This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Supervises the Workers' Compensation team. Assists Workers' Compensation Director with process improvements, employee training and development. Diagnoses issues within the department and devises resolution tactics. Duties and Responsibilities - Supervises the Workers' Compensation Department or a group of employees in the department and performs all supervisory responsibilities. - Identifies, manages, and resolves employee performance and disciplinary issues. - Reviews, guides, and recommends actions to ensure fairness and consistency. - Responsible for meeting and maintaining department benchmarks and goals, including revenue, aged and overall production goals. - Develops individual and team benchmarks to encourage high productivity. - Monitors quality and productivity and makes corrections when necessary. - Conducts and reviews daily reports to assess employee and training issues and ensure productive account management. - Reviews, edits and approves denial requests; ensures Claims Specialists are using correct text and respond to questions regarding the denial process. - Develops employees to process their own denials. - Develops and conducts department training; trains new hires in general company and AcciClaim training and department-specific training. - Performs continuous training through activities such as work review, QA sessions, team meetings, one-on-one coaching, etc. - Analyzes accounts to ensure client placements meet the company's requirements and recommends process changes for efficient resolution. - Communicates with clients regarding account questions and concerns; suggests solutions for problems when needed. - Works with other departments to facilitate best practices for overall effectiveness and protocols and procedures. - Performs special projects as assigned. - Maintains confidential information, whether verbal, written or electronic. - Will not access or attempt to access confidential data unrelated to job duties. - Will not disclose Protected Health Information (PHI) in violation of law. - Carries out supervisory responsibilities in accordance with the company's policies and applicable laws. Qualifications - HS diploma or equivalent required; BS/BA strongly preferred. - One to three years Workers' Compensation experience. - One to three years supervisory experience strongly preferred. - Ability to communicate effectively both verbally and in writing. - Working knowledge of computer functions including the internet and Microsoft Office suite; knowledge of or ability to learn AcciClaim. - Thorough understanding of all equipment, methods, and procedures to effectively train new hires and upgrade existing personnel's skills. - Proven ability to analyze and effectively resolve problems. - Ability to organize and prioritize responsibilities and adapt according to situational demands. - Demonstrated sense of personal and professional judgment and maturity. - Willingness to take initiative on projects and responsibilities. - Proven ability to work cooperatively with others. Work at Home Requirements - A quiet, distraction-free environment to work from in your home. - A secure home internet connection with speeds >20 Mbps for downloads and >10 Mbps for uploads is required. - The workspace area accommodates all workstation equipment and provides adequate surface area to be productive. - Must reside in the United States within specified states. Company Description Revecore is an equal opportunity employer that does not discriminate based on race, color, religion, sex or gender, gender identity or expression, sexual orientation, national origin, age, disability status, veteran status, genetic information, or any other legally protected status. We believe that a diverse workforce fosters innovation and creativity, enriches our culture, and enables us to better serve the needs of our clients and communities. We welcome and encourage individuals of all backgrounds, perspectives, and abilities to apply.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description If you're looking for the stability of a profitable, growing company with the entrepreneurial spirit of a startup, we’re hiring. SageSure, a leader in catastrophe-exposed property insurance, is seeking a Claims Vendor Specialist. This role is responsible for managing and optimizing relationships with external vendors supporting the claims process. This role collaborates closely with internal claims teams, quality assurance, compliance, legal and finance departments to support efficient claims processing and vendor accountability. If you're interested in joining our growing Claims team, we'd love to hear from you. What you’d be doing: - Build and maintain strong working relationships with vendors and internal claims teams - Monitor vendor performance against SLAs, ensuring timely and accurate claims handling - Prepare materials to allow regular vendor performance reviews with vendor partners - Address performance issues and coordinate corrective actions when necessary - Manage the billing process and vendor expenses - Assist SageSure Program Managers with analyzing and streamlining vendor related processes based on data insights and vendor feedback to enhance operational efficiency and service delivery - Generate reports on vendor performance metrics and key performance indicators for Vendor and Claims leadership - Identify and mitigate risks associated with vendor relationships, including operational risks and compliance issues - Any other duties needed to help drive our purpose and fulfill our values Qualifications - 2+ years of property claims experience - Attention to detail, time management, organizational, multi-tasking, and problem-solving skills - Excellent written and verbal communication skills - Proficiency in Excel, data analysis, and reporting tools - Ability to be adaptable and able to respond quickly to changing vendor needs Requirements - 2+ years of experience in vendor or related role within the insurance industry (highly preferred) - Experience working in a fast-paced environment (highly preferred) Benefits - Generous health benefits and perks - Tuition reimbursement - Wellness allowance - Paid volunteer time off - Matching 401K plan - And more Company Description Named among the Best Places to Work in Insurance by Business Insurance for four years in a row (2020-2023), SageSure is one of the largest managing general underwriters (MGU) focused on catastrophe-exposed markets in the US. Since its founding in 2009, SageSure has experienced exceptional growth while generating underwriting profits for carrier partners through hurricanes, wildfires, and hail. Available in 16 states, SageSure offers more than 50 competitively priced home, flood, earthquake, and commercial products on behalf of its highly rated carrier partners. Today, SageSure manages more than $1.9 billion of inforce premium and helps protect 640,000 policyholders. SageSure has more than 1000 employees working remotely or in-office across nine offices: Cheshire, Connecticut; Chicago, Illinois; Cincinnati, Ohio; Houston, Texas; Jersey City, New Jersey; Mountain View, California; Marlton, New Jersey; Tallahassee, Florida; and Seattle, Washington. SageSure is a proud Equal Opportunity Employer committed to building a workforce that reflects the spectrum of perspectives, experiences, and abilities of the world we live in. We recognize that our differences make us strong, and we actively seek out diverse candidates through partnerships with organizations, institutions and communities that represent various backgrounds. We champion belonging and inclusion for all identities, including, but not limited to, race, ethnicity, religion, sexual orientation, age, veteran status, ability status, gender, and country of origin, striving to create a culture where all individuals feel valued, respected, and empowered to bring their authentic selves to work. Our nimble, highly responsive culture nurtures critical thinkers who run toward problems and engineer solutions. We relentlessly pursue better outcomes by investing in the technology, talent, and tools that position us to succeed in demanding markets. Come join our team! Visit sagesure.com/careers to find a position for you.

• Manages a large inventory of complex claims to evaluate compensability/liability • Plans and conducts complex claims investigations to confirm coverage and to determine liability, compensability and damages • Analyzes and negotiates appropriate claim settlements/reserves within prescribed authority • Conveys complex information regarding coverage and settlements to insureds, claimants, and external partners • Authorizes payments in accordance with assigned authority limit and ensures payments are made in a timely manner • Maintains accurate and detailed claim files, including all correspondence, reports, and settlement agreements • May have responsibility for performance and coaching of staff and may have a participatory role in decisions regarding talent selection, development, and performance management for direct reports • Performs other duties as assigned

• Responsible for managing patient account balances including accurate claim submission. • Complies with Notices of Privacy Practices and follows all HIPAA regulations pertaining to PHI and claim submission/follow-up. • Organizes and executes daily tasks in appropriate priority to achieve optimal productivity, accountability and efficiency.