We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary Responsible for managing to resolution appeal scenarios for all products, which contain multiple issues and may require coordination of responses from multiple business units. Appeals are typically more complex and may require outreach and deviation from standard processes to complete. Act as a subject matter expert by providing training, coaching, or responding to complex issues. May have contact with outside plan sponsors or regulators. • Research and resolves incoming electronic appeals as appropriate as a “single-point-of-contact” based on type of appeal. • Can identify and reroute inappropriate work items that do not meet complaint/appeal criteria as well as identify trends in misrouted work. • Assemble all data used in making denial determinations and can act as subject matter expert with regards to unit workflows, fiduciary responsibility and appeals processes and procedures. • Research standard plan design, certification of coverage and potential contractual deviations to determine the accuracy and appropriateness of a benefit/administrative denial. • Can review a clinical determination and understand rationale for decision. • Able to research claim processing logic and various systems to verify accuracy of claim payment, member eligibility data, billing/payment status, and prior to initiation of the appeal process. • Serves as point person for newer staff in answering questions associated with claims/customer service systems and products. Educates team mates as well as other areas on all components within member or provider/practitioner complaints/appeals for all products and services. • Coordinates efforts both internally and across departments to successfully resolve claims research, SPD/COC interpretation, letter content, state or federal regulatory language, triaging of complaint/appeal issues, and similar situations requiring a higher level of expertise. • Identifies trends and emerging issues and reports on and gives input on potential solutions. • Delivers internal quality reviews, provides appropriate support in third party audits, customer meetings, regulatory meetings and consultant meetings when required. • Understands and can respond to Executive complaints and appeals, Department of Insurance, Department of Health or Attorney General complaints or appeals on behalf of members or providers as assigned. Required Qualifications: - 1 year experience in reading or researching benefit language in SPDs or COCs - Demonstrated ability to handle multiple assignments competently, accurately and efficiently. - Excellent verbal and written communication skills. - Computer navigation ability and ability to multitask. - Excellent customer service skills. - Strong Leadership skills - Experience documenting workflows and reengineering efforts. Preferred Qualifications: - 1 year of experience in research and analysis of claim processing. - 1-2 years Medicare part C Appeals experience. - Project management skills are preferred. - Strong knowledge of all case types including all specialty case types Education: - High School Diploma Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $18.50 - $35.29 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: - Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. - No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. - Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will close on: 03/24/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Role Description The Forfeiture Specialist is responsible for data entry of bail forfeitures, judgments, court communications, court notices etc. into our electronic database and the continual management of bail forfeitures/judgments by communicating with our agent force and/or the courts and updating our databases accordingly. - Accurately and timely enter bail forfeiture/judgment data and documents into the electronic database, for states or regions assigned by management. - Manage, follow up and update bail forfeitures/judgments for the states assigned by management in the electronic databases by contacting and communicating with the agent force via phone calls and emails. - When applicable, utilize the online court websites to obtain additional updates, status’ and discharges of bail forfeitures/judgments. - Work with the Bail Account Management and Bail Accounting teams, to ensure proper and timely payment of forfeitures/judgments and/or court costs. - Process bail exonerations. - Answer company phone when needed. - Other related duties as assigned by management. Qualifications - High school diploma or equivalent required, associate’s degree preferred. - Strong knowledge of Microsoft Office program. - Excellent customer service and time management skills. - Ability to prioritize tasks assigned to meet deadlines. - Ability to multi-task. - Strong written and verbal communication skills. - Ability to learn and use new operational systems. Benefits - Competitive compensation package. - Generous 401K employer match. - Employee Stock Purchase plan with employer matching. - Generous Paid Time Off. - Excellent benefits that go beyond health, dental & vision, focused on your whole family’s wellness, including your physical, mental and financial wellbeing. - A core C&F tenet is owning your career development, providing a wealth of ways for you to keep learning, including tuition reimbursement, industry-related certifications and professional training. - A dynamic, ambitious, fun and exciting work environment. - Encouragement of social and community responsibility, matching donation program, volunteer opportunities, and an employee-driven corporate giving program. Company Description Crum & Forster (C&F), with a proud history dating to 1822, provides specialty and standard commercial lines insurance products through our admitted and surplus lines insurance companies. C&F enjoys a financial strength rating of "A+" (Superior) by AM Best and is proud of our superior customer service platform. Our claims and risk engineering services are recognized as among the best in the industry. - More than 2000 employees in locations throughout the United States. - Recognized as a great place to work, earning several workplace and wellness awards, including the 2025 Great Place to Work® Award. - Part of Fairfax Financial Holdings, a global, billion dollar organization.

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. A Medical Claims Analyst (MCA) is responsible for the intake processing and triage of all initial claim documents in a high-volume environment. This includes but is not limited to: - Referral processing - Obtaining required documents - Medical records sorting and processing - Preparing payment calculations - Preparing the claim for a Nurse review - Applying all Nurse findings to the claim - Preparing and sending reports - Preparing and sending provider packets 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 8:00am – 5:00pm MST. It may be necessary, given the business need, to work occasional overtime. We offer 4 weeks of on-the-job training. The hours of training will be aligned with your schedule. Primary Responsibilities: - Provide expertise or general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims - Analyze and identify trends and provide reports as necessary - Consistently meet established productivity, schedule adherence and quality standards This is a challenging role that takes an ability to thoroughly review, analyze and research complex healthcare claims in order to identify discrepancies, verify pricing, confirm prior authorizations and process them for payment. You’ll need to be comfortable navigating across various computer systems to locate critical information. Attention to detail is critical to ensure accuracy which will support timely processing of the member's claim. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Qualifications - High School Diploma / GED OR equivalent years of work experience - Must be 18 years of age OR older - 1+ years of experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools - Proficiency with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications - Experience with Microsoft Word (create correspondence and work within templates) and Microsoft Outlook (email and calendar management) - Intermediate experience with Microsoft Excel (Sorting and filtering data, using formulas, and working with Tables) - Ability to work Monday – Friday, 08:00AM – 05:00PM MST Requirements - Familiarity with UB04’s - 1+ years of experience processing medical, dental, prescription or mental health claims - 1+ year of experience processing insurance claims or billing/collections in a healthcare or commercial setting - Understand and maintain HIPAA confidentiality and privacy standards when completing assigned work 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 - Attention to detail 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.

JOB SUMMARY Responsible for a wide range of duties in support of Patient Service Center (PSC) departmental efficiencies which may include but not limited to verification of benefits, obtaining authorization requirements, and authorization request submissions. Collaborates with PSC department leaders in operational and quality excellence. Demonstrates proficiency in the use of multiple electronic tools required by both Conifer and its clients. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. - Support clinical pre-authorization services team as follows: - Verify benefits and determine authorization requirements - Secure required authorizations for inpatient, outpatient and emergency services. - Address complex issues requiring clinical input and/or escalation (e.g. Peer to peer and/or denials) - Builds and maintains collaborative relationships with both internal and external clients. Interact with clients and revenue cycle staff to facilitate the authorization process. Process includes but not limited to requesting clarification on orders, validating clinical documentation and follow up on pending requests. - Support the effective operation of the organization’s quality management system through participation in quality control audit process, department projects and activities to improve overall scorecard metrics. Provides feedback regarding improvement opportunities for workflow and contributes to successful implementation. KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. - Minimum typing skills of 35 wpm - Demonstrated working knowledge of software/system/equipment - Knowledge of function and relationships within a hospital / physician office environment preferred - Advanced customer service skills and experience - Ability to work in a fast-paced environment - Ability to receive and express detailed information through oral and written communications - Knowledge of Medical Terminology preferred - Advanced understanding of third-party payer requirements preferred - Advanced understanding of healthcare compliance standards preferred - Ability to multi-task and manage time effectively Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience preferred to perform the job. - High School Diploma or GED required - 2-4 years experience in medical facility, health insurance, or related area - Some college coursework is preferred 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. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. - Must be able to sit at computer terminal for extended periods of time - Occasionally lift/carry items weighing up to 25 lbs. - Frequent prolonged sitting and walking WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. - Call Center environment requiring use of desk, chair, and office equipment such as computer, telephone, printer, etc. OTHER - Must be available to work hours and days as needed (including weekends and holidays) based on departmental/system demands - Resolves and as applicable escalates Physician’s office and client issues - May experience extreme case volumes and uncooperative parties As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost, and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step! Compensation and Benefit Information Compensation - Pay: $15.80 - $23.70 per hour. Compensation depends on location, qualifications, and experience. - Position may be eligible for a signing bonus for qualified new hires, subject to employment status. - Conifer observed holidays receive time and a half. Benefits Conifer offers the following benefits, subject to employment status: - Medical, dental, vision, disability, and life insurance - Paid time off (vacation & sick leave) – min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked. - 401k with up to 6% employer match - 10 paid holidays per year - Health savings accounts, healthcare & dependent flexible spending accounts - Employee Assistance program, Employee discount program - Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. - For Colorado employees, Conifer offers paid leave in accordance with Colorado’s Healthy Families and Workplaces Act.