoln’s Political Contribution Policy. An offer of employment may be contingent upon disclosing to Lincoln the details of certain political contributions. Lincoln may decline to extend an offer or terminate employment for this role if it determines political contributions made could have an adverse impact on Lincoln’s current or future business interests, misrepresentations were made, or for failure to fully disclose applicable political contributions and or fundraising activities.

Any unsolicited resumes or candidate profiles submitted through our web site or to personal e-mail accounts of employees of Lincoln Financial Group are considered property of Lincoln Financial Group and are not subject to payment of agency fees.

Lincoln Financial Group (“LFG”) is an Equal Opportunity employer and, as such, is committed in policy and practice to recruit, hire, compensate, train and promote, in all job classifications, without regard to race, color, religion, sex (including pregnancy), age, national origin, disability, sexual orientation, gender identity and expression, Veteran status, or genetic information. Applicants are evaluated on the basis of job qualifications. If you are a person with a disability that impedes your ability to express your interest for a position through our online application process, or require TTY/TDD assistance, contact us by calling 260-455-2558.

This Employer Participates in E-Verify. See the E-Verify (https://www.e-verify.gov) notices.

Este Empleador Participa en E-Verify. Ver el E-Verify (https://www.e-verify.gov/es) avisos.

Lincoln Financial Group ("LFG") is an Equal Opportunity employer and, as such, is committed in policy and practice to recruit, hire, compensate, train and promote, in all job classifications, without regard to race, color, religion, sex (including pregnancy), age, national origin, disability, sexual orientation, gender identity and expression, veterans status, or genetic information. Opportunities throughout LFG are available to employees and applicants and are evaluated on the basis of job qualifications. We have a drug free work environment and we perform pre-employment substance abuse testing.

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

Auto Claim Representative

**PRIMARY PURPOSE** : To analyze and process low to mid-level auto and transportation claims.

**ESSENTIAL FUNCTIONS and RESPONSIBILITIES**

+ Processes auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy.

+ Develops and maintains action plans to ensure state required contract deadlines are met and to move the file towards prompt and appropriate resolution.

+ Identifies and pursues subrogation opportunities; secures and disposes of salvage.

+ Communicates claim action/processing with insured, client, and agent or broker when appropriate.

+ Maintains professional client relations.

+ Performs coverage, liability, and damage analysis on all claims assignments.

**ADDITIONAL FUNCTIONS and RESPONSIBILITIES**

+ Performs other duties as assigned.

+ Supports the organization's quality program(s).

+ Travels as required.

**QUALIFICATIONS**

**Education & Licensing**

Bachelor's degree from an accredited college or university preferred. Secure and maintain the State adjusting licenses as required for the position.

**Experience**

Three (3) years of personal line or commercial line property claims management experience or equivalent combination of education and experience required to include knowledge of construction basics. Property estimating software experience a plus.

**Skills & Knowledge**

+ Familiarity with personal and commercial lines policies and endorsements

+ Ability to review and assess Property Damage estimates, total loss evaluations, and related expenses to effectively negotiate first and third party claims.

+ Knowledge of total loss processing, State salvage forms and title requirements.

+ Excellent oral and written communication, including presentation skills

+ PC literate, including Microsoft Office products

+ Analytical and interpretive skills

+ Strong organizational skills

+ Good interpersonal skills

+ Ability to work in a team environment

+ Ability to meet or exceed Service Expectations

**WORK ENVIRONMENT**

When applicable and appropriate, consideration will be given to reasonable accommodations.

**Mental:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

**Physical:** Computer keyboarding, travel as required

**Auditory/Visual:** Hearing, vision and talking

**NOTE** : Credit security clearance, confirmed via a background credit check, is required for this position.

_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_ **_$52,000_** _. 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._

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.

at any time.

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

Litigated Claims Examiner - General Liability / Bodily Injury | Midwest Region

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?** We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

**PREFERRED OFFICE LOCATIONS**

West Des Moines, IA - Hybrid

Other hybrid office locations as noted in posting.

**PRIMARY PURPOSE OF THE ROLE:** To analyze complex, high-level General Liability / Bodily Injury 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.

**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: 5+ years of claims management experience or equivalent combination of education and experience required.

+ 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 / Jurisdiction Knowledge: Active adjusters license preferred.**

**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.

_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 (_ 58,764.00 - 95,000) _. 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._

\#claimsexaminer #claims

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)

The **Senior Construction Claims Analyst** shall work seamlessly with the Global and Regional Claims Lead to play a pivotal role in monitoring and reporting on claims activities within their assigned region, i.e., North, Central, and South America (AMER), Europe, the Middle East, and Africa (EMEA), or Asia and Pacific (APAC), to ensure compliance with the Cloud Operations and Innovation (CO+I) Engineering Procurement Construction (EPC) Global Claims Management framework. You will be responsible for the oversight of the SAP Ariba Claims Management Module, ensuring its seamless integration and functionality within the Global Claims Power Buisness Intelligence (PBI) Dashboard. The role demands a proactive approach to troubleshooting, data analysis, and the optimization of claims management processes.

This role reports to the Microsoft CO+I EPC GSC Senior Director of Global Claims and works seamlessly with the Regional Claims Lead to align with GSC execution, and the EPC, Closed End Lease Agreement (CELA), Quality, Commissioning, and Business Intelligence teams. Regular updates and reports will be shared with key stakeholders to ensure transparency and alignment.

Within CO+I EPC GSC, the Global Claims Management team is tasked with establishing the strategic framework and governance for the early identification, evaluation, avoidance, mitigation, assessment, and resolution of Contractor and Supplier Claims. This team supports a global portfolio of complex, multi-disciplinary, multi-billion-dollar, multi-year datacenter construction projects across all Microsoft regions. We are currently looking to hire a Senior Construction Claims Analyst for the AMER region, who will work closely with the Regional Claims Lead to maintain the SAP Ariba Claims Tool and provide updates to the Global Claims Dashboard, ensuring compliance with the Global Claims Management framework. This role will assist each region in driving contractual accountability, claims avoidance, early intervention, de-escalation, internal alignment, and settlement with General Contractors (GCs) and Original Equipment Manufacturers (OEM's).

Microsoft’s mission is to empower every person and every organization on the planet to achieve more. As employees we come together with a growth mindset, innovate to empower others and collaborate to realize our shared goals. Each day we build on our values of respect, integrity, and accountability to create a culture of inclusion where everyone can thrive at work and beyond.

Microsoft Cloud Operations and Innovation (CO+I) is the team behind the cloud. We are responsible for delivering over 200 Microsoft web portals, Live and Online Services around the world including infrastructure, security and compliance, operations, globalization, and manageability. Our focus is on smart growth, high efficiency, and delivering a trusted experience to customers and partners worldwide. We are looking for a passionate individual to help build the network that powers the world’s largest online services.

**Responsibilities**

+ **Monitoring and Reporting:** Oversee and manage claims data within the region, ensuring accurate and timely reporting into the Global Claims Power BI (PBI) Dashboard, in compliance with the CO+I EPC Global Claims Management framework.

+ **SAP Ariba Claims Management:** Act as the primary point of contact for SAP Ariba Claims Management Module, addressing any issues and ensuring smooth operation and integration.

+ **Data Analysis:** Analyze claims data to identify trends, discrepancies, and areas for improvement, generating actionable insights for stakeholders around Claims identification, avoidance, mitigation, and timely resolution.

+ **Training and Support:** Conduct training sessions for new and existing users on the SAP Ariba Claims Management Module and related reporting tools.

+ **Process Improvement:** Collaborate with the Regional Claims Lead for coordination with cross-functional GSC, EPC and CELA teams to streamline in-region claims management processes, reduce cycle times, and enhance overall efficiency.

+ **Stakeholder Communication:** Prepare and deliver monthly and quarterly reports to Regional stakeholders, highlighting key metrics, challenges, and successes.

+ **Troubleshooting:** Quickly address and resolve any issues related to claims management systems, providing technical support and liaising with EPC Digitization or CO+I Engineering teams, as needed.

+ **Collaboration:** Work closely with their Regional Claims Lead for alignment with the regional execution, Data Center Decisgn (DCD), Design & Construction Engineering (DCE), Project Controls, Quality, Commissioning, and other EPC and CELA teams to ensure effective claims management practices.

**Key Performance Indicators (KPIs):**

+ Accuracy and timeliness of claims reporting into the Global Claims PBI Dashboard.

+ Reduction in claims management cycle times.

+ Successful resolution of technical issues related to SAP Ariba Claims Management Module.

+ Effective training sessions conducted for SAP Ariba users.

+ Positive feedback from stakeholders regarding communication and support.

**Embody our** **Culture (https://www.microsoft.com/en-us/about/corporate-values)** **and** **Values (https://careers.microsoft.com/us/en/culture)**

**Qualifications**

**Required Qualifications:**

+ Bachelor's Degree in Engineering, Computer Science, Supply Chain, Data Analytics, Business, Finance or related field AND 6+ years experience (including internships) in Data Science/Analytics, Finance, Project Management, Supply Chain, and/or Operations

+ OR Master's Degree in Engineering, Computer Science, Supply Chain, Data Analytics, Business, Finance or related field AND 5+ years experience in Data Science/Analytics, Finance, Project Management, Supply Chain, and/or Operations

+ OR equivalent experience.

**Other Requirements:**

Ability to meet Microsoft, customer and/or government security screening requirements are required for this role.These requirements include, but are not limited to the following specialized security screenings:

+ Microsoft Cloud Background Check: This position will be required to pass the Microsoft Cloud background check upon hire/transfer and every two years thereafter.

**Preferred Qualifications:**

+ Bachelor's Degree in Engineering, Computer Science, Supply Chain, Data Analytics, Business, Finance or related field AND 8+ years experience in Data Science/Analytics, Finance, Project Management, Supply Chain, and/or Operations

+ OR Master's Degree in Engineering, Computer Science, Supply Chain, Data Analytics, Business, Finance or related field AND 7+ years experience in Data Science/Analytics, Finance, Project Management, Supply Chain, and/or Operations

+ OR equivalent experience.

Sourcing and Category Management IC5 - The typical base pay range for this role across the U.S. is USD $115,000 - $200,300 per year. There is a different range applicable to specific work locations, within the San Francisco Bay area and New York City metropolitan area, and the base pay range for this role in those locations is USD $146,200 - $219,200 per year.

Certain roles may be eligible for benefits and other compensation. Find additional benefits and pay information here: https://careers.microsoft.com/us/en/us-corporate-pay

Microsoft will accept applications for the role until February 3, 2025.

\#COICareers \#EPCCCareers

Microsoft is an equal opportunity employer. Consistent with applicable law, all qualified applicants will receive consideration for employment without regard to age, ancestry, citizenship, color, family or medical care leave, gender identity or expression, genetic information, immigration status, marital status, medical condition, national origin, physical or mental disability, political affiliation, protected veteran or military status, race, ethnicity, religion, sex (including pregnancy), sexual orientation, or any other characteristic protected by applicable local laws, regulations and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application process, read more about requesting accommodations (https://careers.microsoft.com/v2/global/en/accessibility.html) .

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

Claims Examiner - General Liability/Litigation

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?** We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

**OFFICE LOCATIONS**

Irving, TX

Other hybrid office locations as noted in posting.

**PRIMARY PURPOSE OF THE ROLE:** To analyze high-level Commercial General 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.

**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: 5+ years of claims management experience or equivalent combination of education and experience required.

+ 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.

+ Experience handling litigation required.

**Licensing / Jurisdiction Knowledge: Active adjusters license highly preferred.**

**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.

_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 (_ 61,857.00 - 86,600.00). _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._ \#claimsexaminer #claims #hybrid

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)

At American Family Insurance Claims Services (AFICS, Inc.), we're embarking on a transformation of our claims capabilities that will put customers at the center of what we do best – protecting and restoring their dreams when they need us most. We're leveraging our expertise, technology and new ways of working to actively reinvent one of America's largest industries—creating positive impact that empowers our customers, communities, and company to thrive. We are problem solvers who ask critical questions and consistently tackle challenges big and small. Together, we disrupt what's expected of insurance. Lead level role that investigates and maintains highly complex property claims. Determine liability, secure information, reviews coverages, arrange appraisals, and settles claims. Demonstrate experience to perform all areas of claim adjustment activities with the highest degree of competency and independence. You will work in the field and handle complex homeowner property field claims. You will preferably be located Phoenix, AZ. A fleet vehicle is provided with the position. You will report to a Large Loss Senior Manager. We are looking to fill 2 openings.

In this primarily home-based role, you will spend 80% of your time (4+ days per week) working from home and/or in the field handling claims. On occasion you may be asked to travel to an office location for in person engagement activities such as team meetings, trainings, and culture events.

Position Compensation Range:

$86,000.00 - $142,000.00

Pay Rate Type:

Salary

_Compensation may vary based on the job level and your geographic work location._ _Relocation support is offered for eligible candidates._

Primary Accountabilities

+ You will investigate origin and cause of high exposure claims by contacting the appropriate parties including insureds, claimants, agents, attorneys, contractors, experts, special investigation unit, other adjusters, public personnel, etc. Checks for prior claims and recognizes environmental exposures.

+ You will participate in High Damage Reviews (HDR) to address coverage issues and exposure. Handle claims on a good faith basis.

+ You will handle both 1st party and 3rd party claims under multiple policy types and numerous endorsements.

+ You will conduct on-site inspections when needed, evaluates damages and handles claim negotiations with insureds, claimants, attorneys, public adjusters.

+ You will respond to customer inquiries, makes appropriate decisions, and close file.

+ You will interpret and determine policies, leases, by-laws, declarations, articles, and contract coverages and applies to all parties for assigned losses. Interpret claim history coverages.

+ You will make independent decisions but recognize when assistance is needed.

+ You will provide all parties with claim process and status; answers questions or redirect to other areas.

+ You will be a mentor and subject matter expert for less experienced adjusters.

Specialized Knowledge & Skills Requirements

+ Demonstrated ability to handle 1st and 3rd party, multi-line claims across our operating territories.

+ Demonstrated experience providing customer-driven solutions, support or service.

+ Demonstrated ability to efficiently and effectively handle complex claims.

+ Extensive knowledge of policies and endorsements coverages.

+ Successfully applied knowledge of each phase of the claim handling process.

Licenses

+ Valid driver's license required plus an acceptable driving record.

+ Obtain state specific property casualty claims licensing as required.

Travel Requirements

+ Up to 10%.

+ Catastrophe travel up to 75% as applicable.

Physical Requirements

+ Ascending or descending ladders, stairs, scaffolding, ramps, poles and the like. This position may require employees to visit areas that have a higher hazard than a typical office such as customer homes, body shops, or other locations.

+ Moving self in different positions to accomplish tasks in various environments including tight and confined spaces.

+ Adjusting or moving objects up to 50 pounds in all directions.

Additional Qualifications

+ Advanced Xactimate experience required.

+ 5 or more years’ experience handling field property personal lines claims required.

+ Prefer someone who has handled claims over $50,000.

_\#LI-Hybrid_

+ The candidate(s) selected for this role will be employed by AFICS, Inc. (American Family Insurance Claims Services, Inc.), an affiliate of American Family Mutual Insurance Company, S.I.

+ Offer to selected candidate will be made contingent on the results of applicable background checks

+ Offer to selected candidate is contingent on signing a non-disclosure agreement for proprietary information, trade secrets, and inventions

+ Our policy restricts consideration of applicants needing employment sponsorship (visa) to specialty occupations. Sponsorship will not be considered for this position

We encourage you to apply even if you do not meet all of the requirements listed above. Skills can be used in many different ways, and your life and professional experience may be relevant beyond what a list of requirements will capture. We encourage those who are passionate about what we do to apply!

We provide benefits that support your physical, emotional, and financial wellbeing. You will have access to comprehensive medical, dental, vision and wellbeing benefits that enable you to take care of your health. We also offer a competitive 401(k) contribution, a pension plan, an annual incentive, 9 paid holidays and a paid time off program (23 days accrued annually for full-time employees). In addition, our student loan repayment program and paid-family leave are available to support our employees and their families. Interns and contingent workers are not eligible for American Family Insurance Group benefits.

We are an equal opportunity employer. It is our policy to comply with all applicable federal, state and local laws pertaining to non-discrimination, non-harassment and equal opportunity. We also consider qualified applicants with criminal histories, consistent with applicable federal, state and local law.

\#LI-MR1

**Optum** is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start **Caring. Connecting. Growing together.**

The **Senior Claims Examiner** is responsible for providing claims support to our teams in reviewing, analyzing, and researching 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 ensure timely processing of the member's claim.

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

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

**Primary Responsibilities:**

+ Review, process and identify medical claims based on standard operating procedures on CPS.

+ Apply appropriate processes and procedures to process claims (e.g., claims processing policies and procedures, grievance procedures, state mandates, CMS/Medicare guidelines, benefit plan documents/certificates).

+ Review and apply member benefit plans and provider contracts, Pricing, CMS rate letter, SCA’s etc. to ensure proper benefits and contract language is applied to each claim.

+ Weekly/monthly goal of batches including meeting and maintaining a 95% quality standard and production standard of 90+ claims per day.

+ Examine each claim for appropriate coding of CPT and ICD codes against charges that are billed and entered.

+ Manually adjust pending escalated claims to resolve complex issues related to claim payments.

+ Adjudicate complex medical provider-initiated claims using analytical/problem solving skills.

+ Create and generate any overpayment documentation (notes in system, letter to typing) on all overpayments created by the examiner or any overpayment identified by examiner.

+ Support implementation of updates to the current procedures and participate in new system updates and training.

+ Communicate and collaborate with external stakeholders (e.g., members, family members, providers, vendors) to resolve claims errors/issues, using clear, simple language to ensure understanding.

+ Ensures all claims reporting requirements are met; complete daily production reports and weekly pending reports.

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions 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

+ Must be 18 years old or older

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

+ 1+ years of experience working in a fast-paced, high volume environment processing 50+ claims per day

+ 2+ years of experience in metric-based environment (production, quality)

+ Proficiency with Microsoft Office Suite (Outlook, Word, Excel etc.)

+ Ability to navigate and learn new and complex computer system applicationsAbility to work full time. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 6AM -6PM CST. (Flex schedule they can start anytime between 6am-9am – They can take 30 mins or 1 hour lunch). It may be necessary, given the business need, to work occasional overtime.

**Preferred Qualifications:**

+ Reside within commutable distance to 19500 W INTERSTATE, San Antonio TX 78257

**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.

**Soft Skills:**

+ Proven exceptional ability to organize, prioritize and communicate effectively

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

The hourly range for this role is $19.86 to $38.85 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

**A** **_pplication 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 the 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._

_Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law._

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

\#RPO

**Optum** is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start **Caring. Connecting. Growing together.**

Imagine this. Every day, in claims centers around the world, UnitedHealth Group is processing and resolving payment information for millions of transactions. Would you think we have some great technology? Would you think we know how to manage volume? You would be right. No one’s better. And no company has put together better teams of passionate, energetic and all out brilliant Claims Representative Associates. This is where you come in. We’ll look to you to maintain our reputation for service, accuracy and a positive claims experience. We’ll back you with great training, support and opportunities.

This position is full time. Employees are required to have flexibility to work our normal business hours of 8:00am-4:30pm CST. It may be necessary, given the business need, to work occasional overtime.

We offer 10 - 12 weeks of paid training. The hours during training will be 7:30am-4:00pm CST. 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 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 directions 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 years of 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 full time. Employees are required to have flexibility to work our normal business hours of 8:00am-4:30pm CST. It may be necessary, given the business need, to work occasional overtime.

**Preferred Qualifications:**

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

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

**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 where 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

The hourly range for this role is $16.00 to $28.85 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

**_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._

_Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law._

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

\#RPO