Title: Claims and Benefits Manager Location: Baltimore United States Hybrid Employment Type Full-Time Job Description: Salary $97,972.00 - $118,376 with potential growth up to $152,528.00/year Maryland's Family and Medical Leave Insurance (FAMLI) program makers sure all workers in Maryland have paid time off for medical and family reasons. FAMLI is a social insurance system covering 2.6 million workers and 180,000 employers, delivered as a digitally native, public-facing services. We're in the early stages of building something as big as far-reaching as unemployment insurance or a new health department. We know that delivering services primarily through a website, over the Internet, is a new way of doing business in government. The Claims and Benefits Directorate is responsible for ensuring prompt and accurate processing of paid leave claims and insurance of benefit payments to eligible workers. As a senior leader of the Claims and Benefits Directorate, the Claims and Benefits Manager will report to the Director of Claims and Benefits and will assist with developing and implementing the Claims and Benefits staffing structure, daily operations and procedures and ensuring that state policies and regulations are met by the department. GRADE 22 LOCATION OF POSITION Maryland Department of Labor 100 S. Charles Street Baltimore, Maryland 21201 Main Purpose of Job The Claims & Benefits Manager is one of the senior leaders of the Claims & Benefits Directorate in the Division of Family and Medical Leave Insurance (FAMLI) at the Maryland Department of Labor (MD Labor). During the build phase of FAMLI, the Claims & Benefits Manager will develop processes and procedures to ensure paid leave claims are processed accurately and timely. The Claims and Benefits manager will also develop processes and procedures relating to adjudication of potentially disqualifying issues and the reconsideration of previous denials. The Manager will collaborate with the FAMLI Policy, Digital Services, Insurance Plan Compliance, and Customer Care teams when creating policies and procedures. The Claims & Benefits Manager is an essential team member and is crucial to the success of the Claims & Benefits team, which is at the heart of FAMLI's mission to ensure working Marylanders can afford to take time off to care for their loved ones and themselves. POSITION DUTIES Duties of this position include but are not limited to: Work closely with the Director of Claims and Benefits to determine the most appropriate and efficient organizational structure for the Claims and Benefits Directorate; Drafts MS-22s for necessary positions within the Claims and Benefits Directorate; Serve as hiring manager and oversee hiring, onboarding, and training of Claims and Benefits staff; Work with the Director of Claims and Benefits to draft FAMLI-specific positions for the Claims and Benefits directorate; Establishes adjudication policies and procedures for the Claims and Benefits Directorate; Establishes reconsideration policies and procedures for the Claims and Benefits Directorate; Oversees the implementation of policies and procedures, evaluates their effectiveness, and revises policies and procedures, when needed; Work closely with other FAMLI directorates to build a case management system for Claims and Benefits staff; Investigate operational problems and propose solutions to FAMLI leadership; Claims intake and processing (in person or virtually) as needed if increased volume, backlog/overflow or coverage issues occur; Approves timesheets for team members; Manages scheduling and approves leave to ensure the team is properly staffed; Investigate operational problems and propose solutions to FAMLI leadership; Performs other related leadership duties required; Complete performance reviews and evaluations (PEP); If necessary, ensure corrective actions are taken for those not meeting expectations (PIP); MINIMUM QUALIFICATIONS Education: A Bachelor's degree from an accredited college or university. AND Experience: Ten (10) years of experience of professional experience in program or operations management in a large or complex environment. Six (6) years of experience in administrative staff or professional staff work. Two (2) years of this experience must have involved one or more of the following: the supervision of other employees, applying rules and regulation or exercising responsibility for the development of policies or procedures and an additional four years of experience in a public or private agency related to rendering and /or determining eligibility for Human Service Program, or an insurance claims processing and fraud investigation program. Notes: 1. Candidates may substitute and additional six (6) years of experience in administrative staff or professional staff work for the four (4) additional years of experience. One (1) year of this experience must have involved one or more of the following: the supervision of other employees, applying rules and regulations, or exercising responsibility for the development of policies or procedures. 2. Candidates may substitute additional graduate level education at an accredited college or university at the rate of 30 credits hour on a year-for-year basis for the required general experiences. DESIRED OR PREFERRED QUALIFICATIONS Advanced Degree or Master's Degree is preferred. Strong verbal and written communication skills, with the ability to communicate complex information clearly is preferred. Experience in: Paid leave, unemployment insurance, workers compensation, or any other private or public benefits administration program. Standing up new government programs. Drafting standard operation procedures, policy and/or complex documents. Strategic planning and implementing organization-wide initiatives. Supervising and leading multiple teams or units, including supervisors. Process improvement, systems modernization, or technology implementation. Interpreting and applying state or federal laws, regulations, or administrative policies. SPECIAL REQUIREMENTS All candidates are subject to a background check against files maintained by the Division of Unemployment Insurance (Labor/DUI) to determine whether any monies are owed to Labor/DUI as a result of unemployment insurance overpayment/fraud. Any unpaid debt may have an impact on whether or not a candidate is offered employment. SELECTION PROCESS All information concerning the qualifications, including any required documentation (diploma, transcript, certificate, etc.) must submitted and received by the closing date. Information submitted after this date will not be considered. Applications that meet minimum and/or selective qualifications will be referred to the hiring unit for interview selection. Units will select those candidates most closely demonstrating the qualifications for the interview. A resume and cover letter are strongly encouraged for this position. Please upload one Word or PDF file that includes your combined cover letter and resume using the 'Transcript' upload function, or via the JobAps 'Other' tab. EXAMINATION PROCESS The assessment may consist of a rating of your education, training, and experience related to the requirements of the position. It is important that you provide complete and accurate information on your application. BENEFITS This is a full-time, permanent position and eligible for full State benefits, which includes: Flexible hours and hybrid teleworking Paid holidays 12-13 per year Generous paid leave package (annual, sick, personal and compensatory leave) State Pension ('defined benefit'plan) Tax-deferred supplemental retirement saving plans (401(k) and 457) Comprehensive, subsidized health, dental and prescription plans with little to no deductibles, free generic prescriptions, and free preventative health services Flexible Spending Accounts plans for Health Care and Daycare State Employees FURTHER INSTRUCTIONS A resume and cover letter are strongly encouraged for this position. Please upload on Word or PDF that includes your combined cover letter and resume using the 'Transcript' upload function, or via the JobAps 'Other' tab. U.S. Military Veterans may qualify for additional bonus points towards certification. Any job offer will be contingent on the candidate providing a U.S. military form DD214 verifying honorable discharge form services prior to starting employment (and may be requested prior to the interview)

Title: Health Insurance Claims Supervisor Location: Menasha, WI 54952, USA Brookfield, WI 53005, USA Hybrid Claims Production Full-time Requisition #: CLAIM002306 Job Description: Network Health's success is rooted in our mission to enhance the life, health, and wellness of the people we serve. This mission drives every decision we make - including the selection of individuals who join our growing team. We are seeking a Claims Supervisor to provide leadership and oversight of the daily operations within our Claims Production Department, including outsourced vendor management across multiple lines of business. This role plays a critical part in ensuring operational efficiency, regulatory compliance, and high-quality service delivery. The Claims Supervisor will: - Supervise claims production activities and ensure efficient, accurate workflow - Hire, coach, and performance manage team members - Prioritize daily work, departmental initiatives, and special projects - Support the Manager of Claims in driving overall department performance - Serve as a subject matter resource and represent the department in meetings - Lead special projects and respond to emergent operational issues - Ensure compliance with state mandates, regulatory requirements, and internal policies This position requires strong leadership skills, sound judgment, analytical thinking, and a solid understanding of claims operations to maintain operational excellence and support continued organizational growth. Location: Candidates must reside in the state of Wisconsin for consideration. This position is eligible to work at your home office (reliable internet is required), at our office in Brookfield or Menasha, or a combination of both with our hybrid workplace model. Hours: 1.0 FTE, 40 hours per week, 8am - 5pm Monday through Friday Check out our 2024 Community Report to learn a little more about the difference our employees make in the communities we live and work in. As an employee, you will have the opportunity to work hard and have fun while getting paid to volunteer in your local neighborhood. You too, can be part of the team and making a difference. Apply to this position to learn more about our team. Job Responsibilities: - Demonstrates commitment and behaviors aligned with the philosophy, mission, values, and vision of Network Health. - Applies organizational, regulatory, and credentialing principles, policies, and procedures to the claims production process. Assists the Manager of Claims Production and/or Manager of Claims Recovery with regulatory reporting and compliance audits, including Data Validation, Financial Audits, and CMS Program Audits. - Monitors and tracks Service Level Agreements (SLAs) and Key Performance Indicators (KPIs), identifies patterns, and escalates issues to leadership as needed. - Supervises assigned claims staff, including hiring, training, performance evaluations, salary recommendations, and managing discipline and termination processes. Collaborates with the Manager of Claims Production on hiring, salary decisions, discipline, and terminations. Provides performance feedback to improve the skills and performance of both claims and claims recovery staff. - Coordinates staffing schedules to maintain optimal staffing levels. Establishes department turnaround times and production rates. Sets departmental priorities and develops efficient workflows to meet objectives. Ensures compliance with desk procedures and regulatory requirements. - Prepares and analyzes daily, weekly, and monthly operational reports, distributing relevant data to appropriate departments. Works with the Manager of Claims Production to set claims-related goals and develop strategies to meet them. - Maintains communication with other Network Health departments to assess and improve the effectiveness of the claims function, including standardizing and documenting policies and procedures, facilitating new policy implementation, and identifying opportunities for internal efficiency improvements. - Recommends and oversees employee training for claims staff. Organizes and leads regular staff and department meetings. - Performs claims-related tasks, such as processing high-dollar claims, monitoring suspended claims reports to ensure timely resolution, and serving as a liaison between the claims department and other departments. Documents results in QNXT, TMG FACETs, TMG Call, and QuickBase applications. - Other duties as assigned. Job Requirements: - Associate Degree or equivalent experience required. Bachelor's degree preferred - One year of experience in a leadership role, preferably in a health insurance industry - At least two years of health insurance claims experience is required Network Health is an Equal Opportunity Employer

Title: Commercial Claims Supervisor - Auto BI Location: Reservoir Hill United States Job Description: - Claims - 50205 - $76,000.00 - $108,500.00 - Fully Remote Worker 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: Any - Licenses: Any - Location: This role is eligible for fully remote work. How you'll make an impact Supervise: Lead and encourage a liability claims team handling a variety of caseload sizes and complexities to deliver high-quality and efficient service. Promote Best Practices: Guide claims team to handle claims in accordance with GB’s Best Practices. Drive Talent: Take charge of adjuster hiring and training, encouraging a culture of performance and continuous improvement. Manage Workloads: Define team goals, motivate performance, and effectively manage workloads to ensure optimal efficiency. Utilize Technology: Harness the power of Gallagher's technology to enhance your team's efficiency and overall quality of service. Client Communication: Communicate with clients, carriers, and brokers in a professional, positive, and proactive manner. Prioritize and Develop: Effectively manage multiple competing priorities, identify coaching opportunities, and position team members for successful development. About You Ideal candidates for this position will have: • Claims Background: Auto Liability • Prior leadership experience: 5 years • Jurisdictional Experience: Any REQUIRED QUALIFICATIONS: • High School Diploma • Minimum of 10 years related claims experience • Appropriately licensed and/or certified in all states in which claims are being handled • Knowledge of all team member related functions DESIRED: • Bachelor's Degree • Litigation #LI-DF1 #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.

Role Description This role is responsible for investigating, evaluating, and negotiating settlement of assigned Commercial Auto Bodily Injury Claims in accordance with best practices and to promote retention or purchase of insurance from Grange Enterprise. - Pursuant to line of business strategies and good faith claim settlement practices, investigates, evaluates, negotiates, and resolves (within authorized limits) assigned claims. - Demonstrates technical proficiency, allowing for the handling of more complex claims with minimal supervision. - Establishes and maintains positive relationships with both internal and external customers, providing excellent customer service. - Will be the “point person” (when required) for certain identified large customer accounts where specialized communication and handling are required. - Assists in building business partner relationships with agents, insureds and Commercial Lines through regular and effective communications. May include face-to-face as needed. - Establishes and maintains proper reserving through proactive investigation and ongoing review. - Assist other departments (when required) with investigations. May be assigned general liability claims to assist during high volume workload periods. - Demonstrates effectiveness and efficiencies in managing diary system and handling workload with limited supervision or direction. Qualifications - High school diploma or equivalent education plus five (5) years claims experience with at least three (3) years of Casualty experience. - Two years (2) years commercial claims handling preferred. - Bachelor’s degree preferred. - Must possess strong communication and organization skills. - Critical thinking competencies and proficiency with personal computer. - Demonstrated ability to interact with customers and agents in a professional manner. - State specific adjusters’ license may be required. Benefits - Competitive traditional benefits. - Cultural appreciation holiday. - Family formation benefits. - Compassionate care leave. - Expanded categories of bereavement leave.