At WelbeHealth, we serve our communities’ most vulnerable seniors through shared intention, pioneering spirit, and the courage to love. These core values and our participant-focus lead the way no matter what. The Claims Processing Supervisor is accountable for developing and overseeing claims processing to ensure compliance with contractual and regulatory requirements as it relates to the accurate and timely adjudication of clean, corrected, and correspondence claims. This role is different because the Claims Processing Supervisor at WelbeHealth: - Operates within a highly collaborative, mission-driven PACE model, partnering cross-functionally with clinical, finance, compliance, and operations teams to directly impact participant care and provider experience - Plays a key role in shaping claims strategy and compliance in a complex, highly regulated Medicare and Medicaid environment, with visibility to leadership and influence on organizational outcomes We care about our team members. That’s why we offer: - Medical insurance coverage (Medical, Dental, Vision) - Work/life balance - We mean it! 17 days of personal time off (PTO), 12 holidays observed annually, and 6 sick days - 401K savings + match - Comprehensive compensation package including base pay and bonus - And additional benefits! On the day-to-day, you will: - Manage the team’s daily activities and performance related to claims processing KPIs - Develop and utilize monitoring functions to oversee provider inquiries, claims, and recovery disputes to ensure proper documentation and resolution - Collaborate with internal stakeholders on findings, remediation, and reporting, as well as make recommendations related to identified trends or improvements, working with management and staff in other departments to implement changes - Create and update team procedures, workflows, and resource materials - Serve as the primary resource and point of escalation for claims processing related issues - Provide direct supervision, support, and guidance to team members, as well as identify training gaps and opportunities for improved performance - Evaluate team member performance and provide feedback, coaching, and counseling when performance issues arise Job requirements include: - Associate’s degree preferred; relevant professional experience in a health plan environment with an emphasis on billing, claims payment, coding, or other closely related functions may be substituted - Minimum of two (2) years of experience in health plans (managed care or PACE strongly preferred) - Minimum of two (2) years of supervisory experience with the demonstrated ability to mentor team members in a claims processing environment is required - Working knowledge in Medicare or Medicaid billing and guidelines, with the ability to understand and analyze contractual and regulatory requirements and their effect on claims payment and resolutions is required - Comprehensive knowledge of claims processing and regulations, strong problem-solving skills, and the ability to analyze problems and formulate solutions - Experience leading in a data-driven organization, leveraging reports and data to prioritize and manage people and projects We’re seeking a Claims Processing Supervisor that ideally has experience leading claims operations within a managed care, Medicare, Medicaid, or PACE environment, with a strong focus on compliance, process improvement, and team development. If you’re ready to join a team that values both its participants and team members, we’d love to hear from you! Salary/Wage base range for this role is $82,074 - $108,337 / year + Bonus. WelbeHealth offers competitive total rewards package that includes, 401k match, healthcare coverage and a broad range of other benefits. Actual pay will be adjusted based on experience and other qualifications. Compensation $82,074—$108,337 USD COVID-19 Vaccination Policy At WelbeHealth, our mission is to unlock the full potential of our vulnerable seniors. In this spirit, please note that we have a vaccination policy for all our employees and proof of vaccination, or a vaccine declination form will be required prior to employment. WelbeHealth maintains required infection control and PPE standards and has requirements relevant to all team members regarding vaccinations. Our Commitment to Diversity, Equity and Inclusion At WelbeHealth, we embrace and cherish the diversity of our team members, and we're committed to building a culture of inclusion and belonging. We're proud to be an equal opportunity employer. People seeking employment at WelbeHealth are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information or characteristics (or those of a family member), pregnancy or other status protected by applicable law. Beware of Scams Please ensure your application is being submitted through a WelbeHealth sponsored site only. Our emails will come from @welbehealth.com email addresses. You will never be asked to purchase your own employment equipment. You can report suspected scam activity to fraud.report@welbehealth.com

Help us change lives At Exact Sciences, we’re helping change how the world prevents, detects and guides treatment for cancer. We give patients and clinicians the clarity needed to make confident decisions when they matter most. Join our team to find a purpose-driven career, an inclusive culture, and robust benefits to support your life while you’re working to help others. Position Overview The Revenue Cycle Coverage and Claims Associate I will be responsible for the accurate and timely work of filing insurance claims for Exact Sciences. This role will demonstrate medical insurance knowledge by determining initial and/or ongoing eligibility, coverage, and related insurance reimbursement order details, including commercial, government, and all various plan coverage. This role will identify order and reimbursement deficiencies, route orders for appropriate actioning, and document actions taken within the systems for claims lifecycle tracking. This role will also support the broader activities of ensuring appropriate coverage by utilizing Epic, external portals, and other software, and communicate insurance information to ancillary departments and other teams within the reimbursement operations departments. This position is remote. Essential Duties Include, but are not limited to, the following: - Maintain confidentiality and adhere to all HIPAA guidelines/regulations. - Determine initial or ongoing patient insurance eligibility verification for all claims, including commercial and government insurance to the plan coverage and product level. - Investigate and correct accounts within Epic and other systems/tools, including updates to patient demographics, financial information, and guarantor information. - Interact with various insurances/third party payors accurately and timely to ensure authorization is obtained and documented based on internal and external policies and regulations. - Research missing or erroneous information on accounts using various portals and other resources, including outreach and identification of unknown payors. - Stay current with relevant medical billing regulations, rules, and guidelines. - Provide ad-hoc support within the department for special projects and outages/high volume events. - Complete position responsibilities within the appropriate time frame while adhering to quality standards. - Ability to communicate effectively with all levels of staff through both verbal and written communications. - Ability to work in a team environment and adapt to changing workload and circumstances effectively; able to respond to new information quickly. - Ability to act in a professional manner in all interactions with members of the Exact Sciences clinical laboratory team, clients, and associates. - Ability to work with others in a spirit of teamwork and cooperation. - Excellent problem-solving abilities and organizational skills. - Disciplined, self-motivated and reliable; able to stay focused on a task and work independently; motivated to perform quality work; diligent about arriving to work on time and completing tasks that are assigned in a timely manner. - Possess a positive attitude. - Ensure compliance with all Company procedures and guidelines; including, but not limited to, Code of Business Conduct and Ethics. - Uphold company mission and values through accountability, innovation, integrity, quality, and teamwork. - Support and comply with the company’s Quality Management System policies and procedures. - Maintain regular and reliable attendance. - Ability to act with an inclusion mindset and model these behaviors for the organization. - Ability to work designated schedule. - Ability to work overtime, as needed. - Ability to work in front of a computer screen and/or perform typing for approximately 90% of a typical working day. - You will be required to successfully complete an assessment showing understanding of Exact Sciences Epic processes necessary to the job functions with a score of 80% or higher. Exact Sciences will make a reasonable accommodation available, if necessary, to assist an employee with a disability to satisfy this requirement. Minimum Qualifications - High School Diploma or General Education Degree (GED). - 3+ months of experience in any healthcare field. - Strong knowledge of order management, insurance claims procedures, electronic health record (EHR) operating systems. - Basic knowledge of medical terminology and/or health insurance terms. - Demonstrated strong attention to detail and focus on quality output. - Proficient with electronic health records. - Proficient in Microsoft Office programs, such as Word and Outlook. - Demonstrated ability to perform the essential duties of the position with or without accommodation. - Authorization to work in the United States without sponsorship. Preferred Qualifications - Associates Degree in field as outlined in the essential duties. - 1+ years of experience in the medical or insurance billing field. - Experience in revenue cycle platform applications. - Medical billing certification. #LI-AT1 $35,000-$57,000 Salary Range: $35,000.00 - $57,000.00 The annual base salary shown is for this position located in US - WI - Madison on a full-time basis. In addition, this position is bonus eligible. Exact Sciences is proud to offer an employee experience that includes paid time off (including days for vacation, holidays, volunteering, and personal time), paid leave for parents and caregivers, a retirement savings plan, wellness support, and health benefits including medical, prescription drug, dental, and vision coverage. Learn more about our benefits. Our success relies on the experiences and perspectives of a diverse team, and Exact Sciences fosters a culture where all employees can develop personally and professionally with a sense of respect and belonging. If you require an accommodation, please contact us here. Not ready to apply? Join our Talent Community to stay updated on the latest news and opportunities at Exact Sciences. We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to disability, protected veteran status, and any other status protected by applicable local, state, or federal law. To view the Right to Work, E-Verify Employer, and Pay Transparency notices and Federal, Federal Contractor, and State employment law posters, visit our compliance hub. The documents summarize important details of the law and provide key points that you have a right to know.

• Create or audit estimates of damages on 1st and 3rd party material damage losses • Train, mentor, and control quality on material damage claims • Ensure accurate evaluations and appropriate claim dispositions

Role Description We are currently recruiting for Catastrophe Adjusters to join our WorkForce Advantage team in Canada. The successful candidate will: - Investigate, evaluate, negotiate and settle Property Catastrophe (CAT) claims by telephone and correspondence. - Work effectively with insureds, adjusters, clients and more. - Provide excellent customer service. - Ensure accurate recording, reporting, and presentation of files. As part of the Workforce Advantage team, you would be on our roster to be contacted and placed on a contract with our clients based on availability and fit. You would be an employee of Crawford & Co. but would be working at other insurance company offices/sites (remotely). The role would be a contract position typically 3-12 months in length with the possibility of the contract being extended or being offered a permanent position with the client in the end. The salary range is $65,000 to $80,000 annually. Qualifications - Ability to investigate and evaluate claims. - Strong negotiation skills. - Excellent customer service skills. - Effective communication skills. Requirements - Experience in handling Property Catastrophe claims. - Ability to work remotely and independently. - Flexibility to be contacted for contract opportunities. Benefits - Competitive salary range of $65,000 to $80,000 annually. - Opportunity for contract extension or permanent position.