Job Description Summary Under general supervision assures accurate and timely insurance claim processing to include resolving claim edits and paper claims for submittal. Resolves denied/unpaid insurance claims in a timely manner. Entity Medical University Hospital Authority (MUHA) Worker Type Employee Worker Sub-Type​ Regular Cost Center CC005226 SYS - HB Support Services Pay Rate Type Hourly Pay Grade Health-20 Scheduled Weekly Hours 40 Work Shift Job Description - Account maintenance: Updating registration, authorization issues, identifying charge correction, , processing adjustments as needed and denial follow up according to payer rules and departmental policies. - Use electronic billing system appropriately to follow up on outstanding denied claims and all no response claims.Corrects claims in electronic billing system for missing or invalid insurance or patient information according to procedures, and places account on hold if you can't resolve - Follow up on denied or no response claims by calling third party payers or using payer websites. Gathering information from patients or other areas to resolve outstanding denied or no response claims. Researching accounts to take appropriate action necessary to resolve. - Keep management aware of issues and trends to enhance operations and escalates slow-pay issues to managerial level when necessary. - Uses payer websites to stay current on payer rules and changes to include reading newsletters and communicating payer/claim issues and trends. - Maintains 95% quality standards on account follow and activity. - Maintains productivity standard as set forth by management team. - Other duties as assigned. Additional Job Description Education: High School Degree or Equivalent Work Experience: 0-6months If you like working with energetic enthusiastic individuals, you will enjoy your career with us! The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need. Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees

• Analyzes and processes complex or technically difficult auto liability PIP/No-fault claims by investigating and gathering information to determine coverage, the exposure on the claim. • Manages claims through well-developed action plans to an appropriate and timely resolution. • Calculates and assigns timely and appropriate reserves to claims. • Prepares necessary state fillings within statutory limits. • Manages the litigation process; ensures timely and cost effective claims resolution.

Claims Senior Casualty Adjuster Job Summary The Claims Senior Casualty Adjuster handles moderate to high complexity claims involving material damage, property and/or liability lines of insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. The primary functions include liability investigation, coverage evaluation, negotiation strategies and claims resolution of moderate to high complexity claims. Employs discretion and independent judgment to ensure compliance with state and federal law, and with established company, technical, and customer service best practices. Under general supervision, works within specific limits of authority to resolve claims. Job Duties - Conduct phone and/or field investigations to determine liability and damages. May attend and participate in legal proceedings. Identify and obtain statements from insureds, claimants and witnesses. - Communicate and interact with a variety of individuals including insureds and claimants. Explain benefits, coverages, fault and claims process either verbally or in writing in compliance with regulatory and statutory requirements. Recognize and appropriately address moderate complexity coverage issues. - Evaluate and determine claim values upon receipt and assessment of property, bodily injury and liability data. - Negotiate within settlement authority with insureds and claimants to resolve first and third party claims. - Update database production reports, and document and update claim files via company systems, i.e. CACS, HUON, HOC, GUIDEWIRE, etc. - Control expenses for areas of responsibility. - Verify and interpret / resolve coverage by gathering necessary information to ensure policy applicability. Coordinate with internal and external departments as required. - Respond quickly to customer needs and problems. - Independently resolve claims within authority level. Qualifications - Bachelors Equivalent combination of education and experience Preferred - 7-9 years Prior claims handling experience. Preferred - 4-6 years Property, Auto, Casualty or relevant claims administration experience. Required - Comprehensive knowledge of claims administration best practices and procedures. - Advanced knowledge of insurance, fault assessment, negligence and subrogation principles required. - Comprehensive understanding of building and vehicle repair procedures and third-party liability issues. - Advanced knowledge of Microsoft Office suite, general computer software and claims software. - Advanced organization and planning recognition skills required. - Advanced oral and written communication skills required. - Advanced interpersonal skills required. - Advanced leadership skills among peers required. - Exhibit proficiency and understanding of medical terminology and causality - Valid Driver's License, acceptable Department of Motor Vehicles record and minimum liability insurance - Issued by State Required - Chartered Property Casualty Underwriter - Insurance Institute of America Preferred - Associate in Claims - Insurance Institute of America Preferred - An insurance/claims adjuster license may be required for claims administration in specific states. Travel Requirements - Occasional travel to business meetings or conferences. (5% proficiency) The starting pay range for this position is $80,100 - $107,000 per year. Additionally, you will be eligible to participate in our incentive program based upon your team and individual performance. Remarkable benefits: • Health coverage for medical, dental, vision • 401(K) saving plans with company match AND Pension • Tuition assistance • Floating holidays and PTO for community volunteer programs • Paid parental leave • Wellness programs • Employee discounts (membership, insurance, travel, entertainment, services and more!) Auto Club Enterprises is the largest club within the national AAA federation. We have nearly 17,000 employees in 24 states helping more than 18 million members. The strength of our organization is our employees. Bringing together and supporting different cultures, backgrounds, personalities, and strengths creates a team capable of delivering legendary, lifetime service to our members. When we embrace our diversity – we win. All of Us! With our national brand recognition, long-standing reputation since 1900, and constantly growing membership, we are seeking career-minded, service-driven professionals to join our team. "Through dedicated employees we proudly deliver legendary service and beneficial products that provide members peace of mind and value.” AAA is an Equal Opportunity Employer Our organization participates in E-Verify

Division or Field Office: Claims I Division Department of Position: Zones Dept Work from: Raleigh Branch Office- Remote Salary Range: $44,936.00 - $71,781.00 * 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 Under close supervision, handles liability and property claims within designated authority. Resolves coverage and/or liability issues in accordance with applicable state insurance laws, regulations, and procedures. he selected candidate will reside within 50 miles of the Raleigh Branch office and will work from home. • Weekday evening shifts and/or Saturday shifts will be required based on business and service level needs. • The selected candidate will be required to obtain appropriate licensing within 45 days. • All Employees that work remotely must have access to internet service bandwidth speeds that meet ERIE's requirement of 50 mbps download and 10 mbps upload. Duties and Responsibilities - Investigates and adjudicates claims within designated authority, ensuring compliance with appropriate statutory laws. Verifies coverage, establishes and maintains reserves, secures recorded statements, drafts and processes correspondence, reports and records. Obtains additional information as required to determine liability. Documents claim files and facilitates processing of claims in collaboration with other departments. Assigns outside experts when necessary to assist in investigation and in support of potential recovery. - Establishes contact with all parties involved in the claim in accordance with ERIE’s expectations. - Evaluates and negotiates claims, recognizes subrogation opportunities, and initiates action. Sets up and/or issues payment using ERIE’s approved payment methods for settlement; or declines payment within designated authority. - Responds to inquiries from Policyholders, Agents, insurance carriers, claimants, assigned experts and others. - Learns and maintains knowledge of liability laws for each state. Learns and maintains knowledge of motor vehicle codes. - Learns and maintains knowledge of no fault/medical management/FPB laws for each state, including recognition of bodily injury claims. - With supervisor guidance, responds to intercompany arbitration applications. Files contentions and supporting documents on behalf of the insured/driver. - Conducts research, attends industry-related training programs and other training sessions to stay current on policy changes, interpretation, or new legislation. - Provides support for property claims during periods of heavy volume. 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 clear. Capabilities - Self-Development - Collaborates - Cultivates Innovation - Instills Trust - Decision Quality - Values Diversity - Nimble Learning - Customer Focus - Optimizes Work Processes (IC) - Ensures Accountability - Detail Orientation - Information Management Skills - Job-Specific Knowledge Qualifications Minimum Educational and Experience Requirements - High school diploma or GED and two years of related claims handling or customer service experience, or equivalent educational experience required. - Bachelor’s or Associate’s degree preferred. Designations and/or Licenses - Successful completion of Introduction to Insurance (INTRO) and Introduction to Claims (AIC 30) preferred. - Obtain appropriate licenses as required by state within 45 days of employment in the role for external applicants and 90 days of employment in the role for internal applicants. Physical Requirements - Manual Keying/Data Entry/inputting information/computer use; Frequent (50-80%) - Climbing/accessing heights; Rarely - Ability to move over 50 lbs using lifting aide equipment; Rarely - Driving; Never - Lifting/Moving 0-20 lbs; Rarely - Lifting/Moving 20-50 lbs; Rarely - Pushing/Pulling/moving objects, equipment with wheels; Rarely