Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions. At AZ Blue, we have a hybrid workforce strategy, called Workability, that offers flexibility with how and where employees work. Our positions are classified as hybrid, onsite or remote. While the majority of our employees are hybrid, the following classifications drive our current minimum onsite requirements: - Hybrid People Leaders: must reside in AZ, required to be onsite at least twice per week - Hybrid Individual Contributors: must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per week - Hybrid 2 (Operational Roles such as but not limited to: Customer Service, Claims Processors, and Correspondence positions): must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per month - Onsite: daily onsite requirement based on the essential functions of the job - Remote: not held to onsite requirements, however, leadership can request presence onsite for business reasons including but not limited to staff meetings, one-on-ones, training, and team building Please note that onsite requirements may change in the future, based on business need, and job responsibilities. Most employees should expect onsite requirements and at a minimum of once per week. This position is remote within the state of AZ only. This remote work opportunity requires residency, and work to be performed, within the State of Arizona. PRUPOSE OF THE JOB The Dental Benefit Examiner is responsible for data entry, review, and processing of dental prior authorization, retro-review requests, and referral requests. REQUIRED QUALIFICATIONS Required Work Experience - Two years of dental administrative/clinical experience required Required Education - High school degree or equivalent GED required Required Licenses - NA Required Certifications - NA PREFERRED QUALIFICATIONS Preferred Work Experience - Minimum one year of experience in a managed care organization or related healthcare delivery system Preferred Education - NA Preferred Licenses - NA Preferred Certifications - Dental assisting certification preferred ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES - Processes prior authorization requests and retro-reviews indicating final consultant or department determination, and securely inform providers of decisions - Processes referral requests in accordance with clinical review criteria - Answers incoming provider calls to research, and bring resolution to provider questions, problems, or concerns - Verifies eligibility for coverage of dental benefits to avoid duplication of services and duplication of billing - Works in conjunction with the dental director by recommending consultant review when appropriate medical-necessity authorization is necessary - Communicate with providers on member-related issues - The position has an onsite expectation of 0 days per week and requires a full-time work schedule. Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements. REQUIRED COMPETENCIES Required Job Skills - Dental administrative/clinical experience - Ability to read and interpret dental x-rays - Computer experience in Microsoft Excel, Word, Outlook Required Professional Competencies - Knowledge of Medicaid and Medicare regulations and guidelines - Knowledge of dental coding and terminology - Knowledge of HIPPA regulations Required Leadership Experience and Competencies - Effective time management skills - Effective interpersonal and communication skills - Ability to prioritize work tasks to adhere to deadlines and identified time frames - Ability to work cooperatively, positively, and collaboratively in a team environment PREFERRED COMPETENCIES Preferred Job Skills - NA Preferred Professional Competencies - NA Preferred Leadership Experience and Competencies - NA Our Commitment AZ Blue does not discriminate in hiring or employment on the basis of race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected group. Thank you for your interest in Blue Cross Blue Shield of Arizona. For more information on our company, see azblue.com. If interested in this position, please apply.

Description Liberty Mutual has an immediate opening for an Excess and Coverage Senior Technical Claims Specialist as part of our Excess, Coverage and Specialized Claims Unit. In this role, under moderate direction, you will handle a book of Commercial Casualty Excess/Umbrella and Specialized claims, throughout the entire claims life cycle. Excess claim types include, but are not limited to, premises liability, auto, products, mass torts, employers liability, environmental, and specialty claim across the United States for both Coverage A and Coverage B claims on admitted and non-admitted paper. Complex Excess claims experience needed to evaluate claims with significant financial exposure. Additionally, you will be responsible for conducting investigations, recommending adequate reserves, monitoring, documenting, assessing any risk transfer potential, and settling/closing claims in an expeditious and economical manner within prescribed authority limits for the line of business. There is a strong preference for the selected candidate to live within 50-mile radius of one of the listed hub offices: Boston, MA; Plano, TX; Suwanee, GA; Indianapolis, IN; Hoffman Estates, IL; Lake Oswego, OR; Las Vegas, NV, Chandler, AZ or Weatogue, CT. This policy is subject to change. We will consider a remote candidate if you do not live within 50-miles of one of these offices. The salary range posted reflects the range for the varying pay scale that encompasses each of the Liberty Mutual regions, and the overall cost of labor for that region. We are open to fill this position at a level based on candidate experience, and the target salary is $105,000 to 140,000, dependent on candidate experience. Responsibilities: - As the claims owner, determines coverage, investigates the claims, determines liability, sets and adjusts reserves, evaluates the claim, negotiates a settlement, authorizes and pays the claim; may deny claims. - Review lawsuit documentation and supporting documents, claims file, investigation, etc. Establish actions to be taken to resolve lawsuit. Includes determining loss coverage, amounts owed, discovery plans, setting reserves and negotiations. - Establish appropriate working team (Home Office Legal, Defense Counsel and Home Office Claims) based on allegations established in suit. - Responsible for managing the practices and billing activities of outside counsel. Accountable for security of financial processing of claims, as well as security information contained in claims files. - Trains and mentors staff as appropriate; manages relationships and acts as liaison with various business partners (e.g., Underwriting, Reinsurance, Etc.). - Keeps abreast of existing and proposed legislation, court decisions and trends and experience pertaining to specialty coverage issues. May analyze the impact upon claims policies and procedures and advises Claims Management so appropriate action can be taken where required. - Leads and participates in special projects and performs other duties as assigned. We are focusing on candidates who have: - Experience with Commercial Excess and Umbrella claims averaging $1-3 million or more required. - Excess claims experience with premises liability, employer's liability, environmental, auto, products liability, mass torts and other Commercial Casualty Claims experience. Qualifications - Bachelor’s degree and 5 to 7 years claims adjusting experience. - Advanced to expert knowledge of commercial casualty claims investigation, coverage, reserving, expense management, resolution strategy, negotiation, litigation management, claims evaluation as well as the insurance legal and regulatory environment. - Advanced to expert level of skill in the area of customer focus, gaining support, teamwork, and adaptability. - Expert ability to identify and solve problems, achieve results and execute thoroughly. - Demonstrated ability to work independently, mentor other employees, and serves as a subject matter expert as normally acquired through 7 or more years of experience. - Ability to adapt to work in multiple claim systems. - Experience with Commercial Excess and Umbrella claims averaging $1-3 million or more required. - Excess claims experience with Commercial General Liability, Premises Liability, Employers Liability, Environmental, Commercial Auto, Products Liability, mass torts and other Commercial Casualty Claims experience preferred. About UsPay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: https://LMI.co/Benefits Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices - California - Los Angeles Incorporated - Los Angeles Unincorporated - Philadelphia - San Francisco

Role Description This is not an internal HR role. You will not be recruiting for trainwell. Instead, you will act as a strategic recruiting partner for a portfolio of insurance agency clients across the country. You are joining after our Founding Recruiting Lead has established the initial framework. Your mission is to execute and scale that foundation—managing a high volume of open roles, delivering top-tier talent to agency owners, and helping refine the processes that will define our division’s success. What You’ll Do - Manage Full-Cycle Recruitment: Own the end-to-end recruiting process for a variety of roles, including Insurance Sales Producers, Account Managers, and hybrid customer service positions. You will not rely solely on job postings/inbound applications. - Client Partnership: Serve as the primary recruiting contact for agency owners. You will manage expectations, provide market insights, and guide them through the hiring process. - Candidate Evaluation: Screen candidates for cultural fit, sales aptitude, and technical insurance knowledge. Coordinate and help administer structured group interviews with agency owners. - Process Optimization: Work within and help improve our recruiting systems, documentation, and workflows. Track recruiting KPIs and placement metrics to ensure efficiency and quality. Qualifications - 2+ years of full-cycle recruiting experience, ideally in an agency setting or a high-volume corporate environment. - Experience recruiting for sales or insurance roles is a strong plus. Requirements - Organized and metrics-minded. - Comfortable communicating with business owners and holding them accountable to timelines and hiring standards. - Ability to push back professionally when necessary. - Thrives with minimal oversight; a self-starter who can manage multiple open roles across different time zones without needing daily direction. - Excited by the prospect of helping to refine and scale a new division. - Always looking for ways to make the process better. Benefits - Base Salary - Commission per successful placement - Performance Bonuses - Health Insurance - 401k with match & Roth 401k - PTO, Life Insurance, Disability Insurance

Want more ownership and faster growth than your current role offers? We’re looking for a Recoveries Specialist to join ClaimSorted. This role is ideal for: - an experienced specialist who wants real ownership in a high-growth environment - a senior handler ready to specialise and build a function from scratch We are not looking for tenure for the sake of it. We are looking for people with talent, ambition, work ethic, and the drive to build a real career. If you join us, we will give you the training and support to become the best specialist possible - from people management to performance management, data, quality, and capacity planning. Our goal is to help you become one of the best claims leaders of the future. About ClaimSorted ClaimSorted is a Third-Party Administrator (TPA) that manages insurance claims end to end on behalf of insurers, in a ~$200B industry. We combine a high-performing claims team with an AI-enabled platform to deliver claims up to 3x faster, with better service and better economics for insurers. We’re backed by Y Combinator, Atomico, and Eurazeo, have raised $16M+, and already manage claims for 30+ insurers across more than $200M in insurance premiums. What you’ll do - Own your specialist function end to end with high autonomy - Investigate, build cases, and drive outcomes across the claims portfolio - Develop and improve processes, templates, and workflows as the function scales - Coach claims handlers on identifying relevant opportunities at the point of claim - Track and report on performance metrics for your function - Attend client meetings as a domain expert in your specialism - Maintain accurate records for audit, compliance, and client reporting What we’re looking for - Based in the United States with work authorisation - 2+ years of experience in insurance recoveries, subrogation, or a related function - Strong organisation and ability to prioritise independently - Comfortable using data to make decisions - Team-oriented, hardworking, and ambitious - Experience leading, mentoring, or coaching others is a plus - Startup or high-growth experience is a plus Why join us This is a chance to grow faster than you would at a traditional insurer or claims business. You’ll get real responsibility, real training, and the opportunity to build your career in a high-performance environment that rewards talent and hard work. If you’re ready to step up, work hard, and build a specialist career in claims, we’d love to hear from you. Our Values - Move Fast – Act decisively, iterate quickly, optimise for momentum. - Always Overdeliver – We exceed expectations in everything we do. - Think Customer-First, Always – The customer experience drives every decision. - Challenge the Status Quo – We innovate relentlessly and never settle for ‘good enough.’ - Say It How It Is – Transparency and direct communication build trust. Compensation & Benefits - Competitive salary beyond the industry standard - Quarterly performance bonus: up to 15% of quarterly salary - Equity participation: stock options as an early-stage team member - Medical insurance - 401(k) with 5% company match - Paid time off - Accelerated promotion track in a high-growth environment