• 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

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description This position, as an Auto Subrogation Recovery Specialist, is responsible for supporting the Alacrity Subrogation recovery efforts, inclusive but not limited to the identification, investigation, negotiation, and settlement & recovery or closure without recovery as approved, of all cases assigned to the recovery representative. Good judgment and expert knowledge of the tenants of insurance together with prior claims handling is necessary to properly perform all functions. - Regular and reliable attendance is an essential function of this position. - The representative will seek to maintain a 100% closing ratio through the appropriate disposition of cases assigned. - Outstanding Customer Service will include all communications with clients, policyholders, adverse parties, adverse carriers, vendors, public adjusters, counsel, and virtually any person associated with the case being handled. - Familiarizes themselves with Client Repository and Special handling located in RMS, within each claim file. - Receives, reviews new and re-assignment files, and conducts investigation to determine and pursue subrogation, including interviewing client policyholders, injured claimants, and adverse parties. - All new assignments must be worked within 24-hours of receipt. - Open Outlook emails must be zeroed out within 48-hours of receipt. All correspondence must be placed in the Notes Section of SpartanRMS. - Takes note of the Loss State, Negligence Rule, and Statute of Limitations on each file handled, and closely monitors the statutes of limitation, statutes of repose, and for WC cases, the Statutory Rules for Direct Actions and Lien Recoveries by state. - As the facts of the loss are investigated, updates Summary Screen Cause of Loss, Case Highlights, Liability Assessment, and Plan of Action on every case as needed. - Reviews and adds to the POI – Party of Interest Module to capture all parties involved in the loss, including the insured, adverse party, adverse carrier, witnesses, police, public adjuster, engineers, Third-Party Administrators, and SIR entities. - Determines if any adverse party is a municipality requiring that we send a 90-Day Notice of Claim via Certified Mail to protect the statute of limitations. - Makes all necessary phone calls or sends email inquiries to obtain all loss facts which will allow for the most judicious pathway to case conclusion. - Copies of Emails pertaining to files must be placed in the file Note Section. - Sends Demands or Subro Notices out as early as possible on all cases assigned and diaries the case appropriately for follow-up. - Contacts adverse carriers and SIR corporations to negotiate and make every effort to bring each file to an amicable settlement. - Understands the tenants of Arbitration Forums and writes clear meaningful contentions which will establish liability against the adverse party. - Files arbitration contentions on all cases involving damage disputes as well as liability disputes. - Maintains claim file diaries which are deemed to be current within 5-days. - Continually updates Detailed Status in RMS to clearly identify current file activity and status. - Accurately updates the Estimated Recovery Value in each file from the 49%. - Enters all Expenses as incurred in the Expense Module. - Updates Evidence Module for Injuries, Vehicle information, or Product depending on the loss type. - When cases reach impasse, the matter is referred to subrogation counsel. - When matters are referred to counsel, place case on a short diary to confirm counsel has acknowledged receipt. Qualifications - Credibility, ethical, full disclosure, and clean financial history. - Ability to maintain privacy and confidentiality. - Conscientious about timeliness of assignments and quality of work product. - Possess exceptional written and verbal communication skills. - Able to handle multiple tasks and maintain control and order over same. - Exceptional work ethic. - Demonstrated ability to communicate clearly and efficiently in verbal and written form. - Excellent judgement and strong multitasking abilities. - Must be results-oriented and demonstrate strategic thinking, innovation, and flexibility. - Decisive and exercises good judgment under pressure. - Excellent communication and customer-service skills. - Proactive problem-solver who can research answers and resources to complete complex tasks. - Ability to read, analyze, and interpret financial reports and legal documents. - Ability to work with mathematical concepts such as probability and statistical inference. - Ability to define problems, collect data, establish facts, and draw valid conclusions. - Possesses an advanced knowledge of the line of business in which the Specialist works. - Knowledge acquired through years of liability and subrogation claims experience. - Professionally communicates file disposition to clients and client policyholders as needed. Requirements - Minimum of three (3) years’ experience working in an Auto Claims or Subrogation position. - Intermediate to advanced computer skills. - Knowledge of claims-related laws and regulations. - Previous understanding of civil litigation, the claims technical process, subrogation, and litigation. Benefits - Benefits Package including: Medical, Dental, Vision, Short- and Long-Term Disability, Life Insurance, and an Employee Assistance Program. - HSA Bank with selection of High Deductible Health Plan. - 401K plan options. - Paid Time Off. - Paid Holidays. Company Description Alacrity Solutions is a full end-to-end provider delivering streamlined insurance claims, repair, and recovery solutions. As one of the largest independent providers of insurance claims services in North America, we provide property, auto, heavy equipment, and casualty claims management services.