Why join us? The CMA - Insurance team are seeking to recruit two Senior Claims Adjusters. As Senior Claims Adjuster you will have responsibility for progressing a caseload or project to an effective and satisfactory conclusion for clients. Ensuring high levels of service delivery, both internally and externally, whilst maintaining management information under the terms of the client service level agreement. This role offers remote working but may include travel to a local office for clients or team meetings. Responsibilities - Awareness of relevant client strategies and ensure implementation on cases / projects; - To research solutions to problems/issues on cases / projects to develop your own technical knowledge; - To deliver revenue for the team through existing business activity and developing own professional network; - To be proactive in problem solving on cases through identifying potential issues and solutions, always adding value to the case / project; - Proactively manage individual claims from first advice to closure, investing the necessary level of expertise required for each claim; - Follow at all times any applicable client claims reserving philosophy and claims standards, including adherence to contractual service standards; - To demonstrate the Firm's Winning Behaviours, delivering a commitment to the firms values and CSR agenda What will help you succeed in this role? Essential - Experience of/within the specific Personal Injury and EL/PL claims/technical skills set required to undertake the role. - A proven track record of success both in terms of financial results and client service. - Business acumen and an understanding of the clients' needs. - Ability to build effective professional relationships both with external clients and internal colleagues. - High level of financial and commercial awareness. Desirable - Excellent written and verbal communication skills. - Ability to prioritise effectively and manage multiple tasks. - Excellent attention to detail to be able to carefully analyse information What we offer? At DWF, we deeply appreciate the significance of offering a comprehensive rewards package that extends beyond a basic salary. Our commitment is to ensure that each member of our team not only feels valued but is also duly rewarded throughout their tenure with us. Upon joining our organisation, you will have the opportunity to select from a diverse array of benefits, allowing you to carefully tailor a package that perfectly aligns with your individual needs and those of your family. In addition to our standard benefits, we offer a wide range of flexible benefits and robust well-being programs.   Our recruitment process upholds the highest standards of fairness and engagement. It includes comprehensive interviews and, at times, a written assessment, an assessment day, or presentation. We aim to create a positive experience for all candidates and offer any adjustments or additional support. About us DWF is a global legal business providing Complex, Managed and Connected Services. We empower people to be themselves within an inclusive and supportive environment, enabling everyone to achieve their full potential in line with their abilities and career aspirations.

Title: Claims Follow Up Rep TC Location: Providence United States - Job ID:JR-107057 - Entity:Brown University Health - Location Name:Corporate Headquarters - City, State:Providence, RI - Work Type:FULL TIME - Hours Per Week:40 - Shift:Day Job Description: Under general supervision of the Claims Administration Follow-up Supervisor, perform all clerical duties necessary to properly process patient bills to customers taking appropriate follow-up steps to obtain timely reimbursement of each 3rd party claim and ensure the financial stability of the Hospital. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers, and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include: - Instill Trust and Value Differences - Patient and Community Focus and Collaborate RESPONSIBILITIES Consistently applies the corporate values of respect, honesty, and fairness and the constant pursuit of excellence in improving the health status of the people of the region through the provision of customer-friendly, geographically accessible, and high-value services within the environment of a comprehensive integrated academic health system. Responsible for knowing and acting in accordance with the principles of the Brown University Health Corporate Compliance Program and Code of Conduct. Review claim forms for all required data fields depending on the specific 3rd party requirements. Review patient account for demographic accuracy. Process all necessary system adjustments or changes as needed, such as: - Adding/deleting insurance information - Insurance priority changes - Balance transfers - Demographic changes - Contractual allowances - Any other routine patient accounting adjustments not requiring supervisory approval ensuring accurate financial data. Analyze all assigned claims received from various sources to ensure accurate and timely reimbursement based on the individual payer’s contracts or Federal reimbursement methods. Contact insurer via online systems, call centers, written correspondence, fax, or appropriate electronic or paper billing of claims to secure payment. Maintains an understanding of the most current contract language in order to consistently ensure reimbursement in accordance with contract language. Continually maintains knowledge of payer specific updates via payer’s listservs, provider updates, webinars, meetings, and websites. Review payer’s settlements for correct reimbursement and proceed with contact to insurer if claim is not adjudicated correctly based on working knowledge of the various payer’s policies and each individual related contract. Identifies and analyzes denials and payment variances and enacts corrective measures as needed to effectively communicate and resolve payer errors. Understands and maintains compliance with HIPAA guidelines when handling patient information. Initiate adjustments to payer’s as appropriate after analyzing under or over payments based on contract, Federal regulation, late charge corrections, or inappropriate denials. Submits appeals to payers as appropriate to recover denied revenue. Contact internal departments to acquire missing or erroneous information on a claim resulting in adjudication delays or denials. Run reports as necessary to quantify various variances on patient accounts related to identified issues within the payers or as the result of known charging errors or procedural breakdown. Reports to supervisor identification of trends resulting in under/over payments, inappropriate denials, or charging/billing discrepancies. Answer telephone inquiries from 3rd parties and interdepartmental calls. Refer all unusual requests to supervisor. Retrieve appropriate medical records documentation based on third party requests. Initiate the accurate and timely processing of all secondary and tertiary claims as needed according to specific 3rd party regulations. Process all incoming mail and follow up on all rejections received according to specific 3rd party regulations. Refer all accounts to supervisor for additional review if the account cannot be resolved according to normal patient accounting procedures. Works with supervisor, management, and the patient accounting staff to improve processes, increase accuracy, create efficiencies, and achieve the overall goals of the department. Maintain quality assurance, safety, environmental, and infection control in accordance with established policies, procedures, and objectives of the system and affiliates. Perform other related duties as required. WORK LOCATIONS/EXPECTATIONS After orientation at the Corporate facilities, work is performed based on the following options approved by management and with adherence to a signed telecommuting work agreement and Patient Financial Services Remote Access Policy and Procedure: - Full time schedule worked in office - Full time schedule worked in a dedicated space in the home - Part time schedule in office and in a dedicated space within the home Schedules must be approved in advance by management who will allow for flexibility that does not interfere with the ability to accomplish all job functions within the said schedule. Staff are required to participate in scheduled meetings and be available to management throughout their scheduled hours. Staff must be signed into Microsoft Teams during their entire shift and communicate with Supervisor as directed. MINIMUM QUALIFICATIONS BASIC KNOWLEDGE - Equivalent to a high school graduate - Knowledge of 3rd party billing to include ICD, CPT, HCPCS, UB, and HCFA 1505 claim form - Demonstrated skills in critical thinking, diplomacy, and relationship-building - Highly developed communication skills, successfully demonstrated in effectively working with a wide variety of people in both individual and team settings - Demonstrated problem-solving and inductive reasoning skills which manifest themselves in creative solutions for operational inefficiencies. EXPERIENCE One to three years of relevant experience in medical collections or professional/hospital billing preferred. INDEPENDENT ACTION Incumbent generally establishes own work plan based on pre-determined priorities and standard procedures to ensure timely completion of assigned work. Problems needing clarification are reviewed with supervisor prior to taking action. SUPERVISORY RESPONSIBILITY None PAY RANGE $19.97-$32.96 LOCATION Corporate Headquarters - 15 LaSalle Square Providence, Rhode Island 02903 WORK TYPE Monday-Friday 8:00am - 4:30pm WORK SHIFT Day DAILY HOURS 8 hours DRIVING REQUIRED No Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

Role Description Claims Handler [European Motor] London OR EU Remote Permanent / full-time Are you an experienced Motor Claims professional with exposure to European portfolios? Do you enjoy handling complex, cross-border claims and working in a highly technical, collaborative environment? You will be responsible for managing a portfolio of international Motor claims, including large and complex cases, ensuring they are handled efficiently and to a high technical standard. Working closely with Third-Party Administrators (TPAs) and internal stakeholders, you’ll play a key role in driving claims to resolution while maintaining strong reserving discipline and delivering commercial outcomes. - Handling complex, cross-border claims, including disputed, high-value matters and claims involving bodily injury and catastrophic losses - Reviewing and overseeing claims handled by TPAs, particularly those exceeding authority limits - Applying strong technical knowledge across liability, coverage and reserving - Negotiating with counterparties, legal representatives and stakeholders - Identifying trends and contributing to portfolio performance and savings initiatives - Supporting due diligence and integration of newly acquired portfolios - Collaborating across teams to ensure consistent claims handling standards Qualifications - Right to work in the location you’re applying to - Proven experience handling Motor claims across European jurisdictions - Exposure to Dutch and/or French motor portfolios (Essential) - Strong understanding of motor liability and policy coverage interpretation - Experience working with or overseeing Third-Party Administrators (TPAs) - Confidence handling complex or high-value claims - Solid reserving and negotiation skills - Ability to manage multiple jurisdictions and competing priorities - Contributing positively to our culture and values Benefits - Supportive environment for learning and growth - Range of benefits and team engagement events - Investment in learning and development opportunities for leaders and employees - Focus on teamwork, authenticity, and innovation - Employee resource groups, including Wellbeing, DEI, COMMS and Engagement - Collaborative environment with some of the best talent in the industry

• To analyze complex or technically difficult medical malpractice claims • Provide resolution of highly complex nature and/or severe injury claims • Coordinate case management within Company standards, industry best practices and specific client service requirements • Manage the total claim costs while providing high levels of customer service.