This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Completing the research, follow-up, and resolution of denials and underpayments from third-party payors according to payor contracts and processing any adjustments as required. This representative reports to the Manager/Supervisor of Denials Management. Qualifications - Education: H.S. Diploma or General Education Degree (GED) Required - Work Experience: - 2 years of prior related healthcare Revenue Cycle experience, preferably within A/R Follow Up or denials/underpayments Required - Prior experience using Epic is Preferred - Licenses and Certifications: None Required Company Description Business Unit: Company Name - Piedmont Healthcare Corporate

• Ensure the timely and accurate adjudication and payment of medical claims, following health plan policies and procedures, consulting with team members, care partners and advisors as necessary. Maintain accurate and up-to-date notes of all claims processed. • Process appeals and disputes by gathering and verifying claim information, researching and resolving claim issues, and communicating outcomes to appropriate parties. • Become an in-house expert on all claims-related matters and provide answers and support to Customer Success and Customer Support teams. • Identify operational issues and escalate them to the appropriate internal team. • Contribute to teamwide goals to improve claims processes and integrate additional functions into our daily operations. • Work independently and as part of a team to meet deadlines and daily processing quotas. Your success will be measured on your ability to complete daily and weekly targets.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description As a third-party administrator, Grand River Services specializes in first party property and third-party casualty claims. We work directly with insureds and agencies to provide a level of high touch service rarely found in today’s marketplace. We are looking for a Commercial Claims Adjuster who is focused on accountability, exceptionally accurate case reserves, and outstanding agent satisfaction. - Supports and demonstrates IMA’s core values - Values and understands the importance of diversity, equity, and inclusion among all IMA associates - Manages multiple jurisdictions and multiple lines of business - Works directly with insureds and agencies to provide excellent, high touch service - Thinks critically to evaluate coverage, investigate claims, and negotiate settlements - Maintains highly organized and detailed claims files - Communicates a clear, concise action plan for moving cases to conclusion Qualifications - 5-7+ years of claims handling experience - Need to be located in either the Eastern or Central Time Zone - Commercial General Liability experience required - Multi-state experience a plus - Multiple lines a plus - Must be a licensed adjuster with the ability to obtain licenses in other states - Ability to be cross trained to handle other lines of business - Experience in handling bodily injury, med pay, and property damage claims - Ability to handle and negotiate settlements on both non-litigated and litigated claims - Must be comfortable and self-directed to work independently in a remote, virtual office environment - Light to moderate travel to attend training, mediations, trials, and company functions - Bachelor’s degree preferred - Valid driver’s license required - Strong proficiency with Microsoft products and agency systems Requirements If this role is hired in Los Angeles County, CA the following applies: - Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. - Prior Criminal history will only be considered after a conditional job offer is made and accepted. - Applicants will have the opportunity to explain the circumstances surrounding any convictions, provide mitigating evidence, or challenge the accuracy of the background report. Benefits - Annual Performance Bonus - Stock Purchase - Medical Plans - Prescription Drugs - Dental - Vision - Family Assistance Program - FSA - HSA - Pre-Tax Parking Plan - 401(k) - Life/AD&D - Accident - Critical Illness - Hospital Indemnity - Long Term Care - Short-term Disability - Long-term Disability - Business Travel Accident - Identity Theft - Paid Time Off - Flexible Work Options - Paid Holidays - Sabbatical - Gift Matching - Health Club Reimbursement - Personal and Professional Development Company Description This Job Description is not a complete statement of all duties and responsibilities comprising this position. The IMA Financial Group, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, The IMA Financial Group, Inc. complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities.

• Supports and demonstrates IMA’s core values • Values and understands the importance of diversity, equity, and inclusion among all IMA associates • Manages multiple jurisdictions and multiple lines of business • Works directly with insureds and agencies to provide excellent, high touch service • Thinks critically to evaluate coverage, investigate claims, and negotiate settlements • Maintains highly organized and detailed claims files • Communicates a clear, concise action plan for moving cases to conclusion