Why Us? With a mantra of Empowering Human Potential, Hanger, Inc. is the world's premier provider of orthotic and prosthetic (O&P) services and products, offering the most advanced O&P solutions, clinically differentiated programs and unsurpassed customer service. Hanger's Patient Care segment is the largest owner and operator of O&P patient care clinics nationwide. Through its Products & Services segment, Hanger distributes branded and private label O&P devices, products and components, and provides rehabilitative solutions to the broader market. With 160 years of clinical excellence and innovation, Hanger's vision is to lead the orthotic and prosthetic markets by providing superior patient care, outcomes, services and value. Collectively, Hanger employees touch thousands of lives each day, helping people achieve new levels of mobility and freedom. Could This Be For You? The Priority Claims Specialist III - Remote will ensure payment for services provided is accurate, timely and fully documented. Provide efficient cash collection through excellent reimbursement practices while ensuring compliance with relevant laws, regulations and established Hanger policies and compliance programs. Provides strict adherence to adjustment, refund and write-off policies/procedures as outlined in Hanger Clinic Standard Operating Procedures. Maintain exceptional support and communication with all partners, internal and external. This is a high-dollar medical collections role operating within a Centralized Revenue Cycle Team. This is a full time, remote opportunity. Schedule will be Monday - Friday, day shift. Your Impact Responsibilities for the role will include: - Maintain a working knowledge and understanding of DMEOPS CPT and ICD-10 codes. - Utilize the company billing and collections system to identify and resolve any claims that have been unpaid, short paid and/or denied. - Review EOB's and other correspondence from insurance companies for correct reimbursement according to rules and regulations and contract terms. - Follow up with insurance companies by online portal, phone, email and/or fax. - Identify billing errors and submitted corrected claims insurance carriers. - Provide timely and accurate follow up on accounts until they are resolved. - File and follow up on appeals and disputes. - Communicate identified AR issues that may cause payment delays or write offs to management. - Document all findings with clear and concise detail. - Research insurance guidelines and manuals for additional information. - Perform adjustments in the system as needed. - Submit medical records upon request. - Resolves outstanding accounts receivable problems. Respond to and resolve inquiries from customers or external collection resources. - Primary focus is on complex denials and appeals. - Review, monitor and resolve assigned encounters and all assigned reports. - Identify issues attributing to account delinquency and discuss them with management as needed. - Provide timely follow-up on all tasks. - Effective communication with Patient Care Clinics related to collection efforts. - Complete, review, and research any deficiency to ensure that any deficiency is properly addressed and resolved. Minimum Qualifications Minimum - High school education or equivalent - 5+ years of related experience to include at least one of the following areas: Insurance reimbursement, medical policy, payor appeal requirements or patient collection laws. - Experience in a medical office. Preferred - Associate’s degree. - Experience with NextGen and/or OnBase. - Licensed Medicare auditor or Certified Medical Audit Specialist Knowledge and Skill: - Attention to detail with the ability to quickly identify trends. - Strong communication and interpersonal skills. - Working knowledge of the Medicare audit, appeals, reimbursement, Local Coverage Determinations (LCDs), and policy articles. - Working knowledge of medical terminology. - Self-starter / take initiative to proactively resolve problems. - Ability to multi-task. - Strong sense of personal accountability to meet deadlines. - Working knowledge of MS Office suite programs. - Working knowledge of Electronic Health Records (EHR); such as, OPS and NextGen - Demonstrated ability to pull data and migrate into online records management systems such as OnBase; - Demonstrate high ethical standards regarding confidential patient and billing information. Additional Success Factors The ideal candidate will also demonstrate: - Strong interpersonal, oral (including telephone) and written communication skills, including the ability to follow written and verbal directions. - Works well under pressure - Attention to detail with the ability to quickly identify trends. - Resourceful and flexible team player who excels at building trusting relationships with patients, insurance companies and colleagues. - Excellent knowledge and understanding of state, federal, regional collection and reimbursement laws, HIPAA and other medical insurance regulations and terminology (CPT, ICD-9, HCPCS, modifiers, coding, and documentation guidelines) for private payer, state and federal plans including coding, billing and reimbursement protocols. - Proficient computer skills including Windows based office technologies (ex. Word, Excel, PowerPoint), e-mail and automated billing systems. - Excellent organizational skills and the ability to manage multiple tasks (ex. multitasking) with a high degree of detail orientation while working in a fast-paced environment. - Keep the patient at the center of everything that you do, building lifelong trust. - Foster open collaboration and constructive dialogue with everyone around you. - Continuously innovate new solutions, influencing and responding to change. - Focus on superior outcomes and calibrate work processes for outstanding results. #LI-Remote #LI-BH1 Pay range of $20.00 to $25.00 per hour + annual bonus: up to 5% of base pay depending on bonus criteria. This pay range is posted to comply with wage transparency laws. Hanger salary ranges vary based on skill, ability, knowledge, geographic location and other variables. Our Investment in You - Competitive Compensation Packages - 8 Paid National Holidays & 4 additional Floating Holidays - PTO that includes Vacation and Sick time - Medical, Dental, and Vision Benefits - 401k Savings and Retirement Plan - Paid Parental Bonding Leave for New Parents - Flexible Work Schedules and Part-time Opportunities - Generous Employee Referral Bonus Program - Mentorship Programs- Mentor and Mentee - Student Loan Repayment Assistance by Location - Relocation Assistance - Regional & National traveling CPO/CO/CP opportunities - Volunteering for Local and National events such as Hanger’s BAKA Bootcamp and EmpowerFest Hanger, Inc. is committed to providing equal employment opportunity in all aspects of the employer-employee relationship. All conditions and privileges of employment are administered to all employees without discrimination or harassment because of race, religious creed, color, age, sex, sexual orientation, gender identity, national origin, religion, marital status, medical condition, physical or mental disability, military service, pregnancy, childbirth and related medical conditions, special disabled veteran status, or any other classification protected by federal, state, and local laws and ordinances. The company will comply with all applicable state or local fair employment laws that forbid discrimination or harassment on the basis of other protected characteristics. Retaliation against any employee for filing or supporting a complaint of discrimination or harassment is prohibited. #ERF-HRC

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Folio Specialist shift: Sunday – Thursday 10am-7pm EST PRIMARY PURPOSE: To assist Property Repair Solutions customers (homeowners, contractors, carriers) with any questions or concerns they may have and/or the work being done by the program contractors; to ensure that all customer expectations are met and/or exceeded to the best of our ability. ESSENTIAL FUNCTIONS and RESPONSIBILITIES · Receives, reviews and dispatches new jobs to contractors based on job type and location. · Places outbound calls to sell programs to customers, assigns contractors, makes customer appointments, provides assistance to insurance adjusters, and sets up program expectations. · Monitors pending jobs and makes follow-up calls to homeowners to ensure that the process is going smoothly and answers questions as needed. · Receives inbound calls to answer customer service questions, resolve minor issues, and schedule appointments for customers with contractors or escalate issues to the proper channels. · Attendance during scheduled work hours is required. ADDITIONAL FUNCTIONS and RESPONSIBILITIES · Performs other duties as assigned. · Supports the organization's quality program(s). QUALIFICATIONS Education & Licensing High school diploma or GED required. Experience One (1) year of experience in construction management, restoration and/or insurance claims and customer service required. Chronicle software experience preferred. Skills & Knowledge · Excellent oral and written communication skills · PC literate, including Microsoft Office products · Good problem resolution skills · Good judgment and sound decision making skills · Ability to build a consensus among various parties · Strong relationship building skills · Excellent organizational skills, accuracy, and attention to detail · Initiative and ability to multi-task · Above average speed and accuracy key stroke skills · High level of professionalism · Ability to work under pressure in a fast paced environment and maintain a positive demeanor · Ability to work independently or in a team environment · Ability to meet or exceed Performance Competencies · Bi-lingual English/Spanish a plus. WORK ENVIRONMENT When applicable and appropriate, consideration will be given to reasonable accommodations. Mental: Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines Physical: Computer keyboarding, travel as required Auditory/Visual: Hearing, vision and talking The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $16-$18/hr. Always accepting applications. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

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: Commercial Auto, Bodily Injury, Litigation • Jurisdictional Experience: US • Active Adjusters' licenses: Required As a key member of our Claims Adjuster team, you will: - Investigate, evaluate, and resolve complex commercial auto, bodily injury, and litigation claims, applying your claims experience and analytical skills to make informed decisions and bring claims to resolution. - Work in partnership with our clients to deliver innovative solutions and enhance the claims management process - Think critically, solve problems, plan, and prioritize activities to optimally serve clients REQUIRED QUALIFICATIONS: • High School Diploma. • Minimum of 5 years related claims experience. • Appropriate licensing and/or certification in all states in which claims are being handled. • Knowledge of accepted industry standards and practices. • Computer experience with related claims and business software. DESIRED: • Bachelor's Degree. #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.

• Ensure payment for services provided is accurate, timely and fully documented. • Provide efficient cash collection through excellent reimbursement practices while ensuring compliance with relevant laws, regulations and established Hanger policies and compliance programs. • Maintain exceptional support and communication with all partners, internal and external. • Maintain a working knowledge and understanding of DMEOPS CPT and ICD-10 codes. • Utilize the company billing and collections system to identify and resolve any claims that have been unpaid, short paid and/or denied. • Review EOB's and other correspondence from insurance companies for correct reimbursement according to rules and regulations and contract terms. • Follow up with insurance companies by online portal, phone, email and/or fax. • Identify billing errors and submitted corrected claims insurance carriers. • Provide timely and accurate follow up on accounts until they are resolved. • File and follow up on appeals and disputes. • Communicate identified AR issues that may cause payment delays or write offs to management. • Document all findings with clear and concise detail. • Research insurance guidelines and manuals for additional information. • Perform adjustments in the system as needed. • Submit medical records upon request. • Resolve outstanding accounts receivable problems. • Respond to and resolve inquiries from customers or external collection resources. • Review, monitor and resolve assigned encounters and all assigned reports. • Identify issues attributing to account delinquency and discuss them with management as needed. • Provide timely follow-up on all tasks. • Effective communication with Patient Care Clinics related to collection efforts. • Complete, review, and research any deficiency to ensure that any deficiency is properly addressed and resolved.