A company built to serve you. It's your career, Shelter it! Total Loss Auto Adjuster $23.27 - $28.84 / hour Job Level: Individual Contributor Shelter maintains broad salary ranges for its roles in order to account for variations in geographic location, education, training, skills, relevant work experience, business needs and market demands. Please remember that this range is the starting base pay only and does not consider other components that make up the total rewards package for the position. This position is open to anyone living within Shelter's Operating Territory which includes: Arkansas Colorado Illinois Indiana Iowa Kansas Kentucky Louisiana Mississippi Missouri Nebraska Ohio Oklahoma Tennessee What You Will Be Doing: The Total Loss Auto Adjuster analyzes, evaluates, and settles insurance claims involving automobile material damage losses. Determines value of the physical damage claim and negotiates settlements within prescribed limits of authority, in accordance with established procedures and consistent with legal and contractual obligations. May be assigned duties regarding catastrophe teams for auto losses. Required to evaluate and settle auto total loss claims. Consumer Reports may be ordered on final candidate. What We're Looking For: - Requires excellent analytical, organizational, and decision-making skills. - Superior skills in negotiation, communication and customer service are required. - Ability to learn on-the-job and through claims training courses of insurance policy coverage analysis and interpretation, and motor vehicle estimating. - Must exhibit strong skills in technology to include keyboarding and familiarity with word processing software, electronic communications, automobile estimating software, and internet research capabilities. - Requires good basic but advancing knowledge of automobile repair. - Will be required to acquire and maintain state licenses as applicable. - A minimum of two years general business experience is preferred in an insurance setting, demonstrating experience in organization, communication, negotiation, and decision-making. - Ability to perform the essential functions of the position, with or without a reasonable accommodation. Shelter's uncompromising commitment to excellence doesn't stop with our customers. We recognize our employees are what make us a premier organization in the insurance industry. Shelter Employees enjoy such benefits as: - Health, Dental, Voluntary Vision and Prescription Drug Insurance - Savings and Profit Sharing 401(k) - Paid Time Off for Sick and Personal Leave, Vacation and Holidays - Vitality Wellness Program - "Dress for Your Day" Dress Code - Flexible Scheduling - And much more! #IND1# If interested, please apply by: 04/07/2026

We are adding a Claims Adjudicator to our team! Who We Are: Since 1909, National Guardian Life Insurance Company (NGL) has been one of America’s most successful and highly rated independent life insurance companies. We specialize in a suite of innovative products for life’s journey, giving people the financial stability, careful guidance and peace of mind to lead a life filled with confidence, dignity and grace. NGL's Core Values – integrity, dependability, collaboration, compassion and growth are a foundation of our company and help to build on the interactions we have with our policyholders, partners, funeral homes and each other. We believe in creating an inclusive, welcoming environment for all where diversity is celebrated, and everyone is encouraged to live their best, most authentic self. We offer Employee Resource Groups for employees to get involved, learn, network, and offer professional and personal development opportunities. With over 100 years of experience, our passion is to serve people. Learn more. Work Environment: NGL offers a flexible work environment where employees can work fully remote, hybrid or onsite at our Madison, Wis. office. We support virtual working arrangements in certain states outside of WI. A Day in the Life: The Claims Adjudicator is responsible for processing claims, effectively communicating and corresponding with external and internal customers including policyholders, agents, funeral directors, and beneficiaries. Additional responsibilities include processing various types of claims and service requests along with providing phone support accurately within or exceeding existing service goals. In this role, work is performed under general supervision. The position requires the need to conduct additional research and to accurately document all findings as deemed appropriate. Primary Responsibilities: - Accurately adjudicate claims within stated service goals. - Follow established written processing procedures - Verify proper forms are received according to state regulation - Accurately enter and process: - Whole life - Term Life - Universal life & Interest sensitive - Acquisition Preneed - Final Expense - Preneed - Trust claims including Tru Trust, NGL Funeral Expense Trust, and NGL Estate Planning Trust - Preneed Texas including accurate reconciliation and file documentation verification. - Annuities - Contestable claims including referring claims to Underwriting as needed. - Rider claims including accidental death, child/family rider, and spouse rider. - Accurately calculate cost basis on basic annuity claims - Follow-up timely on all claims in writing within state regulated time frames - Provide phone support for all claims related calls and letter correspondence - Ability to effectively communicate, with empathy when appropriate, to our customers verbally, in writing, and via email - Ability to actively listen and appropriately respond to others - Provide phone support for claims related calls while maintaining team service goals - Contact agents, funeral homes beneficiaries, and other customers to obtain missing information when needed - Prepare proper correspondence for all steps in the claim process and as needed to respond to customer inquires - Team Work - Ability and willingness to work with others in a team environment - Participate in group decision making, listening, and responding constructively to others - Offer help to teammates when the need arises - Manage and adjust personal time off, breaks, and lunches to insure sufficient team coverage - Help ensure that team standards and goals are maintained - Problem Solve - Transfer knowledge from one process and apply it to another like process regarding common situations - Able to gather most needed data and petition input to help recognize the symptoms and root causes of distinct problems - Examine defined issues with ambiguous causes - Suggest alternative approaches that meet the needs or the organization, the situation, and those involved - Resolve difficulties and escalate issues with suggestions for additional inquiry - Accurately research insured status - Follow established written processing procedures - Search databases to confirm Insured status - Update spreadsheets and document appropriately - Complete assigned projects, tasks, and/or milestones by agreed upon due dates including performing other related work as requested or required Essential to Your Success: - Intermediate knowledge of NGL and acquisition products and procedures - Intermediate communication skills--oral and written - General PC and office machine knowledge - Typing skills of at least 45 words per minute and 5500 keystrokes per hour alphanumeric - Knowledge of basic accounting skills - Ability to work in a team environment - Organized and detail oriented - Ability to quickly search the Internet and other databases Education Requirements: - Minimum: High School or GED - Preferred: Other - LOMA Level I Certificate - LOMA ACS - Wisconsin Preneed Certification Years of Experience: - - One year claims processing experience or equivalent business experience. - Two years customer service or insurance/financial experience preferred. What We Offer: At NGL, we provide a comprehensive Total Rewards package that includes competitive base pay and benefits designed to offer solutions to help meet your unique life needs. Benefits: - 20 days of Paid Time Off growing to 25 days after 5 years - 11 Paid Holidays (10 company holidays and 1 personal holiday of your choice) - Health care, dental and vision plans - Up to $1,500 (Family) or $1,000 (Single) annually towards a Health Savings Account - Annual bonus based on company performance - Paid Parental Leave - 401(k) match up to 9% - Paid Sabbatical after 8 years - Paid Volunteer Time - Education Assistance Program - Employee Recognition Program - And much more! Click here to learn more about our comprehensive Total Rewards program. NGL is committed to creating a diverse environment and is an Equal Opportunity Employer. Qualified applicants will be considered for employment without regard to race, color, creed, religion, national origin, ancestry, citizenship status, age, disability, sex or gender (including pregnancy, childbirth and related medical conditions), gender identity or gender expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, protected medical condition as defined by applicable state or local law, genetic information, or any other characteristic protected by applicable federal, state, or local laws. NGL is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact hrmadison@nglic.com. Location Madison, Wisconsin Department PN Claims Employment Type Full-Time Minimum Experience Entry-level

Company Description Privia Health™ is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings. The Privia Platform is led by top industry talent and exceptional physician leadership, and consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers Job Description Under the direction of the Director or Manager of Revenue Cycle Management, the Medical Claims Billing Specialist (Accounts Receivable (AR) Manager) is responsible for complete, accurate and timely processing of all designated claims, reviewing and responding to daily correspondence from physician practices in a timely manner, answering incoming SalesForce cases and providing information as requested or properly authorized. The AR Manager will take steps necessary to resolve all claim issues or questions that escalate to the RCM team. Resolution of SalesForce cases and management of issues and the team resolving the cases is a key element in this role. Primary Job Duties: - Management of the accounts receivable (AR) including analysis of the aged AR, looking for root cause issues; writing rules where appropriate to stop errors from occurring. - Denial management - investigating denial sources, resolving and appealing denials which may include contacting payer representatives. - Makes independent decisions regarding claim adjustments, resubmission, appeals, and other claim resolution techniques. - Collaborate internal teams (Performance, Operations, Sales) as well as care center staff when appropriate. - At times, support large care center go lives which may include overnight travel. - Works closely with our Revenue Optimization team, to support efforts to ensure reimbursement is in line with payer contract agreements. Performs Denial analysis utilizing the Trizetto platform. - Work directly with practice consultants or physicians to ensure optimal revenue cycle functionality - Drive toward achievement of department’s daily and monthly Key Performance Indicators (KPIs), requiring a team focused approach to attainment of these goals. - Other duties as assigned. Qualifications - High School Graduate - 3+ years experience in a physician medical billing office - Experience supporting medical claims billing and payers in the state of CT preferred - Athena EHR experience preferred - Must understand the drivers of revenue cycle optimal performance and be able to investigate and resolve complex claims - Experience with major payers such as Anthem, Medicare/Medicaid, United Healthcare, Carefirst - Advanced Microsoft Excel skills (e.g., pivot tables, VLOOKUP, sort/filtering, formulas) and proficiency in Google Sheets preferred - Must comply with HIPAA rules and regulations The hourly range for this role is $24/hr to $26.45/hr in hourly base pay and exclusive of any bonuses or benefits (medical, dental, vision, life, and pet insurance, 401K, paid time off, and other wellness programs). This role is also eligible for an annual bonus targeted at 10%. The base pay offered will be determined based on relevant factors such as experience, education, and geographic location. Additional Information All your information will be kept confidential according to EEO guidelines. Technical Requirements (for remote workers only, not applicable for onsite/in office work): In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed. This should be acquired prior to the start of your employment. The best measure of your internet speed is to use online speed tests like https://www.speedtest.net/. This gives you an update as to how fast data transfer is with your internet connection and if it meets the minimum speed requirements. Work with your internet provider if you have questions about your connection. Employees who regularly work from home offices are eligible for expense reimbursement to offset this cost. Privia Health is committed to creating and fostering a work environment that allows and encourages you to bring your whole self to work. We understand that healthcare is local and we are better when our people are a reflection of the communities that we serve. Our goal is to encourage people to pursue all opportunities regardless of their age, color, national origin, physical or mental (dis)ability, race, religion, gender, sex, gender identity and/or expression, marital status, veteran status, or any other characteristic protected by federal, state or local law. - Department: Revenue Cycle

Overview Position Summary:The primary job function is to investigate and manage Personal Injury Protection (PIP) Claims. Geo-Salary Information An in-person interview may be required during the hiring process State specific pay scales for this role are as follows: $XX to $XX (CA, NJ, NY, WA, HI, AK, MD, CT, RI, MA) $XX to $XX (NV, OR, AZ, CO, WY, TX, ND, MN, MO, IL, WI, FL, GA, MI, OH, VA, PA, DE, VT, NH, ME) $XX to $XX (UT, ID, MT, NM, SD, NE, KS, OK, IA, AR, LA, MS, AL, TN, KY, IN, SC, NC, WV) The expected base salary for this position will vary depending on a number of factors, including relevant experience, skills and location. Responsibilities Essential Job Functions:-Identifies and contacts each injured party to explain coverage and claims process. -Verifies coverage, eligibility and determines the Company’s course of action. -Maintains claims files, evaluates claims using facts and supporting data on injury and wages lost due to injury.-Updates appropriate parties as needed, providing new facts as they become available, and their impact upon the analysis and settlement options.-Verifies the nature and extent of injury and/or wages lost by obtaining and reviewing appropriate records and documentation-Carefully and thoroughly reviews all pertinent information and forwards the file to the Special Investigations Unit (SIU) when there is reasonable cause.-Reviews and analyzes all information and submits request for payment of claims within company guidelines to supervisor.-Thoroughly documents injury and treatment information as well as bills received for treatment and payments issued.-Contacts medical providers and injured parties to verify medical provider information, treatment received, and billing status. Submits files to supervisor for audit upon closing.-Maintains current knowledge of claims settlement procedures, state regulation, and policy changes.-Includes completion of the formal claims training program, which may require overnight travel for at least 1 week. Qualifications Education: Minimum: • High School Diploma or GED• Completion of in-house training program• You may be required to obtain a Company sponsored Adjuster’s license to handle claims, to be secured upon hire Preferred: • Bachelor’s Degree Experience: Minimum: • At least 6 months of related experience • Or equivalent combination of education and experience Skills & Abilities: Minimum: • Solid comprehension of basic principles and practices of Company policies upon completion of formal and informal Claims Training.• Ability to exercise sound judgment when interacting with customers and claimants.• Requires extensive knowledge of medical terminology, and medical coding (CPT and ICD-10 coding).• Requires extensive knowledge of Personal Injury Protection coverage(s), applicable state statutes/regulations.• Has a passion for serving customers in their time of need.• Possesses advanced written and verbal communication skills to professionally represent the Company in multi-channel correspondence with internal and external customers.• Collaborates well with others. We are one team with a common goal.• Ability to build rapport utilizing emotional intelligence.• Views conflict resolution as an opportunity.• Has self-motivation and accountability while working remotely.• Demonstrated proficiency with MS Office products (Outlook, Word, Teams) and claims related software.• Must have dedicated workspace that is free from distractions. Preferred: • Critical attention to detail and strong organizational skills.• Demonstrates intellectual curiosity by seeking out efficiencies through process improvement or technology.• Takes ownership of any process they can improve.• Assumes positive intent in all interactions.• Seeks growth within and beyond this role. About the Company Why choose a career at Mercury? At Mercury, we have been guided by our purpose to help people reduce risk and overcome unexpected events for more than 60 years. We are one team with a common goal to help others. Everyone needs insurance and we can’t imagine a world without it. Our team will encourage you to grow, make time to have fun, and work together to make great things happen. We embrace the strengths and values of each team member. We believe in having diverse perspectives where everyone is included, to serve customers from all walks of life. We care about our people, and we mean it. We reward our talented professionals with a competitive salary, bonus potential, and a variety of benefits to help our team members reach their health, retirement, and professional goals. Learn more about us here: https://www.mercuryinsurance.com/about/careers Perks and Benefits We offer many great benefits, including: - Competitive compensation - Flexibility to work from anywhere in the United States for most positions - Paid time off (vacation time, sick time, 9 paid Company holidays, volunteer hours) - Incentive bonus programs (potential for holiday bonus, referral bonus, and performance-based bonus) - Medical, dental, vision, life, and pet insurance - 401 (k) retirement savings plan with company match - Engaging work environment - Promotional opportunities - Education assistance - Professional and personal development opportunities - Company recognition program - Health and wellbeing resources, including free mental wellbeing therapy/coaching sessions, child and eldercare resources, and more Mercury Insurance is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other characteristic protected by federal, state, or local law. Pay Range USD $44,466.00 - USD $77,881.00 /Yr.