Established in 2021, Independence Pet Holdings is a corporate holding company that manages a diverse and broad portfolio of modern pet health brands and services, including insurance, pet education, lost recovery services, and more throughout North America. We believe pet insurance is more than a financial product and build solutions to simplify the pet parenting journey and help improve the well-being of pets. As a leading authority in the pet category, we operate with a full stack of resources, capital, and services to support pet parents. Our multi-brand and omni-channel approach include our own insurance carrier, insurance brands and partner brands. Embrace Pet Insurance, a subsidiary of IPH, is leading the way in redefining pet health insurance in the U.S. We’re committed to open and honest communication, products that earn the trust of our Embraced pet parents, and customer service that’s both personal and professional. Join an award-winning team at the forefront of the industry. Our Sales and Service teams are J.D. Power certified for Outstanding Customer Service Experience for Phone Support. This recognition marks a turning point in how pet insurance providers are evaluated, and we’re proud to lead the way in setting a new standard for clarity, compassion, and reliability every time a pet parent reaches out for support. Job Summary: Embrace is seeking a Claims Adjuster- Associate. The Claims Adjuster - Associate is responsible for providing exceptional service to pet parents by efficiently and accurately processing claims, handling medical documents, and ensuring high levels of customer satisfaction. This role includes direct communication with pet parents and veterinary clinics, through phone and email regarding claims-related questions. In addition to their primary responsibilities, the Claims Adjuster - Associate assists other departments as needed by answering questions, providing insights, and completing claims-related tasks that support broader organizational goals. Collaboration and teamwork are essential components of this role, ensuring smooth operations across all areas of the company. This position requires a proactive and detail-oriented individual who accepts personal responsibility for their tasks and takes initiative to ensure projects are completed on time and to the highest standard. Additional responsibilities may be assigned as needed, with clear communication, advance notice, and training provided to ensure success. This role is ideal for a motivated, compassionate professional who excels in balancing technical expertise, and customer service skills to support the company’s goals and mission. The Claims Adjuster- Associate role offers a flexible schedule and requires occasional late adjuster shifts (4:00pm-8:00pm EST) as determined by the needs of the business. Job Location: Remote - USA Main Responsibilities: - Review, evaluate, and settle wellness, illness, and accident claims - Calculate coverage amounts accurately and efficiently minimizing errors and processing time. - Follow up with pet parents and veterinary clinics for additional required information as needed. - Communicate efficiently with pet parents in response to all phone, email, or web inquiries about claim-related questions in an acceptable time frame as determined by the Claims Leadership Team. - Achieve internal goals for processing efficiencies set by the Claims Leadership Team. - Generate new ideas to improve current protocols, customer satisfaction, and service levels. - Accept personal responsibility for your tasks and actions in the claims department. Follow-through with contacts, claims, and other tasks assigned to you. - Seek appropriate assistance in completing tasks if you are unsure of the procedure or protocol. Basic Qualifications: - High School Diploma/GED. - Minimum of 3 years of experience in the veterinary field as a veterinary assistant or veterinary technician. Preferred Qualifications: - Certified Veterinary Technician (CVT), Registered Veterinary Technician (RVT), or Licensed Veterinary Technician (LVT) #LI-Remote #embrace All of our jobs come with great benefits including healthcare, parental leave and opportunities for career advancements. Some offerings are dependent upon the location of where you work and can include the following: - Comprehensive full medical, dental and vision Insurance - Basic Life Insurance at no cost to the employee - Company paid short-term and long-term disability - 12 weeks of 100% paid Parental Leave - Health Savings Account (HSA) - Flexible Spending Accounts (FSA) - Retirement savings plan - Personal Paid Time Off - Paid holidays and company-wide Wellness Day off - Paid time off to volunteer at nonprofit organizations - Pet friendly office environment - Commuter Benefits - Group Pet Insurance - On the job training and skills development - Employee Assistance Program (EAP)

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Examiner, Bodily Injury | Lit Required | Auto | Remote PRIMARY PURPOSE: To analyze and process complex auto bodily injury claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. ESSENTIAL FUNCTIONS and RESPONSIBILITIES - Processes complex auto commercial and personal line claims, including bodily injury and ensures claim files are properly documented and coded correctly. - Responsible for litigation process on litigated claims. - Coordinates vendor management, including the use of independent adjusters to assist the investigation of claims. - Reports large claims to excess carrier(s). - Develops and maintains action plans to ensure state required contact deadlines are met and to move the file towards prompt and appropriate resolution. - Identifies and pursues subrogation and risk transfer opportunities; secures and disposes of salvage. - Communicates claim action/processing with insured, client, and agent or broker when appropriate. 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. Professional certification as applicable to line of business preferred. Secure and maintain the State adjusting licenses as required for the position. Experience Five (5) years of claims management experience or equivalent combination of education and experience required to include in-depth knowledge of personal and commercial line auto policies, coverage’s, principles, and laws. Skills & Knowledge - In-depth knowledge of personal and commercial line auto policies, coverage’s, principles, and laws - Knowledge of medical terminology for claim evaluation and Medicare compliance - Knowledge of appropriate application for deductibles, sub-limits, SIR’s, carrier and large deductible programs. - Strong oral and written communication, including presentation skills - PC literate, including Microsoft Office products - Strong organizational skills - Strong interpersonal skills - Good negotiation 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 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 $75,000 to $80,000. 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. Always Accepting Applications. 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.

Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We’re proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint. Work Shift: 8 Hours - Day Shifts (United States of America) Scheduled Weekly Hours: 40 Salary Range: $21.50 - $34.50 Union Position: No Department Details This position offers a remote option with Sanford Health Plan! Work with a great team and get your foot in the door with a great company! Summary Facilitates the denial and appeal process through exercising clinical expertise and clinical by reviewing medical records for medical necessity and policy requirements. Responsible for leveraging clinical knowledge and standard procedures to track appeals through first, second, and subsequent levels, and ensuring timely filing of appeals as required by contracts and regulations, in addition to promoting departmental awareness of clinical best practices Job Description Administer and prioritize daily tasks, and apply Sanford Health Plan policies and regulatory requirements consistently and use good judgment as when to seek out guidance. Possess broad understanding of products and benefits and a demonstrated understanding of regulatory requirements and timeframes. Acquire a deep knowledge of product network requirements and make case decisions accordingly. Contributes to the establishment of best practices for audit and compliance. Ensures compliance with current government and industry audit practices and requirements. Conduct review of clinical-based denials (i.e. Medical Necessity, Level of Care) within required timeframes utilizing clinical criteria sets, knowledge of payor regulations, and considerable clinical judgment, to determine appropriateness of care. Coaches patients and families on how to be proactive in managing their own care. Consults on the process for identifying and resolving common barriers to patent progress. Establishes shared goals to foster collaboration. Delivers written and oral communication, responds to questions and concerns, and produce specific outcomes and impact. Demonstrates in-depth knowledge of organization's policies and practices requiring confidentiality. Implements tactics to de-escalate problem situations immediately. Delegates appropriate levels of responsibility and authority. Communicates well downward, upward, and outward. Anticipates changing business situations, adjusts priorities accordingly and gathers necessary resources to achieve the goal. Exchanges private healthcare information with other facilities, such as insurance companies and pharmacies, according to regulations. Demonstrates experience working with multiple healthcare organizations or providers. Applies policies and procedures designed to ensure compliance with policies and ethical codes. Collaborates and communicates with all departments of a healthcare organization for the preparation for external audits. Mentors others in their technical areas and shares expertise on critical issues. Responds to shifting priorities while maintaining progress of regularly scheduled work. Implements effective medical case management strategies. Adapts language, tone, structure, and level of detail to the needs of others. Uses varying problem-solving approaches and techniques as appropriate. Streamlines the critical workflow for executing key processes. Promotes understanding of multiple product and service groups and their interdependencies. Qualifications Bachelor's degree required, or a combination of applicable degree completion and applicable experience will be considered. Graduate from a nationally accredited nursing program preferred, including, but not limited to, Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), and National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA). Three (3) year's experience required in appeals, medical necessity, or prior authorization process. If a graduate of a nursing program, currently licensed with the applicable State Nursing Board and/or possess multistate licensure privileges as required by position. Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to talent@sanfordhealth.org.

About Acrisure A global fintech leader, Acrisure empowers millions of ambitious businesses and individuals with the right solutions to grow boldly forward. Bringing cutting-edge technology and top-tier human support together, we connect clients with customized solutions across a range of insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services – and more. In the last twelve years, Acrisure has grown in revenue from $38 million to almost $5 billion and employs over 19,000 colleagues in more than 20 countries. Acrisure was built on entrepreneurial spirit. Prioritizing leadership, accountability, and collaboration, we equip our teams to work at the highest levels possible. Job Summary To provide assistance to the claim staff by performing a variety of administrative tasks based on jurisdictional requirements. Responds to customer inquiries. Responsibilities · Prepares file for legal defense referrals or subpoena responses. · Prepares variety of letters, reports and forms · Schedules physician appointments and sends appropriate letters and records · Edits and organizes a variety of records for Utilization or Legal Review · Answers phone related inquiries · Makes outbound calls to request information and follow up · Prepares various letters, reports and forms. · Performs other duties as assigned. · Supports the organization's quality program(s). Education and Experience: High school diploma or GED required. Relevant work experience can be substituted for required education. Experience One year of clerical or customer service experience or equivalent combination of education and experience required. Skills & Knowledge : Spanish speaking is preferred · Excellent oral and written communication · PC literate, including Microsoft Office products · Strong organizational skills · Efficient time management skills · Ability to work in a team environment · Ability to meet or exceed Performance Competencies · Can determine what next steps are required and proactively respond · Be able to multi task in various systems and/or programs Competencies A. Thoroughness. B. Technical Capacity. C. Problem Solving. D. Customer Service Oriented E. Teamwork Work Environment This job operates in a professional office environment. Calls may be recorded for quality assurance purposes. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to stand; walk; use hands to finger, handle or feel; and reach with hands and arms. Position Type/Expected Hours of Work This is a full-time position. Standard days and hours of work are Monday through Friday, 8:30 a.m. to 5 p.m. Based on business needs this may change. This position can be remote. Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Candidates should be comfortable with an on-site presence to support collaboration, team leadership, and cross-functional partnership. Why Join Us: At Acrisure, we’re building more than a business, we’re building a community where people can grow, thrive, and make an impact. Our benefits are designed to support every dimension of your life, from your health and finances to your family and future. Making a lasting impact on the communities it serves, Acrisure has pledged more than $22 million through its partnerships with Corewell Health Helen DeVos Children's Hospital in Grand Rapids, Michigan, UPMC Children's Hospital in Pittsburgh, Pennsylvania and Blythedale Children's Hospital in Valhalla, New York. Employee Benefits We also offer our employees a comprehensive suite of benefits and perks, including: - Physical Wellness: Comprehensive medical insurance, dental insurance, and vision insurance; life and disability insurance; fertility benefits; wellness resources; and paid sick time. - Mental Wellness: Generous paid time off and holidays; Employee Assistance Program (EAP); and a complimentary Calm app subscription. - Financial Wellness: Immediate vesting in a 401(k) plan; Health Savings Account (HSA) and Flexible Spending Account (FSA) options; commuter benefits; and employee discount programs. - Family Care: Paid maternity leave and paid paternity leave (including for adoptive parents); legal plan options; and pet insurance coverage. - … and so much more! This list is not exhaustive of all available benefits. Eligibility and waiting periods may apply to certain offerings. Benefits may vary based on subsidiary entity and geographic location. Acrisure is an Equal Opportunity Employer. We consider qualified applicants without regard to race, color, religion, sex, national origin, disability, or protected veteran status. Applicants may request reasonable accommodation by contacting leaves@acrisure.com. Final candidates will be required to complete post-offer verification processes related to the role and in accordance with applicable laws. California Residents: Learn more about our privacy practices for applicants by visiting the Acrisure California Applicant Privacy Policy. Recruitment Fraud: Please visit here to learn more about our Recruitment Fraud Notice. Welcome, your new opportunity awaits you.