Overview This position is primarily remote work, but candidate must reside within the state of Utah for this one. Top candidates will also have some prior working experience in Prior Authorizations. As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA This position is responsible to secure outpatient accounts by performing insurance verification, obtaining benefit information, calculating patient estimates, and obtaining prior authorization before services are rendered. This position works with physicians, nurses, clinic managers, and financial advocates to resolve issues that arise during the prior authorizations process. This position is not responsible for providing care to patients. Corporate Overview: The University of Utah is a Level 1 Trauma Center and is nationally ranked and recognized for our academic research, quality standards and overall patient experience. Our five hospitals and eleven clinics provide excellence in our comprehensive services, medical advancement, and overall patient outcomes. Responsibilities - Verifies insurance eligibility, benefits, network status, and creates pre-service liability estimate. - Ensures accurate ICD, CPT codes and related medical records are submitted in the authorization request. - Secures prior authorizations for outpatient imaging and in office scheduled services. - Acts as a liaison between the payer and clinic schedulers/medical support staff. - Follows up on delayed or denied authorization requests and escalates for resolution. - Creates detailed documentation and maintains/stores the authorization paper trail. - May work to resolve claims denials related to the prior authorization. Knowledge / Skills / Abilities - Basic knowledge of accounting, word processing, and spreadsheets. - Demonstrated critical thinking and ability to analyze information and problem solve. - Demonstrated professional verbal/written communication skills. - Ability to work independently within a team setting. - Ability to adapt to a dynamic work environment. - Demonstrated ability to prioritize and manage a large workload in stressful situations. - Ability to multitask. - Familiarity with human anatomy and medical terminology. - Demonstrated ability to complete work with a high level of detail and accuracy. - Ability to meet process time standards. - Ability to provide professional and courteous service in all interactions with internal and external customers. - Ability to navigate through various hospital software applications, including Epic ADT/Prelude, Cadence, Epicare, Referrals and Auth/Cert applications. - Ability to navigate and maneuver through multiple web sites. Qualifications Qualifications Required - Two years of experience in a health care financial setting, or the equivalency. Qualifications (Preferred) Preferred - Previous experience with medical insurance and prior-authorizations. - ICD/CPT coding experience. - Outpatient or Radiology prior authorizations experience. Working Conditions and Physical Demands Employee must be able to meet the following requirements with or without an accommodation. - This is a sedentary position that may exert up to 10 pounds and may lift, carry, push, pull, or otherwise move objects. This position involves sitting most of the time and is not exposed to adverse environmental conditions. Physical Requirements Listening, Sitting, Speaking

External candidates: In order for your application to be correctly processed please sign-in before you apply Internal candidates: Please go to Workday and click "Find Jobs" link under Career Thank you for considering opportunities with us! Job Title Commercial Casualty Litigation Adjuster (Remote) Requisition Number R7661 Commercial Casualty Litigation Adjuster (Remote) (Open) Location Colorado - Home Teleworkers Additional Locations Alabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, California - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers, Nebraska - Home Teleworkers {+ 19 more} Job Information We're Mobilitas, a commercial insurance company created by CSAA Insurance Group. Our mission is to reinvent commercial insurance in the mobility space to offer our partners innovative solutions for today’s way of doing business. At Mobilitas, we believe in what's possible and we use our inventive skills to meet the demands of modern mobility with exceptional service. We’re looking for motivated, innovative individuals who think big, move fast and are dedicated to creating a company from the ground up, without the constraints of a traditional insurance company. We’re excited to push the boundaries of commercial insurance and are looking for enthusiastic team members to help us reimagine insurance. We are actively hiring for a Commercial Casualty Litigation Adjuster - Remote Your Role: As a Commercial Casualty Litigation Adjuster, you will be assigned as owning adjuster when injury exposures are identified. Claims will include catastrophic injuries, fatalities, and litigation. In this role, you will be responsible for management of the claim through conclusion, including trial, of litigated claims. May own claims within other specialized lines of business or during catastrophes. You will provide input and direction to defense counsel and be responsible for ultimate resolution through providing settlement authority and participating in negotiations with limited oversight. You will also be responsible for effective management of defense costs and indemnity. May handle first party non-liability-based injury claim (Medical Payment, PIP, Inland Marine, auto physical damage). Your Work: - Assigned as owning adjuster when injury exposure is identified. - Handles complex 1st and 3rd party auto liability cases involving injury, including complexity litigated cases with defense attorney involvement. - May handle 1st party medical payment and PIP claims. - Responsible for managing, investigating, and negotiating claims, including collaborating with defense counsel to identify strategy for negotiations. Provides input as the face of the organization via phone or in attendance on video or in-person at mediations and settlement conferences for litigation claims. - Interacts directly with defense counsel providing direction, authority for resolution (i.e., settle or go to trial) and ensures appropriate outcome in balancing defense costs and indemnity on litigation claims. - Making coverage determinations and advising customers as to proper course of action related to coverage issues. - Conducting investigative work of a complex nature (interviewing witnesses; obtaining and analyzing evidence, including medical records; deciding whether an independent medical examination is warranted; etc.). - Direct defense counsel in non-litigated or litigated claims. - May require appearing at and representing the insureds at arbitrations and trials. - May require testimony in a deposition setting. - Evaluate defense counsel fees and cost for reasonableness and resolve. - Evaluating potential for subrogation and initiating initial notice of subrogation request. - Making final decisions to settle within settlement authority, without supervisory approval, and developing negotiating strategies. - Presenting cases in Committee setting when seeking above settlement authority level; thereafter, independently negotiating and settling the claim. - Will develop and present executive summaries on individual claims to external clients and internal executives in a virtual setting to gain alignment with client on next steps, and settlements. - Handles most commercial product types including but not limited to auto, fleet, last mile delivery, and trucking. Will handle claims in most geographic venues. Handles claims involving any vehicle types that may include, but is not limited to auto, motorcycles, scooters, recreational vehicles, trucks, and remote-controlled delivery vehicles. - Understands and handles claims in line with any applicable insurance program agreements, claim service level agreements. - Plays a direct role in the development of other adjusters through mentorship, training, and coaching. Required Experience, Education and Skills: - 6+ years of claims experience. - 3+ years of experience in a Casualty claims role within P&C insurance industry with a minimum of 1 year in a Sr. Casualty role or equivalent Complex Casualty / Litigation experience. - BA/BS in business, insurance or related area, or equivalent combination of education and experience. - Must hold an Adjuster licensed for all applicable states or obtain license(s) within 90 days of filling position as a condition of employment. What would make us excited about you: - 6+ years of Casualty claims adjusters experience. - 3+ years of experience in a Commercial claims role - Bilingual a plus. - Proficiency or ability to obtain proficiency in the handling of minor, moderate and complex litigated claims. - Strong analytical, problem-solving, and organizational skills. - Proficient in ability to work independently. - Strong decision-making ability. - Extensive understanding of statutory and regulatory requirements, and ability to develop proficiency in standards of civil procedure. - Ability to travel and to work extended hours and/or weekends. - Proficient oral and written communication skills and ability to organize and present complex facts to executive management. - Strong math skills, basic computer skills and ability to type at least 30 words per minute. Please note we are hiring for this role remote anywhere in the United States with the following exceptions: Hawaii and Alaska. Why Choose a Career at Mobilitas? At Mobilitas, we are a mission-driven organization proudly committed to empowering our members, our employees, and our communities to thrive. Recognition: We offer a total compensation package, annual bonus eligibility for most roles, 401(k) with a company match, and so much more! Read more about what we offer and what it is like to be a part of our dynamic team at careers.mobilitasinsurance.com. Career Growth: We believe in growth for everyone. Here at Mobilitas, leaders and mentors partner with employees to align interests, unlock development opportunities, and support long‑term success. Flexible Workplace: We embrace a remote-first culture through our Flexible Workplace. Most employees hold Home-Flex roles, working primarily from home, often with the flexibility to work from various locations including Mobilitas offices. Our flexible workplace empowers you to balance remote work with intentional in‑person moments that deepen connection and collaboration. Inclusion and Belonging: An inclusive and welcoming workplace is the cornerstone of our success. By fostering an environment where people feel valued and heard, we deepen our ability to understand and meet the unique needs of our members. This strengthens innovation and enhances our products and services, giving us a competitive edge in the market. Sustainability: As climate change leads to more frequent and severe weather events, we are taking bold action to build more resilient communities and reduce our environmental impact. Submit your application to be considered. We communicate via email, so check your inbox and/or your spam folder to ensure you don’t miss important updates from us. CSAA is committed to providing reasonable accommodations to qualified applicants and employees with disabilities or other limitations. If you would like to request an accommodation to participate in the job application or interview process, please contact jobs@mobilitasinsurance.com If you apply and are selected to continue in the recruiting process, we will schedule a preliminary call with you to discuss the role and will disclose during that call the available salary/hourly rate range based on your location. Factors used to determine the actual salary offered may include location, experience, or education. Mobilitas does not provide visa sponsorship for this role. Applicants must have authorization to work indefinitely in the US. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.). Mobilitas Insurance Group is an equal opportunity employer. #LI-CH1 #HP_RX . The national average salary range for this position is $80,865.00-$89,850.00. However, we have a location-based compensation structure. Our salary ranges vary and are calculated based on work location. The starting pay range for this position across all the states we hire in is $80,865.00-$107,900.00.  This role also includes an opportunity for a company-wide annual discretionary bonus, through our Annual Incentive Plan (AIP), of up to 10% of eligible pay. This job posting will be unposted on Sat, 28 Mar 2026.

Description Growing medical collection agency is looking for an Insurance Discovery Specialist as part of our Insurance Team. This position is responsible for evaluating accounts for potential insurance coverage for all insurance plan types, facilitating claims processing, follow-up, and appeals. This position will contribute to revenue and provide value to our clients. Ability to work from home part or full time upon training completion and sign-off. Compensation 19.00 per hour to start. Duties: - Review details of an account to determine if insurance was previously filed and determine if claims filing is necessary. - Clear documentation of account findings and ensure the account is pushed through the designed workflow. - Communication with clients regarding claims updates on payments, adjustments, or denials. - Ability to work in client systems to confirm accounts are being handled accordingly by our providers. - Eligibility review through online portals. - Audit non-insurance desks for accounts that should have been reviewed by the insurance team. - Knowledge of carrier-specific timely filing for the claims process and eligibility requirements. - Ability to communicate with insurance carriers and identify claim issues. - Ability to communicate with patients on their involvement to ensure claims can be paid. - Daily accounts worked requirements min. 125 Requirements - 3 or more years’ experience handling medical claims follow-up and eligibility - Microsoft Excel and general computer\office skills - Motivated, efficient, and logical - Excellent time management - Critical thinking skills - Ability to type 60 WPM or more

Together we fight for everyone’s opportunity for a better financial future. We will do this together — with customers, partners and colleagues. We will fight for others, not against: We will stand up for and champion everyone’s access to opportunities. The status quo is not good enough … we believe every individual and every community deserves access to financial opportunities. We are determined to support both individuals and communities in reaching a better financial future. We know that reaching this future depends on our actions today. Like our Purpose Statement, Voya believes in being bold and committed to action. We are committed to a work environment where the differences that we are born with — and those we acquire throughout our lives — are understood, valued and intentionally pursued. We believe that our employees own our culture and have a responsibility to foster an environment where we all feel comfortable bringing our whole selves to work. Purposefully bringing our differences together to positively influence our culture, serve our clients and enrich our communities is essential to our vision. Are you ready to join a company with a strong purpose and a winning culture? Start your Voyage – Apply Now Work schedule: Monday - Friday 9:30AM-6PM Pacific time; 11:30AM - 8PM Central time; 12:30PM-9PM Eastern time Get to Know the Opportunity: As a Claims Specialist supporting the Voya Leave Management (VLM) department, you will guide claimants through their leave experience with empathy and clarity. Your primary focus will be on Family Medical Leave (FMLA) and other leaves, including state, military, and company-specific leaves, and non-Short-Term Disability paid leaves. You will ensure a high standard of service while maintaining compliance with all regulatory requirements. Please Note: Work location for this role is FLEXIBLE! This position allows 100% remote work from home or allows work to be performed in any of our major office locations with a hybrid schedule.   The Contributions You’ll Make: - Analyze FMLA and company leave policies to determine eligibility. - Communicate clearly and professionally via phone and email. - Build and maintain strong relationships with internal and external stakeholders. - Participate in team-based problem-solving and continuous improvement initiatives. - Manage assigned work queues within defined service level agreements (SLAs). - Support additional projects and responsibilities as needed. Minimum Knowledge & Experience: - 2–3 years of experience in FMLA or unpaid leave claims management. - Strong decision-making and critical thinking skills. - Medical/vocational management. - Excellent customer service and interpersonal abilities. - Proficiency in Microsoft Office 365, including Outlook. - Exceptional written and verbal communication skills. - High attention to detail and accuracy. - Ability to prioritize tasks and manage time effectively in a fast-paced environment. - Collaborative mindset with the ability to work cross-functionally. Preferred Knowledge & Experience: - Bachelor’s degree #LI-IB1 #Remote Compensation Pay Disclosure: Voya is committed to pay that’s fair and equitable, which means comparable pay for comparable roles and responsibilities. The below annual base salary range reflects the expected hiring range(s) for this position in the location(s) listed. In addition to base salary, Voya offers incentive opportunities (i.e., annual cash incentives, sales incentives, and/or long-term incentives) based on the role to reward the achievement of annual performance objectives. Please note that this salary information is solely for candidates hired to perform work within one of these locations, and refers to the amount Voya Financial is willing to pay at the time of this posting. Actual compensation offered may vary from the posted salary range based upon the candidate’s geographic location, work experience, education, licensure requirements and/or skill level and will be finalized at the time of offer. Salaries for part-time roles will be prorated based upon the agreed upon number of hours to be regularly worked. $44,820 - $56,030 USD Be Well. Stay Well. Voya provides the resources that can make a difference in your lives. To us, this means thriving physically, financially, socially and emotionally. Voya benefits are designed to help you do just that. That’s why we offer an array of plans, programs, tools and resources with one goal in mind: To help you and your family be well and stay well. What We Offer - Health, dental, vision and life insurance plans - 401(k) Savings plan – with generous company matching contributions (up to 6%) - Voya Retirement Plan – employer paid cash balance retirement plan (4%) - Tuition reimbursement up to $5,250/year - Paid time off – including 20 days paid time off, nine paid company holidays and a flexible Diversity Celebration Day. - Paid volunteer time — 40 hours per calendar year Learn more about Voya benefits (download PDF) Critical Skills At Voya, we have identified the following critical skills which are key to success in our culture: - Customer Focused: Passionate drive to delight our customers and offer unique solutions that deliver on their expectations. - Critical Thinking: Thoughtful process of analyzing data and problem solving data to reach a well-reasoned solution. - Team Mentality: Partnering effectively to drive our culture and execute on our common goals. - Business Acumen: Appreciation and understanding of the financial services industry in order to make sound business decisions. - Learning Agility: Openness to new ways of thinking and acquiring new skills to retain a competitive advantage. Learn more about Critical Skills Equal Employment Opportunity Voya Financial is an equal-opportunity employer. Voya Financial provides equal opportunity to qualified individuals regardless of race, color, sex, national origin, citizenship status, religion, age, disability, veteran status, creed, marital status, sexual orientation, gender identity, genetic information, or any other status protected by state or local law. Reasonable Accommodations Voya is committed to the inclusion of all qualified individuals. As part of this commitment, Voya will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please reference resources for applicants with disabilities. Misuse of Voya's name in fraud schemes