This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Performs comprehensive reviews on personal and commercial lines claims of varying degree of severity (up to approximately $300,000) to ensure the highest quality of work product is delivered to our clients; confirm our adjuster’s claim files comply with specific client handling guidelines and company standards; and identifies trends in non-compliance to recommend training opportunities that exist. Essential Functions and Responsibilities - Executes the quality assurance program by completing quality reviews of Personal and Commercial Lines claim files using Xactimate and Symbility. - Interprets policy and client guidelines on personal and commercial lines claims to ensure compliance. - Guides field colleagues on revisions as required to ensure compliance with client guidelines and company standards. - Completes revisions as required via Xactimate and/or Symbility as appropriate. - Documents review findings in accordance with team processes. - Identifies and provides training and improvement opportunities to the Team Lead to meet established operational and technical audit requirements. - Coordinates with the Analyst Team in implementing Sedgwick business unit (SBU) and national quality initiatives at the local and/or SBU level. - Provides feedback to the Team Lead to contribute to the performance management review meetings and group training, as needed. - Maintains technical claims handling and estimating and jurisdictional expertise. Additional Functions and Responsibilities - Performs other duties as assigned. - Travel as required. Qualifications - Bachelor's degree from an accredited college or university preferred. - Must be eligible to be a licensed All-Lines adjuster. - Completion of industry-related training course(s) preferred. - Five (5) years of related experience, including three (3) years of claims handling at an advanced technical level as a file reviewer of personal and commercial claims, or equivalent combination of education and experience required. - Strong knowledge of claims handling and file review practices and procedures. - Versed in quality and auditing processes. - Proficient in electronic estimating using Xactimate or Symbility. - Excellent oral and written communication skills, including presentation skills. - PC literate, including Microsoft Office products and digital resources. - Analytical and interpretive skills. - Strong organizational skills. - Ability to learn how to navigate virtual meeting, screen sharing, and collaboration applications. - Self-motivated with an ability to thrive in a remote work environment. - Excellent interpersonal skills. - Ability to create and complete comprehensive, accurate and constructive written reports. - Ability to work in a team environment. - Ability to meet or exceed Performance Competencies. Work Environment - 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.

• To analyze mid- and higher-level workers compensation claims to determine benefits due. • To ensure ongoing adjudication of claims within company standards and industry best practices. • To identify subrogation of claims and negotiate settlements.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Warranty Writer efficiently processes complex manufacturer warranty claims and other electronic repair orders. This is a remote, piecework structure position. - Prepare and process complex vehicle warranty claims and non-warranty Electronic Repair Orders in designated timeframes across multiple lines with high level of attention to detail. - Reconcile / correct (when applicable) rejected claims in a timely, efficient manner. - Attend occasional meetings, as needed – some optional, some mandatory. - Reconcile / Process multiple location queues to reduce aging EROs. - Contact OEMs for necessary approvals and/or goodwill (after warranty) adjustments and processing concerns. - Obtain approvals and adjustments within the organization’s and the manufacturer's policies and procedures. - Produce various claims processing productivity reports. - Report unresolved concerns and/or problems to Warranty Specialist / Manager. - Maintain regular contact with management, Warranty and Maintenance Staff. Qualifications - Minimum of a High School Diploma or GED. - Minimum of 2 years administrative experience. - Prior auto and/or dealership experience preferred. - Minimum of 1 year warranty claim-related experience. - Strong customer service skills. - Demonstrated knowledge of policy and procedures of claims submissions and/or claims prep of original equipment manufacturers (OEMs). - Ability to work in a team environment as well as individually. - Strong written and verbal communication, interpersonal, and organizational skills. - Strong PC and Microsoft Office (Word, PowerPoint, Excel) skills. - Ability to communicate effectively and efficiently and interact with all levels of the organization. Benefits - Access to Medical, Dental, Vision, Life and Disability insurance. - Eligible to elect other voluntary benefits including: Group Auto Insurance, Group Home Insurance, Pet Insurance, Legal Assistance, Identity Theft Protection, FSA, Accident Insurance, Critical Illness Insurance, and additional life insurance coverages. - 401(k) Retirement Plan with company matched contributions. - Full training to learn the business and enhance professional skills. - Employee discounts, including discounted prices on the purchase of Avis/Budget cars. - Access to an Employee Assistance Program for services including counseling, financial and legal consultation, referrals for care service and more. Company Description Here at Avis Budget Group, you will be joining a team of 25,000 driven people, performing with purpose. Together, we’re moving the future of transportation forward with our innovative, customer-focused solutions. - Our culture is performance driven, where we encourage and support each other to be at our best through leadership, training, tools, and rewards. - We are proud to make a positive difference to the lives of our colleagues, customers, and communities where we operate. - Avis Budget Group is an Equal Opportunity Employer – Qualified applicants will receive consideration for employment without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran or any other category protected by applicable law.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Eligibility and Recovery Claims Lead will possess advanced knowledge of healthcare eligibility, healthcare claims, medical terminology, eligibility validation practices, Coordination of Benefits and Third-Party Liability (COB/TPL). This position will also support new client implementations and existing programs with detailed analysis of all claiming operations, including but not limited to outgoing and incoming healthcare EDI transactions. - Leverage knowledge and expertise in COB and TPL to review healthcare claims and client data. - Review and analyze client data to identify trends, patterns, and impacts across various products. - Assist technical and business leads with requirements gathering, documentation, and project management for new implementations and existing program changes. - Conduct a variety of data analysis for intelligent insights using subject matter knowledge, independent judgment, and analytical expertise. - Develop custom queries and reporting, conduct research, analyze trends and activities, and present data and findings based on business needs to identify opportunities and root causes of issues. - Collaborate with leadership to provide effective and detailed analysis required for optimal business operations. - Maintain a strong team through meetings, training, coaching, mentoring, and other development techniques. - Follow and comply with company, departmental, and client program policies, processes, and procedures. - Utilize resources to ensure compliance with client requirements, HIPAA, and applicable federal or state regulations. - Successfully complete, retain, apply, and adhere to content in required training as assigned. - Complete required processes to obtain client-required clearances and successfully pass background and/or drug screening as a condition of employment. - Demonstrate Performant core values in performance of job duties and all interactions. - Correct areas of deficiency and oversight received from quality reviews and/or management. - Other duties as assigned. Qualifications - Knowledge of and ability to work with large volumes of healthcare claims data. - Knowledge of healthcare medical and pharmacy claims. - Experience with Medicaid / Medicare / Other TPL business models and products. - Knowledge of requirements gathering, ETL processing, and data matching. - Strong system skills with ability to quickly develop expertise in new systems and applications. - Advanced skills in Excel, Access, and/or other data analysis applications. - Proficient SQL skills to query and test. - Advanced knowledge of X12 EDI Transactions, including but not limited to 270/271, 277, 837, 835, 834. - Professional verbal and written communication with good presentation skills. - Able to work independently and meet deadlines with minimal supervision. - Strong problem-solving and communication (written and oral) skills. - Ability to produce results and maintain a positive attitude in a fast-paced, dynamic environment. - Self-motivated and thrives in a fast-paced business operations department performing multiple tasks cohesively, with keen attention to detail. Requirements - Bachelor’s degree in relevant field, or equivalent combination of education and experience may be considered. - 7+ years relevant experience working with healthcare claims data. - 3+ years management or supervisory experience. - Advanced knowledge and experience with healthcare claim operations, Coordination of Benefits, and Third Party Liability. Benefits - Medical, dental, vision, HSA/FSA options. - Life insurance coverage. - 401(k) savings plans. - Family/parental leave. - Paid holidays. - Paid time off annually.