Job Closed
This listing is no longer active.
Bodily Injury Adjuster
Location
United States
Posted
93 days ago
Salary
$50K - $104K / year
Seniority
Mid Level
No structured requirement data.
Job Description
Bodily Injury Adjuster
Allstate
National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers’ evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents, as well as directly to consumers. Job Description Responsible for investigating and confirming the facts of loss for basic automobile accidents. Applies analytical thinking to determine coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. We are seeking a Bodily Injury Adjuster to join our team. This position is responsible for handling non–attorney represented claims, including injuries ranging from soft tissue to fractures. The role operates in a high-volume environment, managing approximately 5–10 claims per day. Our team values collaboration, attention to detail, and a proactive approach to problem-solving. Prior MMR experience is preferred but not required. We are open to candidates located in Eastern Time Zone states. Key Responsibilities • Applies basic understanding of insurance policies written by the company, the industry, and organizational relationships within the company and department • Handles investigation regarding most aspects of auto claims (coverage, liability and damages) with the exercise of limited discretion (limited independence) • For claims involving injuries (if handled), learns how to review, evaluate, and negotiate basic injury claims • Recognizes and identifies body parts of a vehicle and understands other potential property damage • Identifies customer needs and works to meet those needs using appropriate customer service skills • Determines subrogation or fraud potential and how to handle Experience • 0-2 years experience (Preferred) Supervisory Responsibilities • This job does not have supervisory duties. #LI-KR1 Skills Auto Insurance Claims, Bodily Injury Claims, Case Management, Claims Administration, Claims Resolution, Claims Review, De-Escalation, Insurance Administration, Multitasking, Negotiation, Personal Injury Claims, Problem Solving, Time Management Compensation Base compensation offered for this role is: Bi Adjuster Analyst III: $50,000 - $65,300 BI Adjuster Cons I: $53,500 - $77,800 BI Adjuster Cons II: $56,000 - $82,500 BI Adjuster Sr Cons I: $68,500 -104,100 And is based on experience and qualifications. Total compensation for this role is comprised of several factors, including the base compensation outlined above, plus incentive pay (i.e. commission, bonus, etc.) if applicable for the role. Joining our team isn’t just a job — it’s an opportunity. One that takes your skills and pushes them to the next level. One that encourages you to challenge the status quo. One where you can shape the future of protection while supporting causes that mean the most to you. Joining our team means being part of something bigger – a winning team making a meaningful impact. Effective July 1, 2014, under Indiana House Enrolled Act (HEA) 1242, it is against public policy of the State of Indiana and a discriminatory practice for an employer to discriminate against a prospective employee on the basis of status as a veteran by refusing to employ an applicant on the basis that they are a veteran of the armed forces of the United States, a member of the Indiana National Guard or a member of a reserve component. For jobs in San Francisco, please click “here” for information regarding the San Francisco Fair Chance Ordinance. For jobs in Los Angeles, please click “here” for information regarding the Los Angeles Fair Chance Initiative for Hiring Ordinance. To view the “EEO Know Your Rights” poster click “here”. This poster provides information concerning the laws and procedures for filing complaints of violations of the laws with the Office of Federal Contract Compliance Programs. To view the FMLA poster, click “here”. This poster summarizing the major provisions of the Family and Medical Leave Act (FMLA) and telling employees how to file a complaint. It is the Company’s policy to employ the best qualified individuals available for all jobs. Therefore, any discriminatory action taken on account of an employee’s ancestry, age, color, disability, genetic information, gender, gender identity, gender expression, sexual and reproductive health decision, marital status, medical condition, military or veteran status, national origin, race (include traits historically associated with race, including, but not limited to, hair texture and protective hairstyles), religion (including religious dress), sex, or sexual orientation that adversely affects an employee's terms or conditions of employment is prohibited. This policy applies to all aspects of the employment relationship, including, but not limited to, hiring, training, salary administration, promotion, job assignment, benefits, discipline, and separation of employment. National General Holdings Corp., a member of the Allstate family of companies, is headquartered in New York City. National General traces its roots to 1939, has a financial strength rating of A– (excellent) from A.M. Best, and provides personal and commercial automobile, homeowners, umbrella, recreational vehicle, motorcycle, supplemental health, and other niche insurance products. We are a specialty personal lines insurance holding company. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products. Companies & Partners Direct General Auto & Life, Personal Express Insurance, Century-National Insurance, ABC Insurance Agencies, NatGen Preferred, NatGen Premier, Seattle Specialty, National General Lender Services, ARS, RAC Insurance Partners, Mountain Valley Indemnity, New Jersey Skylands, Adirondack Insurance Exchange, VelaPoint, Quotit, HealthCompare, AHCP, NHIC, Healthcare Solutions Team, North Star Marketing, Euro Accident. Benefits National General Holdings Corp. is an Equal Opportunity (EO) employer – Veterans/Disabled and other protected categories. All qualified applicants will receive consideration for employment regardless of any characteristic protected by law. Candidates must possess authorization to work in the United States, as it is not our practice to sponsor individuals for work visas. In the event you need assistance or accommodation in completing your online application, please contact NGIC main office by phone at (336) 435-2000.
Related Guides
Related Categories
Related Job Pages
More Claims Specialist Jobs
Claims Specialist, Trainer & Instructional Designer (Remote, US)
OpenlyPremium, straightforward insurance
Why OpenlyOpenly is rebuilding insurance from the ground up. We are re-envisioning and enhancing every aspect of the customer experience. Doing this requires a rapidly growing team of exceptional, curious, empathetic people with a wide range of skill sets, spanning technology, data science, product, marketing, sales, service, claims handling, finance, etc. The Openly DifferenceWe created Openly because we saw an evident gap in the market for premium insurance made simple. Consumers deserve more complete coverage at competitive prices. - The Price Difference: Using cutting-edge data and technology, we provide you with customizable, competitive prices to protect your most valuable assets. - The Policy Difference: Coverages are truly customizable to meet your individual protection needs, for both standard coverages and optional add-ons. - The Experience Difference: From tailored claims handling to highly responsive customer service, we are focused on making the home insurance purchasing process a better overall experience. Welcome to your next adventure.At Openly, our people are just as important as our product. For us, collaboration, communication, and work-life balance are more than nice-to-haves— they’re the must-haves that make us who we are. We believe a great company is the result of a shared set of values, so we look for these qualities in every candidate we hire. - Integrity - Empathy - Teamwork - Curiosity - Urgency We've designed our hiring process with you, the candidate, in mind. At every step, you have the chance to present your strengths and learn more about what makes Openly a great place to work. We're committed to Diversity, Equity, & InclusionWe embrace individuality and believe diverse teams are winning teams. Our commitment to inclusion across race, gender, age, religion, identity, and experience drives us forward every day. Job Details: Openly is leveraging technology and experienced property, auto, and liability claims professionals to build a best-in-class training program that is rooted in continuous improvement. This role requires a tech-savvy, process-minded, self-motivated, high-energy individual skilled at problem-solving who can efficiently function in a fast-paced, performance-driven environment. We are seeking a dynamic and experienced Homeowners, Liability, and Auto Claims Trainer to join our team. This position is crucial for ensuring our claims adjusters are equipped with the knowledge, skills, and tools necessary to deliver exceptional service and make accurate, timely claims decisions across our personal lines of business. The final job level and title will be determined based on the candidate’s experience and qualifications. Key Responsibilities: Instructional Design and Content Development - Design, develop, and maintain comprehensive training programs, curriculum, and materials for new hire onboarding, continuing education, process changes, and system updates related to Homeowners, Liability, and Auto claims. - Utilize instructional design methodologies to create engaging, effective learning solutions, including virtual instructor-led training (VILT), e-learning modules, job aids, simulations, and blended learning solutions. - Collaborate with stakeholders to ensure all content is accurate, up-to-date, legally compliant, and reflective of best practices and company policies. - Develop clear learning objectives, assessment tools, and evaluation strategies to measure the effectiveness of training and its impact on claims performance metrics. - Manage and update the claims training library and learning management system (LMS) content. Training Delivery and Facilitation - Deliver high-quality, engaging training sessions to claims adjusters at all experience levels, including claims leadership. - Facilitate role-playing exercises, case studies, and practical application scenarios to reinforce learning and develop critical decision-making skills. - Conduct "train-the-trainer" sessions for claims leadership and designated peer trainers. - Provide ongoing coaching and feedback to new hires during the onboarding phase. Needs Assessment and Evaluation - Conduct training needs assessments using methods such as performance data analysis, observation, interviews, and surveys to identify skill gaps and performance deficiencies. - Analyze claims audit results, quality assurance reports, and key performance indicators (KPIs) to proactively identify training needs and measure the impact of existing programs. - Measure and analyze the impact of training modules on business results. - Provide regular reporting on training outcomes, learner progress, and program effectiveness to claims leadership Knowledge, Skills, and Abilities: - Deep, current knowledge of P&C claims handling, statutes, and policy interpretation - Ability to design and develop engaging, effective learning solutions for diverse adult learners. - Engaging delivery style, strong ability to manage virtual classrooms, and provide constructive feedback. - Ability to analyze claims data and performance metrics to diagnose training needs. - Proven ability to work effectively with subject matter experts, leaders, and trainees - Ability to work, train, and coach remotely Requirements: - Experience working independently and in a fast-paced environment - Proficient in Microsoft, Google Products, Learning Management Systems, and experience utilizing AI to enhance training - Innovative Mindset and Continuous Improvement - Minimum of 5 years of experience in a property and casualty insurance claims environment, with direct experience handling or managing claims in at least two of the following lines: Homeowners/Property, General Liability, and Auto (Physical Damage or Bodily Injury). - Expert-level knowledge of claims lifecycle, regulatory requirements, policy language interpretation, and claims best practices for personal lines insurance. - Strong presentation, facilitation, and classroom management skills, both in-person and virtual. - Minimum of 2 years of experience in an Instructional Design or dedicated training role, preferably within the insurance or financial services industry. - Strong problem solving and analytical skills - Exceptional written and verbal communication skills, with the ability to translate complex technical information into clear, concise, and engaging learning materials. - Experience with coaching and feedback to employees and peers - Experience with development and performance management - Some travel will be required - We are a rapidly growing company, with growth comes change. Candidates must be comfortable with constant change, adaptability and flexibility. Compensation & Benefits: Below is the budgeted salary range for this position. Actual compensation for this position will be determined based on the successful candidate's experience and skills. We are committed to providing a compensation package that not only reflects the responsibilities and requirements of the role, but also the unique expertise that the chosen candidate will bring to our team. Budgeted Salary Range $82,000—$95,000 USD The full salary range shows the min to max salary range for this position. Actual compensation will be commensurate with experience and qualifications and determined based on various factors including the candidate's qualifications, skills, and experience. Full Salary Range $72,375—$120,625 USD Benefits & Perks - Remote-First Culture - We supported #remotelife long before it was a given. We'll keep promoting it. - Competitive Salary & Equity - Comprehensive Medical, Dental, and Vision Plan Offerings - Life and disability coverage including voluntary options - Parental Leave - up to 8 weeks (320 hours) of paid parental leave based on meeting eligibility requirements (Birthing parents may be eligible for additional leave through STD) - 401K Company Contribution - Openly contributes 3% of the employee's gross income, even if the employee does not contribute. - Work-from-home stipend - We provide a $1,500 allowance to spend on setting up your home workplace - Annual Professional Development Fund: Each employee has $2,000 in professional development (PD) funds to spend on activities or resources annually. We want each Openly employee to achieve personal and professional success and to feel supported, confident, and informed about improving their efficiency and productivity. - Be Well Program - Employees receive $50 per month to use towards your overall well-being - Paid Volunteer Service Hours - Referral Program and Reward Depending on position, Employees generally are eligible for cash incentive compensation, including commissions for sales eligible roles. In all cases, eligibility for compensation and benefits is subject to applicable plan and policy terms in effect from time to time. U.S. Citizens, Green Card Holders, and those authorized to work in the U.S. for any employer and currently residing in the US will be considered. Openly is committed to equal employment opportunity and non-discrimination for all employees and qualified applicants without regard to a person's race, color, sex, gender identity or expression, age, religion, national origin, ancestry, ethnicity, disability, veteran status, genetic information, sexual orientation, marital status, or any characteristic protected under applicable law. Openly is an E-Verify Employer in the United States. Openly will make reasonable accommodations for qualified individuals with known disabilities under applicable law. We strive to provide an exceptional applicant and candidate journey when you engage with us. In an effort to respond to applicants in a timely manner, we leverage AI to organize applications and resumes based on required and applicable skills and experience. To allow our applicants to drive their initial interview experience with us, we may leverage an AI-supported scheduling tool so you can choose when to meet with our team. While AI assists with efficiency, all hiring decisions are made by our team members. Rest assured, your data is protected according to privacy laws and company policies. Contact our recruitment team with any questions about our AI-assisted hiring process.
Inland Marine General Adjuster
GallagherInclusion 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 protected characteristics by applicable federal, state, or local laws.
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: US - Licenses: Required - 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: Marine Motor Truck Cargo • Jurisdictional Experience: US • Active Adjusters' licenses: Required As a key member of our Claims Adjuster team, you will: - Investigate, evaluate, and resolve complex Marine motor truck cargo 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. #LI-DR1 #LI-Remote 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.
General AI Specialist
OneSeven TechFounded by James Sullivan, OneSeven Tech is a premier digital product agency serving startups and enterprises. Our clients have collectively raised over $100M in VC, and our enterprise partners include 2,000+ person hospitality groups and NASDAQ-listed companies. We work fully remote, move fast with 1-week sprints, and focus on elegant solutions to complex problems.
Role Description We are seeking a high-caliber AI Specialist to build and scale advanced machine learning systems. You will be responsible for developing state-of-the-art models using Deep Learning and Transformer architectures while ensuring absolute reproducibility through expert-level MLOps. This role is at the intersection of rigorous mathematics and elite engineering, focusing on creating elegant solutions to complex AI problems. Qualifications - Strong proficiency in PyTorch or TensorFlow/Keras - Hands-on experience with the Hugging Face ecosystem (Transformers, Datasets, Accelerate) - Expert knowledge of MLflow Tracking, Projects, and Models for full lifecycle management - Expert-level Python (OOP, asynchronous programming) - Advanced Git workflows including DVC - Deep theoretical understanding of the Attention Mechanism, Gradient Descent, and Linear Algebra - Proficiency with Docker and building/securing REST/gRPC APIs for model serving Requirements - Familiarity with RAG architectures and vector databases such as Pinecone, Milvus, or Weaviate - Experience with MLflow Recipes for standardized production workflows and basic Kubernetes orchestration - Experience with DeepSpeed, ONNX Runtime, or NVIDIA TensorRT - Knowledge of distributed training (Ray, Horovod, or DDP) - Hands-on experience with AWS SageMaker, GCP Vertex AI, or Azure ML Benefits - Fully Remote — work from anywhere in Latin America - Long-term contract — starting with a 3-month contract, then full-time - Paid PTO - Referral Program — earn a bonus for referring talent that gets hired To Apply Please send your resume in English. Include the following depending on your role: - LinkedIn Profile URL (always required) - GitHub Repository — for engineering roles (required) - Certifications — if applicable (e.g. AWS, Azure, Epic) - Cover Letter — tell us why you're excited about this specific role (optional but encouraged) Company Description Established by James Sullivan with its headquarters in Miami, OneSeven Tech operates as a premier digital product and AI transformation agency with a decade-long track record. We partner exclusively with non-technical, mid-market organizations—spanning sectors from pediatric healthcare to legal and real estate—to spearhead internal AI evolution. - Our core capabilities include AI strategy execution, fractional Chief AI Officer leadership, staff augmentation, and fully managed engineering workstreams. - Moving beyond traditional consulting, we deeply embed within firms to build and ship high-impact solutions. - Born in New York City and now headquartered in Miami, we are now a remote-first organization supported by an Argentine back office and a diverse US-based client portfolio. Salary: 3000 - 5500 USD Per month
Utilization Management Services Representative
Excellus BlueCross BlueShieldUPSTARS – продуктова IT-компанія, з якою злітають і люди, і бренди. Наш основний фокус – технологічні рішення та B2B-послуги для міжнародних клієнтів.
Role Description This position supports the Utilization Management (UM) workflows by providing administrative support and customer service. This position acts as a resource for both internal and external customers through completing timely and accurate inbound and/or outbound calls, creating authorizations via phone, Care Advance Provider Tool, and fax for inpatient and outpatient procedures, behavioral health, and durable medical equipment. Essential Accountabilities - Facilitates inbound and outbound calls to customers (members and providers) by delivering excellent customer-centered service providing information regarding services in a call center environment. - Responds to customers in a professional, efficient manner to encourage public acceptance of products, services, and policies. - Perform triage for UM Services. - Serves as the primary contact for providers regarding authorization requests. - Contacts members and providers concerning regulatory requirements relating to Department of Health (DOH) notifications and other regulatory requirements such as the National Committee for Quality Assurance (NCQA) guidelines. - Provides timely response to all research inquiries from other departments and assures the response is thorough, accurate, and within regulatory timeframes. - Processes fax requests from the designated fax and system queues. - Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies’ mission and values, adhering to the Corporate Code of Conduct, and leading to the Lifetime Way values and beliefs. - Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures. - Regular and reliable attendance is expected and required. - Performs other functions as assigned by management. Level II (in addition to Level I Accountabilities) - Assists and performs tasks associated with project and departmental management. - Backup Team Leads by assisting with questions when needed. - Work on assigned offline projects. - Provides, prepares, and assists with preliminary support to multiple levels of providers and or members (as well as others as needed), including but not limited to physicians, skilled nursing facilities, mid-level providers, members, pharmacies, pharmacists, and support staff. - Provide one-on-one support, coaching, and training to UM Services Reps. - Collaborates with other key departments (Claims, Customer Service, related care management units) to ensure end-to-end process for authorizations, telephonic notifications, and/or care management referrals is accurate and complete. Level III (in addition to Level II Accountabilities) - Assists Team Leads with assigned tasks when necessary (including but not limited to authorizations, claims, care management referrals, monitoring and controlling inventory levels/call queues, timeliness, reporting). - Meet departmental requirements for Facets UM Services workflows and PEGA. - Resolves escalated customer questions and complex concerns. - Assists Medical Directors with scheduling Fair Hearings. - Assists with coordinating Grievance and Appeals requests. - Assist with all Blue Card Claims escalations. - Assist management with the review and creation of desk level procedures, acting as a subject matter expert for UM Services. Qualifications - High School Diploma or GED. - Experience with using a desktop computer in a professional environment, preferably with Microsoft Office Products. - Call center experience preferred, not required. - Strong analytical and problem-solving skills. - Strong written and verbal communication skills and ability to work within a team. - Demonstrated organizational skills to manage multiple projects and priorities. - Self-motivated and able to work independently, as well as on intra- and inter-departmental teams where needed. Level II (in addition to Level I Qualifications) - 2 years’ experience working with managed care or healthcare industry. - Ability to apply in-depth knowledge of complex rules, such as those of the authorization process, regulatory processes/time frames, care management systems and processes, departmental policies and procedures, product lines, and contract benefits. - Advanced skills working between multiple programs and applications simultaneously. - Demonstrates willingness to develop collaborative solutions to achieve a better end-to-end process. - Demonstrates proficiency in basic navigation and utilization of department specific applications. - Demonstrates role-specific competencies as it pertains to their work unit on a consistent basis. - Active demonstration of broad knowledge base and positive work habits as evidenced by ability to train new staff, take on new challenges, flexibility in work assignments, and participation in meetings and projects as assigned. Level III (in addition to Level II Qualifications) - 4 years’ experience working with managed care or healthcare industry. - Demonstrates a thorough knowledge and understanding of sources of information about health plan contracts, riders, policy statements, and procedures to identify eligibility and coverage and assisting other staff and other areas within the company with related inquiries. - Demonstrates operational knowledge of FACETS application and workflow processes. - Ability to resolve/respond to customer inquiries across multiple plans with limited assistance. - Ability to collaborate within the organization when issues arise with limited assistance. - Ability to identify potential systemic issues and report as necessary without supervisor assistance. Physical Requirements - Ability to work prolonged periods sitting at a workstation and working on a computer. - Ability to work while sitting and/or standing while at a workstation viewing a computer and using a keyboard, mouse and/or phone for three (3) or more hours at a time. - Ability to work in a home office for continuous periods of time for business continuity. - Ability to travel across the Health Plan service region for meetings and/or trainings as needed. - Manual dexterity including fine finger motion required. - Repetitive motion required. - The ability to hear, understand and speak clearly while using a phone, with or without a headset. Compensation Range(s) - Level I - Min 18.55 Mid 22.72 Max 26.90 - Level II - Min 19.22 Mid 24.99 Max 30.76 - Level III - Min 20.02 Mid 26.52 Max 33.03 The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position’s minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays. Please note: There may be opportunity for remote work within all jobs posted by the Excellus Talent Acquisition team. This decision is made on a case-by-case basis. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.


