Are you an IICRC-certified, licensed adjuster with deep mitigation expertise who thrives in complex, high-impact negotiations? Do you enjoy tackling escalated mitigation disputes, especially when working outside preferred vendor programs? About the Role: As a Mitigation Specialist, you’ll be the go-to expert for complex, escalated emergency services mitigation files, with a strong focus on non-preferred vendor invoices and disputes. You’ll leverage your technical mitigation knowledge, IICRC best practices, and negotiation skills to drive fair, defensible, and timely resolutions. This role is ideal for seasoned adjusters or mitigation specialists who want to apply their field expertise in a fully remote, high-level resolution role—without stepping away from the technical rigor that defines your career. What You’ll Do: - Lead resolution of escalated mitigation and emergency services invoices, particularly from non-preferred or out-of-network vendors - Analyze scopes, moisture mapping, drying plans, equipment usage, and pricing for accuracy and compliance with IICRC standards - Negotiate disputed mitigation charges using technical justification, policy application, and industry best practices - Communicate confidently and professionally with vendors, attorneys, and internal partners during high-friction conversations - Resolve complex mitigation billing efficiently while protecting claim outcomes and expense integrity - Partner with Claims, Legal, QA, Subrogation, and Training teams on high-exposure or litigated mitigation files - Participate in or lead special projects, initiatives, and training efforts based on individual readiness, assignment volume, and evolving business needs, contributing to continuous improvement across the Mitigation and Shared Services teams. - Partner with claims adjusters and internal stakeholders to coordinate, support, or provide guidance on mitigation related aspects of claims when needed, helping ensure timely resolution and accurate outcomes. - Support the Shared Services mission by promoting consistency, accuracy, and efficiency in mitigation claim handling—helping protect customers, control costs, and enable scalable, high quality service across the organization. Required Qualifications: - Active Property & Casualty Adjuster license - WTR required IICRC certification (ASD strongly preferred) - At least 2 years of hands-on experience with water mitigation, emergency services, complex mitigation billing or field adjusting experience - Proven success negotiating escalated or disputed mitigation invoices, including non-preferred vendors - Advanced understanding of IICRC standards, drying science, and mitigation best practices - Strong written and verbal communication skills—comfortable in assertive, resolution-driven conversations - Exceptional analytical skills with strong attention to detail - Advanced proficiency with Xactimate, XactAnalysis, CoreLogic, or similar estimating platforms #LI-Remote Pay Range: $23.66 - $39.06 Any posted pay range considers a wide range of compensation factors, including candidate background, experience and work location, while also allowing for salary growth within the position. If there is no posting end date listed then this is a pipeline requisition, and we will continue to collect applications on an ongoing basis. Helping People Thrive in a Connected World Connect with us. Bring us your best work and your brightest ideas. And we’ll bring you a place where you can thrive. Learn more at jobs.assurant.com. For U.S. benefit information, visit myassurantbenefits.com. For benefit information outside the U.S., please speak with your recruiter. What’s the culture like at Assurant? Our unique culture is a big reason why talented people choose Assurant. Named a Best/Great Place to Work in 15 countries and awarded the Fortune America’s Most Innovative Companies recognition, we bring together top talent around the world. Although we have a wide variety of skills and experiences, we share common characteristics that are uniquely Assurant. A passion for service. An ability to innovate in practical ways. And a willingness to take chances. We call our culture The Assurant Way. Company Overview Assurant is a leading global business services company that supports, protects, and connects major consumer purchases. A Fortune 500 company with a presence in 21 countries, Assurant supports the advancement of the connected world by partnering with the world’s leading brands to develop innovative solutions and deliver an enhanced customer experience through mobile device solutions, extended service contracts, vehicle protection services, renters insurance, lender-placed insurance products, and other specialty products. Equal Opportunity Statement Assurant is an Equal Employment Opportunity employer and does not use or consider race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, or any other characteristic protected by federal, state, or local law in employment decisions. Job Scam Alert Please be aware that during Assurant's application process, we will never ask for personal information such as your Social Security number, bank account details, or passwords. Learn more about what to look out for and how to report a scam here.

Who We Are Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We’ve had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it’s at the core of who we are. We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work. We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn more about who we are at Point32Health. Job Summary The Appeals and Grievance (A&G) Coordinator is responsible, per State and Federal regulations, for assisting with all operational aspects of the Appeals and Grievances assignment process for Point32Health. Responsibilities include, but are not limited to: processing daily mail received by the A&G department, handling outgoing mail for the A&G department, distribution and classification of cases in compliance with applicable timeframes and regulations, gathering information on behalf of the A&G Analyst with external vendors, coordinating the request for medical records, tracking effectuations, facilitating delivery of appeals and related information to key departments and appeals committee members; analyzing and reporting data regarding department processes as requested from management; note trends in Appeals and Grievances and notify supervisors of their findings. The coordinator must possess a broad understanding of all Point32Health lines of business and benefit structures as well as have an understanding of regulatory requirements and timeframes. Essential functions will occur simultaneously; therefore, the employee must be able to appropriately handle each of these functions, prioritize them, and seek assistance when necessary. These essential functions need to be performed on a consistent and regular basis, using good judgment. The employee must be able to learn and apply Point32Health’s policies and complex and frequently changing regulatory requirements consistently and the judgment to seek guidance as needed. Job Description Key Responsibilities/Duties – what you will be doing (top five): - Assign new verbal and written appeals and grievances to Appeals and Grievances Analyst. - Support A&G Analyst in timely completion of Appeals and Grievances. - Adheres to all regulatory, internal and compliance timeliness expectations. - Responsible for distribution of incoming mail as well as department manual mail processing. - Other duties and projects as assigned. Qualifications – what you need to perform the job Certification and Licensure Education - Required (minimum): Associate’s Degree or equivalent experience in health care, conflict resolution or related field - Preferred: Experience - Required (minimum): 1-2 years of member services representative/customer service experience in health care - Preferred: 1-2 years’ Appeals and Grievance experience in assigning and handling appeals and grievances Skill Requirements - Excellent organizational skills required.  Excellent interpersonal/communication skills are essential.  Must have computer skills with experience in EXCEL, and WORD.  Must have knowledge and demonstrated ability in the use of Windows applications and other comparable systems/applications. - Knowledge of basic medical terminology. - Individual must be able to appropriately identify urgent situations and follow the appropriate protocol. Position also requires the ability to manage multiple priorities as well as having the initiative, judgment, and perception to operate within a fast paced, high stress environment. Individual must possess strong organizational, logical reasoning, analytical, and problem-solving skills as well as the attention to detail necessary to act within this complex environment. Individual must also be able to work independently but be able to identify when they should ask for help. The individual should be flexible to respond to changing needs in the Department. - Must be able to work well independently and as a team member.  Must be able to work closely with other department staff and must have work coverage plan in place in preparation for scheduled and unscheduled absences, due to importance of position to department’s compliance with various processes. - Requires excellent interpersonal skills and an ability to recognize and understand sensitive customer-oriented issues.  Position also requires daily contact, by telephone, with members, providers, and internal departments. Working Conditions and Additional Requirements (include special requirements, e.g., lifting, travel): - Must be able to work under normal office conditions and work from home as required. - Work may require simultaneous use of a telephone/headset and PC/keyboard and sitting for extended durations. - May be required to work additional hours beyond standard work schedule. - May require occasional weekend hours or evening hours as the needs of the various lines of business dictate. Disclaimer The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of employees assigned to this position. Management retains the discretion to add to or change the position's duties at any time. Salary Range $20.98 -$31.46 Compensation & Total Rewards Overview The annual base salary range provided for this position represents a range of salaries for this role and similar roles across the organization. The actual salary for this position will be determined by several factors, including the scope and complexity of the role; the skills, education, training, credentials, and experience of the candidate; as well as internal equity. As part of our comprehensive total rewards program, colleagues are also eligible for variable pay. Eligibility for any bonus, commission, benefits, or any other form of compensation and benefits remains in the Company's sole discretion and may be modified at the Company’s sole discretion, consistent with the law. Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes: - Medical, dental and vision coverage - Retirement plans - Paid time off - Employer-paid life and disability insurance with additional buy-up coverage options - Tuition program - Well-being benefits - Full suite of benefits to support career development, individual & family health, and financial health For more details on our total rewards programs, visit https://www.point32health.org/careers/benefits/ We welcome all All applicants are welcome and will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. Scam Alert: Point32Health has recently become aware of job posting scams where unauthorized individuals posing as Point32Health recruiters have placed job advertisements and reached out to potential candidates. These advertisements or individuals may ask the applicant to make a payment. Point32Health would never ask an applicant to make a payment related to a job application or job offer, or to pay for workplace equipment. If you have any concerns about the legitimacy of a job posting or recruiting contact, you may contact TA_operations@point32health.org

Role Description Seeking an experienced and detail-oriented Senior General Liability Claims Adjuster to join a growing team. This fully remote position is ideal for candidates based on the West Coast of the United States. The individual in this role will be responsible for managing a portfolio of General Liability and Commercial Auto claims, ensuring timely and accurate resolution in accordance with company standards. Qualifications - Minimum of 5 years of experience handling General Liability claims. - Active Adjuster’s License required. - Strong understanding of liability claims and litigation management. - Excellent negotiation, communication, and analytical skills. - Ability to work independently in a remote environment while maintaining high accuracy and service standards. - Proficiency with claims management systems and Microsoft Office Suite. - Previous Hawaii General Liability experience highly preferred. Requirements - Manage a diverse portfolio of General Liability and Commercial Auto claims. - Handle primarily property damage claims, with some bodily injury exposures. - Oversee litigated files and coordinate with defense counsel as needed. - Ensure compliance with all internal guidelines and applicable regulations. - Collaborate with internal teams and external partners to achieve effective claim outcomes. - Maintain detailed and organized claim documentation throughout the process. Benefits - Salary Range: $75,000 – $90,000 annually (commensurate with experience). - Competitive benefits package, paid time off, professional development opportunities, etc. Company Description Please note that this job description may not cover all duties, responsibilities, or aspects of the role, and it is subject to modification at the employer's discretion.

Pie's mission is to empower small businesses to thrive by making commercial insurance affordable and as easy as pie. We leverage technology to transform how small businesses buy and experience commercial insurance. Like our small business customers, we are a diverse team of builders, dreamers, and entrepreneurs who are driven by core values and operating principles that guide every decision we make. The Claims Operational Enablement Administrator will work closely with the Senior Claims Operational Enablement Specialist to ensure optimal use of claims platforms through comprehensive resource development, documentation, testing, and continuous improvement initiatives. This role will assist in driving efficiency, accuracy, and compliance across the claims function. How You’ll Do It Operational Enablement - Assist with the development of training programs for claims adjusters and operations teams on best practices, tools, and new system updates. - Assist with documenting technology-related standard operating procedures (SOPs) to improve efficiency and reduce claim cycle times. - Assist with maintaining an up-to-date knowledge base, FAQs, and playbooks to ensure consistency and efficiency in claims handling. Run-the-Business System Orchestration - Assist with the development of training programs for claims adjusters and operations teams on best practices, tools, and new system updates. - Assist with documenting technology-related standard operating procedures (SOPs) to improve efficiency and reduce claim cycle times. Assist with maintaining an up-to-date knowledge base, FAQs, and playbooks to ensure consistency and efficiency in claims handling. Collaboration - Develop and maintain training calendars, scheduling in-person and virtual sessions to accommodate diverse learner needs and business requirements. - Regularly review and update resources to reflect process changes and industry developments. - Create training tracking mechanisms for continuing education (CE) compliance. The Right Stuff - High school diploma or GED required. - 1+ year of experience with knowledge of claims processes and general requirements. - 3+ years of experience with PowerPoint, Scribe, Adobe Products, or other authoring tools; graphic design experience a plus. - Ability to communicate effectively with a variety of audiences in written form. - Ability to manage tasks varying in complexity and work through solutions with guidance and direction. - Interpersonal and cross-team collaboration skills. - Ability to run a project from start to finish with guidance. The use of AI in Application Review: To support a fair, efficient, and consistent hiring process, we use AI-powered tools to assist in the initial screening of applications. These tools help us identify qualifications and prior work experiences that align with the requirements of the role. We may also use AI assistant video tools during interviews to support note-taking and candidate evaluation. All AI-powered outputs are still subject to human oversight and decision-making at multiple stages of the process. By submitting your application, you acknowledge and consent to Pie utilizing these AI technologies to assist in our evaluation process. Base Compensation Range $50,000—$65,000 USD Compensation & Benefits - Competitive cash compensation - A piece of the pie (in the form of equity) - Comprehensive health plans - Generous PTO - Future focused 401k match - Generous parental and caregiver leave - Our core values are more than just a poster on the wall; they’re tangibly reflected in our work Our goal is to make all aspects of working with us as easy as pie. That includes our offer process. When we’ve identified a talented individual who we’d like to be a Pie-oneer , we work hard to present an equitable and fair offer. We look at the candidate’s knowledge, skills, and experience, along with their compensation expectations and align that with our company equity processes to determine our offer ranges. Each year Pie reviews company performance and may grant discretionary bonuses to eligible team members. Location Information Unless otherwise specified, this role is remote. Remote team members must live and work in the United States (territories excluded) and have access to reliable, high-speed internet. Additional Information Pie Insurance is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristic. Pie Insurance participates in the E-Verify program. Please click here, here and here for more information. Pie Insurance is committed to protecting your personal data. Please review our Privacy Policy. Safety First: Pie Insurance is committed to your security during the recruitment process. We will never ask you for credit card information or ask you to purchase any equipment during our interview or onboarding process. Pie Named to 2025 America's Best Startup Employers Pie Insurance 2025 State of Workplace Safety Report #LI-REMOTE #BI-REMOTE