The salary range for this job posting is $69,152.00 - $110,642.00 annually + bonus + benefits. Pay Type: Salary The above represents the full salary range for this job requisition. Ultimately, in determining your pay and job title, we'll consider your location, education, experience, and other job-related factors, and will fall within the stated range. Your recruiter can share more information about the specific salary range during the hiring process. Encova Insurance is seeking a Property Claims Analyst. This role will have the option to work a home-based schedule, but you must reside in Ohio. Are you a Referral? If you know a current Encova Insurance associate and would like to apply as a referral, please encourage them to submit your referral information before you submit your application. You will receive an email with a direct URL link to the Job Posting of interest. Applying through this URL link will create your referral relationship for our Talent Acquisition Team. Unique residence requirements are listed in each job posting, please review closely for details. Encova is only able to employ associates who reside and work within specific U.S. states. Our current policies are based on the laws in states in which we are registered for payroll. Our current footprint includes: Connecticut, Delaware, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nebraska, New Hampshire, New Jersey, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, West Virginia, Wisconsin. JOB OBJECTIVE: This role will support the effectiveness, consistency, and quality of the property claims organization through administration of the Property Claims Quality Assurance (QA) Program and oversight of the appraisal process. Conduct file reviews and quality scoring for all property claims associates, identify trends and training opportunities, and partner with claims leadership to ensure claims programs, metrics, and reporting align with organizational and regulatory requirements. Serve as the primary point of contact for all property claims involving the appraisal process, ensuring compliance with appraisal best practices and monitoring outcomes and vendor performance. Additionally, lead the water mitigation program by reviewing estimates, providing information to support negotiation of remediation, and helping to verify that the company pays what is owed. ESSENTIAL FUNCTIONS: - Administer and execute the Property Claims Quality Assurance Program, including conducting regular and file reviews for all property claims associates. - Review, score, and document claim file quality in accordance with established QA standards, policies, procedures, and regulatory requirements. - Analyze QA results to identify trends, root causes, and systemic issues across the property claims organization. - Partner with claims managers and leadership to communicate QA findings, recommend corrective actions, and prioritize targeted training and process improvement initiatives. - Ensure property claims programs, workflows, and documentation practices align with internal reporting needs, regulatory requirements, and management metrics. - Monitor appraisal claims to ensure handling is consistent with company appraisal best practices, policy provisions, and procedural guidelines. Provide guidance to claims associates and managers regarding findings. - Track, analyze, and document appraisal outcomes, including frequency, resolution timelines, settlement variances, and overall effectiveness. - Maintain and report on appraisal-related data to support leadership decision-making, vendor management, and continuous improvement. - Monitor and evaluate performance of defense counsel, appraisal panel members, and umpires involved in the appraisal process, including adherence to guidelines, timeliness, and outcome quality. - Collaborate with claims leadership, legal, and vendor management partners to support improvements in appraisal outcomes and dispute resolution strategies. - Review and evaluate water mitigation estimates to ensure accuracy, proper scope and compliance with industry standards leveraging IICRC certification and best practices. - Collaborate with other adjusters to accurately assess water mitigation needs and confirm that mitigation work is necessary, reasonable, and completed to standards. - Identify suspicious findings during water mitigation reviews and promptly refer cases to SIU as appropriate. - Maintain comprehensive documentation of all reviewed mitigation files, including detailed records of dollar amount reductions, and prepare monthly, quarterly and yearly reports for management. - Serve as the primary point of contact for all property claims involving the appraisal process. OTHER FUNCTIONS: - Maintain awareness of regulatory, legal, and industry developments impacting property claims quality and dispute resolution practices. - Participate in claims training initiatives related to quality standards, appraisal handling, and best practices. - Assist with development, maintenance, and refinement of QA standards, scoring methodologies, and reporting tools. - Prepare reports and presentations summarizing QA findings, appraisal trends, and performance metrics. - Stay current on water mitigation trends and regulatory changes affecting claim handling. - Participate in ongoing training and professional development, particularly in water mitigation and fraud detection. - Support SIU investigations by providing timely and accurate information related to mitigation reviews. - Perform other duties as assigned. KNOWLEDGE, SKILLS AND ABILITIES: - Bachelor’s Degree from an accredited college or university, or equivalent experience in insurance, business, or a related field is preferred. - Minimum of 5 years of demonstrated experience in property claims handling, claims auditing, quality assurance, or claims analysis strongly preferred. - Working knowledge of personal and commercial property policies, coverages, and claims handling best practices. - Understanding of the property claims appraisal process, including policy provisions, timelines, and roles of appraisers and umpires. - Analytical skills with the ability to identify trends, assess performance, and translate data into actionable recommendations. - Strong investigative skills for collaborating with adjusters, vendors and SIU personnel. - Strong written and verbal communication skills, including the ability to present findings clearly to claims leadership. - High attention to detail and strong organizational skills. - Ability to work independently and manage multiple priorities effectively while ensuring compliance with internal and regulatory standards. - Strong collaboration and relationship-building skills. - Understanding of claims systems, reporting tools, and data analysis applications. - Professional insurance designations such as AIC, CPCU, or equivalent preferred. - Must be licensed or able to obtain licensure in applicable states, if required. - Understanding of water mitigation processes, IICRC standards, and the ability to interpret and validate mitigation estimates. - Proficiency in maintaining detailed records and generating accurate reports on mitigation review outcomes and cost savings. This position has been evaluated in accordance with the Americans with Disabilities Act. Encova Insurance makes every effort to reasonably accommodate disabilities to permit performance of the essential functions and candidates who need such accommodation are encouraged to seek it. This description reflects the nature and level of work performed by associates in this position. It is not an all-inclusive inventory of duties, responsibilities and qualifications required. It provides an accurate overview of the work and skills needed to perform this position. Because job content may change from time to time, Encova Insurance reserves the right to add and/or delete functions from this job as it deems necessary for business reasons. Ready to join our team? At Encova Insurance, we firmly believe that our associates drive our company's success by delivering unrivaled service to our customers. With success in mind, we make an ongoing effort to provide an environment that offers challenging, stimulating, and financially rewarding opportunities. Join us to discover a work experience where you can learn and grow to your fullest potential. What you can expect from us In addition to a competitive compensation package, we offer a comprehensive benefits package designed to support the well-being and growth of our associates. Available benefits (subject to any policy or plan changes) include, but are not limited to: - Health, Dental & Vision Insurance - Company-provided life and income protection plans - Eligibility to participate in a company incentive bonus program - 401(k) Retirement Plan - 100% company match up to 7% on annual salary - Paid Time Off, Paid Holidays, and Floating Holidays - Flexible Work Arrangements - Hybrid and remote depending on the role We believe that happy, healthy associates are the foundation of great work. Join us and thrive both professionally and personally. Encova Insurance is an EOE/E-Verify employer. #LI-Remote#LI-LP1

Job Title: Government Programs Professional Review Claims Specialist Number of Positions: 1 Location: Okemos, MI Location Specifics: Fully Remote Job Summary: Candidates must reside within a reasonable commuting distance of our Okemos, MI office for team meetings, collaborative sessions, and training. At Delta Dental of Michigan, Ohio, and Indiana we work to improve oral health through benefit plans, advocacy and community support, and we amplify this mission by investing in initiatives that build healthy, smart, vibrant communities. We are one of the largest dental plan administrators in the country, and are part of the Delta Dental Plans Association, which operates two of the largest dental networks in the nation. At Delta Dental, we celebrate our All In culture. It’s a mindset, feeling and attitude we wrap around all that we do – from taking charge of our careers, to helping colleagues and lending a hand in the community. Position Description To analyze and adjudicate dental claims with complicated treatment plans to ensure accurate benefits administration. Primary Job Responsibilities - Analyzes and processes dental claims so appropriate determinations can be finalized with correct procedures, policies, and bypasses; adjudicates claims, and maintains claim records. - Administers claim processing guidelines/standards, Delta USA processing policies, group contracts, provider agreements, and state laws applicable to claims adjudication. - Investigates difficult provider reconsideration requests, makes determinations, performs or coordinates adjustments; prepares claims for a second and/or third opinion when necessary and consults with contracted dentists on questionable treatment cases. - Pre and post-screens claims and/or inquiries for dental consultant(s); reviews and prepares claims for and coordinates external dental consultant activities. - Provides dental expertise and/or interpretation of dental policies, procedures codes, and processing guidelines to internal and external contacts. - Organizes, creates, and performs defined test cases on claims processing system, and documents/reports status of testing including recommendations for improvements. Analyzes and compiles information/data for reports to control and/or monitor claims inventory. - Researches, coordinates, and adjudicates Third Party Liability claims and recoveries; compares member information, prepares claims, and performs adjustments as necessary to ensure proper Third Party Liability (COB) adjudication. Perform other related assigned duties as necessary to complete the Primary Job Responsibilities as described above. #LI-Remote Minimum Requirements: Position requires an associate's degree, technical, vocational, or business school with coursework related to dentistry, two years of experience in chair side assisting, and a RDA or RDH licensure. Will accept any suitable combination of education, training, or experience. Position requires advanced knowledge of dental terminology and dental procedures and the ability to read and interpret radiographs, electronic images and photos; experience working with word processing and spreadsheet software; effective verbal and written communication skills; ability to resolve complex problems and use independent judgment; experience with provider system; client contracts and Roosevelt is preferred. The company will provide equal employment and advancement opportunity within the context of its unique business environment without regard to race, color, religion, gender, gender identity, gender expression, age, national origin, familial status, citizenship, genetic information, disability, sex, sexual orientation, marital status, pregnancy, height, weight, military status, or any other status protected under federal, state, or local law or ordinance.

Division or Field Office: Claims I Division Department of Position: Commercial Gen Liability Dept Work from: Home within ERIE's Footprint Salary Range: $79,191.00 - $126,500.00 * salary range is for this level and may vary based on actual level of role hired for *This range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location (State) based on ERIE's geographical differences, and experience of an applicant, as well as level of role for which the successful candidate is hired. Position may be eligible for an annual bonus payment. At Erie Insurance, you’re not just part of a Fortune 500 company; you’re also a valued member of a diverse and inclusive team that includes more than 6,000 employees and over 13,000 independent agencies. Our Employees work in the Home Office complex located in Erie, PA, and in our Field Offices that span 12 states and the District of Columbia. Benefits That Go Beyond The Basics We strive to be Above all in Service® to our customers—and to our employees. That’s why Erie Insurance offers you an exceptional benefits package, including: - Premier health, prescription, dental, and vision benefits for you and your dependents. Coverage begins your first day of work. - Low contributions to medical and prescription premiums. We currently pay up to 97% of employees’ monthly premium costs. - Pension. We are one of only 13 Fortune 500 companies to offer a traditional pension plan. Full-time employees are vested after five years of service. - 401(k) with up to 4% contribution match. The 401(k) is offered in addition to the pension. - Paid time off. Paid vacation, personal days, sick days, bereavement days and parental leave. - Career development. Including a tuition reimbursement program for higher education and industry designations. Additional benefits that include company-paid basic life insurance; short-and long-term disability insurance; orthodontic coverage for children and adults; adoption assistance; fertility and infertility coverage; well-being programs; paid volunteer hours for service to your community; and dollar-for-dollar matching of your charitable gifts each year. Position Summary Exercises independent discretion in handling complex and/or high exposure commercial liability claims and commercial litigation. - The successful candidate can work anywhere within Erie's Footprint. - The successful candidate will have a minimum of 3-5 years of experience handling Commercial General Liability claims. - The successful candidate must be willing to travel when required for claim investigation. Duties and Responsibilities - Conducts investigations, evaluates and makes recommendations regarding coverage, liability, and resolution strategies. - Handles or assists in handling of litigated claims as directed. Makes recommendations regarding litigation as appropriate. - Responds to complaints and inquiries and resolves issues. - Selects and directs outside experts, and vendors. - Trains and mentors less experienced staff. - Completes required training. The first three duties listed are the functions identified as essential to the job. Essential functions are those job duties that must be performed in order for the job to be accomplished. This position description in no way states or implies that these are the only duties to be performed by the incumbent. Employees are required to follow any other job-related instruction and to perform any other duties as requested by their supervisor, or as become evident. Capabilities - Values Diversity - Nimble Learning - Self-Development - Information Management Skills - Collaborates - Customer Focus - Job-Specific Knowledge - Cultivates Innovation - Optimizes Work Processes (IC) - Instills Trust - Ensures Accountability - Decision Quality Qualifications Minimum Educational Requirements - High school diploma or GED required. - Associates or bachelors degree preferred. Additional Experience - Five years' previous claims handling experience or equivalent experience in the legal field required. - Travel for training may be required. Designations and/or Licenses - Completion of Associate in Claims (AIC) program preferred. - Commercial, Property, Casualty, Underwriter (CPCU) designation preferred. - Appropriate license as required by state. - Valid driver's license and good driving record required. Physical Requirements - Use of Personal Protective Equipment (PPE) is required for this role. - Ability to move over 50 lbs using lifting aide equipment; Occasional (<20%) - Climbing/accessing heights; Rarely - Driving; Occasional (<20%) - Lifting/Moving 0-20 lbs; Occasional (<20%) - Lifting/Moving 20-50 lbs; Occasional (<20%) - Manual Keying/Data Entry/inputting information/computer use; Often (20-50%) - Pushing/Pulling/moving objects, equipment with wheels; Occasional (<20%)

Division or Field Office: Claims I Division Department of Position: Home & Auto Liability Dept Work from: Remote Salary Range: $56,367.00 - $90,040.00 * salary range is for this level and may vary based on actual level of role hired for *This range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location (State) based on ERIE's geographical differences, and experience of an applicant, as well as level of role for which the successful candidate is hired. Position may be eligible for an annual bonus payment. At Erie Insurance, you’re not just part of a Fortune 500 company; you’re also a valued member of a diverse and inclusive team that includes more than 6,000 employees and over 13,000 independent agencies. Our Employees work in the Home Office complex located in Erie, PA, and in our Field Offices that span 12 states and the District of Columbia. Benefits That Go Beyond The Basics We strive to be Above all in Service® to our customers—and to our employees. That’s why Erie Insurance offers you an exceptional benefits package, including: - Premier health, prescription, dental, and vision benefits for you and your dependents. Coverage begins your first day of work. - Low contributions to medical and prescription premiums. We currently pay up to 97% of employees’ monthly premium costs. - Pension. We are one of only 13 Fortune 500 companies to offer a traditional pension plan. Full-time employees are vested after five years of service. - 401(k) with up to 4% contribution match. The 401(k) is offered in addition to the pension. - Paid time off. Paid vacation, personal days, sick days, bereavement days and parental leave. - Career development. Including a tuition reimbursement program for higher education and industry designations. Additional benefits that include company-paid basic life insurance; short-and long-term disability insurance; orthodontic coverage for children and adults; adoption assistance; fertility and infertility coverage; well-being programs; paid volunteer hours for service to your community; and dollar-for-dollar matching of your charitable gifts each year. Position Summary Exercises independent discretion and judgement in claims handling involving complex liability issues, to include coverage issues and minor injury claims. - The successful candidate must reside within the state of Kentucky. - This is a remote, work from home position; travel could be required into the closest branch office for events or meetings. - This position requires a KY Adjusters license; must be willing to obtain KY license. Duties and Responsibilities - Conducts investigations, evaluate and make recommendations regarding coverage and liability. - Sets and maintains reserves. Obtains documents to establish the value of claims and negotiates settlement or declines claim. - Documents files and submits final report. - Identifies subrogation opportunities and initiates appropriate action. - Negotiates with all parties, or their representatives, within designated authority. - Completes required training. - Trains and mentors. - Travel for training may be required. The first five duties listed are the functions identified as essential to the job. Essential functions are those job duties that must be performed in order for the job to be accomplished. This position description in no way states or implies that these are the only duties to be performed by the incumbent. Employees are required to follow any other job-related instruction and to perform any other duties as requested by their supervisor, or as become evident. Capabilities - Values Diversity - Nimble Learning - Self-Development - Collaborates - Customer Focus - Cultivates Innovation - Information Management Skills - Instills Trust - Optimizes Work Processes (IC) - Job-Specific Knowledge - Ensures Accountability - Decision Quality Qualifications Minimum Educational and Experience Requirements - High school diploma or equivalent and two years of claims or customer service experience, preferably with casualty claims, required. - Equivalent educational experience will be considered. - Associate's or Bachelor's degree, preferred. Designations and/or Licenses - Appropriate license as required by state. Physical Requirements - Lifting/Moving 0-20 lbs; Occasional (<20%) - Lifting/Moving 20-50 lbs; Occasional (<20%) - Ability to move over 50 lbs using lifting aide equipment; Occasional (<20%) - Pushing/Pulling/moving objects, equipment with wheels; Occasional (<20%) - Climbing/accessing heights; Rarely - Driving; Occasional (<20%) - Manual Keying/Data Entry/inputting information/computer use; Frequent (50-80%)