Role Description This position is National Remote. You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. For all hires in Minneapolis, Virginia, Maryland, or Washington, D.C. area, you will be required to work in the office for a minimum of four (4) days per week. This role supports ClearHealth Strategies’ Independent Dispute Resolution (IDR) team in a quasi-legal process focused on dispute review, eligibility analysis, and preparing arbitration briefs to ensure compliance with the federal No Surprises Act and state surprise billing laws. This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm depending on the local time zone. It may be necessary, given the business need, to work occasional overtime. - Prepare arbitration briefs - Respond to inquiries from CMS, arbiters, providers, clients, and ClearHealth management - Identify issues, analyze EOBs and claim information, apply critical thinking skills to formulate plan of action, and resolve issues independently - Triage complex issues to management - Manage multiple priorities in a time sensitive manner - Work in fast-paced, high-volume environment with quick turnaround time Qualifications - High School Diploma / GED OR equivalent work experience - Must be 18 years of age OR older - 1+ years of experience preparing written summaries, case reviews, reports, or briefs in a regulated, compliance driven, or legal adjacent environment - 1+ years of experience reviewing and interpreting claims data, Explanation Of Benefits, and supporting documentation to identify issues and determine appropriate next steps - Experience ensuring compliance with HIPAA privacy and security regulations - Work full-time between 8:00 am - 5:00 pm local time, including the flexibility to work occasional overtime given the business need Preferred Qualifications - 1+ years of experience working with the federal No Surprises Act (NSA) and/or state surprise billing disputes - Experience supporting or working within personal injury litigation - Knowledge of the medical claims process Telecommuting Requirements - Ability to keep all company sensitive documents secure (if applicable) - Required to have a dedicated work area established that is separated from other living areas and provides information privacy. - Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service. Soft Skills - Communicates clearly and professionally, with strong business writing skills - Effectively prioritizes tasks and manages workload to meet deadlines and goals - Works collaboratively and contributes positively to a team environment - Demonstrates a proactive, “ready to work, ready to learn” mindset - Upholds integrity, accountability, and strict confidentiality Benefits - Comprehensive benefits package - Incentive and recognition programs - Equity stock purchase - 401k contribution (all benefits are subject to eligibility requirements) Application Deadline This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

Introduction At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it’s our purpose. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people’s lives. It takes empathy, precision, and a strong sense of partnership—and that’s exactly what you’ll find here. We’re a team of fast-paced fixers, empathetic experts, and outcomes drivers — people who care deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals move forward with confidence. Here, you’ll be supported by a culture that values teamwork, encourages curiosity, and celebrates the impact of your work. Because when you’re here, you’re part of something bigger. You’re part of a team that shows up, stands together, and leads with purpose. Overview Role specifics: - Jurisdictions: Open to any - Licenses: TX FL NY HI RI and reciprocals (must be willing to obtain all licenses within specified timeframe) - Location: This role is eligible for fully remote work. How you'll make an impact - Apply claims management experience to execute decision-making to analyze claims exposure and litigation, plan the proper course of action, and appropriately resolve claims. - Interact extensively with various parties involved in the claim process to ensure effective communication and resolution. - Provide exceptional customer service to our claimants on behalf of our clients exhibiting empathy through each step of the claims process - Handle claims consistent with clients' and corporate policies, procedures, and standard methodologies in accordance with statutory, regulatory, and ethics requirements. - Document and communicate claim activity timely and efficiently, supporting the outcome of the claim file. About You Potential candidates should have the following: - Claims Background: General Liability Bodily Injury - Jurisdictional Experience: Open to any - Active Adjusters' licenses: TX FL NY HI RI and reciprocals (must be willing to obtain all licenses within specified timeframe) As a key member of our Claims Adjuster team, you will: - Investigate, evaluate, and resolve complex GL BI and Litigation claims, applying your claims experience and analytical skills to make informed decisions and bring claims to resolution. - Work in partnership with our clients to deliver innovative solutions and enhance the claims management process - Think critically, solve problems, plan, and prioritize activities to optimally serve clients REQUIRED QUALIFICATIONS: - High School Diploma. - Minimum of 5 years related claims experience. - Appropriate licensing and/or certification in all states in which claims are being handled. - Knowledge of accepted industry standards and practices. - Computer experience with related claims and business software. DESIRED: - Bachelor's Degree. - General Liability Bodily Injury - Litigation #LI-SR1 Compensation and benefits We offer a competitive and comprehensive compensation package. The base salary range represents the anticipated low end and high end of the range for this position. The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. On top of a competitive salary, great teams and exciting career opportunities, we also offer a wide range of benefits. Below are the minimum core benefits you’ll get, depending on your job level these benefits may improve: - Medical/dental/vision plans, which start from day one! - Life and accident insurance - 401(K) and Roth options - Tax-advantaged accounts (HSA, FSA) - Educational expense reimbursement - Paid parental leave Other benefits include: - Digital mental health services (Talkspace) - Flexible work hours (availability varies by office and job function) - Training programs - Gallagher Thrive program – elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing - Charitable matching gift program - And more... **The benefits summary above applies to fulltime positions. If you are not applying for a fulltime position, details about benefits will be provided during the selection process. We value inclusion and diversity Click Here to review our U.S. Eligibility Requirements Inclusion and diversity (I&D) is a core part of our business, and it’s embedded into the fabric of our organization. For more than 95 years, Gallagher has led with a commitment to sustainability and to support the communities where we live and work. Gallagher embraces our employees’ diverse identities, experiences and talents, allowing us to better serve our clients and communities. We see inclusion as a conscious commitment and diversity as a vital strength. By embracing diversity in all its forms, we live out The Gallagher Way to its fullest. Gallagher believes that all persons are entitled to equal employment opportunity and prohibits any form of discrimination by its managers, employees, vendors or customers based on race, color, religion, creed, gender (including pregnancy status), sexual orientation, gender identity (which includes transgender and other gender non-conforming individuals), gender expression, hair expression, marital status, parental status, age, national origin, ancestry, disability, medical condition, genetic information, veteran or military status, citizenship status, or any other characteristic protected (herein referred to as “protected characteristics”) by applicable federal, state, or local laws. Equal employment opportunity will be extended in all aspects of the employer-employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination. In addition, Gallagher will make reasonable accommodations to known physical or mental limitations of an otherwise qualified person with a disability, unless the accommodation would impose an undue hardship on the operation of our business.

Workers Compensation Account Specialist Pay Range: $22.67-$27.00/hour (commensurate based on experience)  The Workers Compensation (WC) Account Specialist is responsible for managing workers’ compensation accounts, including securing required authorizations, coordinating with insurance adjusters, and ensuring timely claim processing. This role also performs accounts receivable follow-up with payers to resolve outstanding claims and support timely reimbursement. What You’ll Do - Secure required workers’ compensation authorizations through insurance portals or phone outreach - Communicate authorization status, including approvals and denials, with providers and clinic staff - Follow up with insurance carriers and adjusters to verify case details and resolve authorization or payment issues - Perform accounts receivable follow-up to ensure timely claim resolution and reimbursement - Monitor work queues to maintain productivity standards for authorizations and A/R follow-up - Identify denial patterns, underpayments, or other claim issues and escalate when necessary - Assist in resolving unpaid or unresolved claims with insurance payers - Maintain compliance with HIPAA, OSHA, and internal risk management policies - Participate in team meetings and training as needed What We’re Looking For - 2+ years of experience in medical billing or accounts receivable follow-up, preferably within workers’ compensation or denial management - Understanding of clinic operations including patient registration, referrals, authorizations, and collections - Familiarity with insurance payer reimbursement practices and claims processing - Experience working with private, commercial, and government insurance claims - Strong attention to detail and ability to manage multiple priorities - Excellent communication and problem-solving skills - Ability to maintain strict confidentiality of patient and organizational information Benefits - Rest, Reset & Recharge: Sick time in accordance with state and local requirements, plus 6 major holidays to unplug and focus on what matters most. - Plan Ahead: Company-matched 401(k) to help you build what’s next, available once eligibility requirements are met (500+ hours in two consecutive years). - Care for Your Crew: MetLife Pet Insurance with flexible plans, up to 90% reimbursement on eligible expenses, and 24/7 telehealth support via the PetMobile app. - Play More, Pay Less: Exclusive savings through PlumBenefits and LifeMart on travel, hotels, theme parks, sporting events, shows, electronics, food delivery, and more. Equal Opportunity Employer, including Disabled/Veterans.

• Scope and estimate first party homeowners and commercial claims. • Investigate and evaluate coverage and damage issues, communicating your findings to customers. • Partner with external parties (contractors, public adjusters, attorneys, etc.) and internal business partners to handle complex claims. • Identify suspicious losses, recommending SIU review and assist in such investigations, when necessary. • Handle claims in compliance with all applicable regulations and internal processes. • Support catastrophe response as needed, to include potential overtime and deployment. • Any other duties needed to help drive our purpose and fulfill our values