• Prepare, review, and submit hospital and RHC claims to commercial insurance carriers. • Ensure correct use of CPT, HCPCS, ICD-10, revenue codes, modifiers, and RHC-specific billing requirements. • Verify charges, units, dates of service, provider credentials, and place of service. • Analyze and resolve billing denials, rejections, and underpayments. • Identify root causes of denials (coding, authorization, eligibility, medical necessity, bundling, timely filing, etc.). • Conduct timely follow-up with payers on unpaid, underpaid, or delayed claims. • Communicate with insurance representatives to obtain claim status and resolution. • Ensure compliance with payer guidelines, hospital policies, and RHC billing regulations. • Work closely with coding, registration, authorization, and clinical staff to resolve billing issues.

• Analyzes and processes complex or technically difficult professional liability claims by investigating and gathering information to determine the exposure on the claim • Manages claims through well-developed action plans to an appropriate and timely resolution • Conducts or assigns full investigation and provides report of investigation pertaining to new events, claims and legal actions • Negotiates claim settlement up to designated authority level • Calculates and assigns timely and appropriate reserves to claims; monitors reserve adequacy throughout claim life • Recommends settlement strategies; brings structured settlement proposals as necessary to maximize settlement • Coordinates legal defense by assigning attorney, coordinating support for investigation, and reviewing attorney invoices; monitors counsel for compliance with client guidelines • Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall claim cost for our clients • Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case management opportunities to reduce total claim cost • Represents Company in depositions, mediations, and trial monitoring as needed • Communicates claim activity and processing with the client; maintains professional client relationships • Ensures claim files are properly documented and claims coding is correct • Refers cases as appropriate to supervisor and management • Delegates work and mentors assigned staff

Division or Field Office: Casualty Claims Division Department of Position: Commercial Gen Liability Dept Work from: Remote Salary Range: $79,191.00 - $126,500.00 * salary range is for this level and may vary based on actual level of role hired for *This range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location (State) based on ERIE's geographical differences, and experience of an applicant, as well as level of role for which the successful candidate is hired. Position may be eligible for an annual bonus payment. At Erie Insurance, you’re not just part of a Fortune 500 company; you’re also a valued member of a diverse and inclusive team that includes more than 6,000 employees and over 13,000 independent agencies. Our Employees work in the Home Office complex located in Erie, PA, and in our Field Offices that span 12 states and the District of Columbia. Benefits That Go Beyond The Basics We strive to be Above all in Service® to our customers—and to our employees. That’s why Erie Insurance offers you an exceptional benefits package, including: - Premier health, prescription, dental, and vision benefits for you and your dependents. Coverage begins your first day of work. - Low contributions to medical and prescription premiums. We currently pay up to 97% of employees’ monthly premium costs. - Pension. We are one of only 13 Fortune 500 companies to offer a traditional pension plan. Full-time employees are vested after five years of service. - 401(k) with up to 4% contribution match. The 401(k) is offered in addition to the pension. - Paid time off. Paid vacation, personal days, sick days, bereavement days and parental leave. - Career development. Including a tuition reimbursement program for higher education and industry designations. Additional benefits that include company-paid basic life insurance; short-and long-term disability insurance; orthodontic coverage for children and adults; adoption assistance; fertility and infertility coverage; well-being programs; paid volunteer hours for service to your community; and dollar-for-dollar matching of your charitable gifts each year. Position Summary Exercises independent discretion in handling complex and/or high exposure commercial liability claims and commercial litigation. - This is a work from home position. - The candidate can work anywhere within Erie's Footprint. - The successful candidate will have the licenses required for KY at the time of hire or within 45 days if external and 60 days if an internal hire. Other state license requirements to be secured as the business need arises. - The successful candidate will handle claims in the SE region, specifically KY and TN. Duties and Responsibilities - Conducts investigations, evaluates and makes recommendations regarding coverage, liability, and resolution strategies. - Handles or assists in handling of litigated claims as directed. Makes recommendations regarding litigation as appropriate. - Responds to complaints and inquiries and resolves issues. - Selects and directs outside experts, and vendors. - Trains and mentors less experienced staff. - Completes required training. The first three duties listed are the functions identified as essential to the job. Essential functions are those job duties that must be performed in order for the job to be accomplished. This position description in no way states or implies that these are the only duties to be performed by the incumbent. Employees are required to follow any other job-related instruction and to perform any other duties as requested by their supervisor, or as become evident. Capabilities - Values Diversity - Nimble Learning - Self-Development - Information Management Skills - Collaborates - Customer Focus - Job-Specific Knowledge - Cultivates Innovation - Optimizes Work Processes (IC) - Instills Trust - Ensures Accountability - Decision Quality Qualifications Minimum Educational Requirements - High school diploma or GED required. - Associates or bachelors degree preferred. Additional Experience - Five years' previous claims handling experience or equivalent experience in the legal field required. - Travel for training may be required. Designations and/or Licenses - Completion of Associate in Claims (AIC) program preferred. - Commercial, Property, Casualty, Underwriter (CPCU) designation preferred. - Appropriate license as required by state. - Valid driver's license and good driving record required. Physical Requirements - Use of Personal Protective Equipment (PPE) is required for this role. - Ability to move over 50 lbs using lifting aide equipment; Occasional (<20%) - Climbing/accessing heights; Rarely - Driving; Occasional (<20%) - Lifting/Moving 0-20 lbs; Occasional (<20%) - Lifting/Moving 20-50 lbs; Occasional (<20%) - Manual Keying/Data Entry/inputting information/computer use; Often (20-50%) - Pushing/Pulling/moving objects, equipment with wheels; Occasional (<20%)

Introduction At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it’s our purpose. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people’s lives. It takes empathy, precision, and a strong sense of partnership—and that’s exactly what you’ll find here. We’re a team of fast-paced fixers, empathetic experts, and outcomes drivers — people who care deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals move forward with confidence. Here, you’ll be supported by a culture that values teamwork, encourages curiosity, and celebrates the impact of your work. Because when you’re here, you’re part of something bigger. You’re part of a team that shows up, stands together, and leads with purpose. Overview About the INVEST Program Are you a recent college graduate looking for a long-term, stable, innovative and exciting career that helps make a meaningful difference and supports people through challenges? The Emerging Talent INVEST Program (ETIP) – Guardian Pathway is a 6-month paid, fully remote, entry-level immersive learning experience, designed for recent college graduates to gain real-world exposure, personalized coaching and mentorship and a clear, long-term career path in one of U.S. best industries. Program Highlights - 6-months, paid, fully remote learning track - Virtual classroom, peer shadowing, simulations, case studies, and hands-on experience - Fully remote (candidates must physically reside in states specified although the role is remote) - Interactive sessions, one-on-one mentorship, collaborative projects, exposure to wide variety of industries, clients, and knowledge material - Fully paid licensing and advance education opportunities - Career progression post-graduation into claims resolution manager roles and beyond How you'll make an impact What will you do? Over the course of this 6-month program you will be partnered with a team of peers and experienced Training Specialists that will create a supportive learning environment designed to position you for successful program completion. You will alternate between self-study modules, virtual classroom-style learning, guided training modules, and hands-on application of the knowledge gained. Over the course of the program, you will progressively increase your hands-on experience to immerse yourself into the world of claims management and client service excellence under the mentorship of the program mentors and training leaders. The program is designed to offer consistent and repeated opportunities to develop, grow and practice your knowledge, advance your education via licensing studies, and help you gain confidence in the unique and highly specialized field of commercial claims handling for world’s largest employers and insurance carriers. What can you expect? - Participate in Structured Learning: Actively engage in the first phase of the INVEST Program, which includes instructor-led sessions, online modules, job shadowing, and mentorship focused on foundational insurance knowledge, claims operations, and state-specific workers’ compensation regulations. - Shadow Claims Experts: Observe experienced claims professionals and learn best practices in managing lost time (indemnity) workers’ compensation claims. - Practice in a Simulated Environment ("Sandbox"): Apply newly learned concepts in a controlled, simulated claims environment designed to mimic real-world scenarios. The sandbox allows colleagues to practice making decisions, inputting data, and managing mock claims without risk, helping build confidence before handling actual cases. - Complete Program Milestones: Achieve key learning objectives and performance checkpoints as you build technical knowledge and professional skills essential for a successful claims career. - Collaborate and Network: Engage with peers, mentors, and cross-functional teams to deepen understanding of the claims process and build professional relationships within the organization. - Gradual Claim Ownership: Begin handling new workers’ compensation claims starting in Week 3 of the program. Claim assignments will begin at an incremental, supportive pace, with inventory gradually increasing as confidence and competency develop. - Support Claims Management: Take ownership of an evolving portfolio of indemnity claims under close supervision. Begin applying program training to real-world scenarios, including benefit calculations, wage loss evaluations, and return-to-work considerations. - Claims Analysis and Learning: Continue developing skills in analyzing medical documentation, regulatory guidelines, state-specific regulations, and supplemental case materials to determine claim strategy, financial exposure and potential next steps. - Stakeholder Communication: Engage in professional communication and strategy development with clients; provide support and empathy to the injured employees; secure key details from medical providers and other key stakeholders to support collaborative, outcome-focused, and empathetic claims handling. - Client Service Instructions & Carrier Guidelines: Learn how to interpret and apply client service instructions and carrier guidelines to ensure claims are handled in compliance with expectations. This includes understanding unique requirements for documentation, communication, and jurisdictional standards across our diverse client base. - Reserving Acumen: Build core skills in setting and adjusting reserves by analyzing claim details, medical data, and potential outcomes. You’ll learn how accurate reserving supports financial stewardship and impacts overall claim strategy. About You Education: Bachelor’s degree or 4-year degree from an accredited institution preferred. Candidates possessing a Bachelor’s degree will receive preferential treatment. Others with proven experience will be considered. Attributes: - Active listening skills - Problem-solving mindset - Adaptable to changes in procedures and technology - Computer literacy, including strong familiarity with M365 products (e.g. Outlook, Word, and basic Excel and PPT) - Strong verbal and written communication skills - Strong time management and ability to multi-task - Detail-oriented - Curious, learning-focused mindset #GBTopJob #remote #LI-MD3 #INVEST Compensation and benefits We offer a competitive and comprehensive compensation package. The base salary range represents the anticipated low end and high end of the range for this position. The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. On top of a competitive salary, great teams and exciting career opportunities, we also offer a wide range of benefits. Below are the minimum core benefits you’ll get, depending on your job level these benefits may improve: - Medical/dental/vision plans, which start from day one! - Life and accident insurance - 401(K) and Roth options - Tax-advantaged accounts (HSA, FSA) - Educational expense reimbursement - Paid parental leave Other benefits include: - Digital mental health services (Talkspace) - Flexible work hours (availability varies by office and job function) - Training programs - Gallagher Thrive program – elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing - Charitable matching gift program - And more... **The benefits summary above applies to fulltime positions. If you are not applying for a fulltime position, details about benefits will be provided during the selection process. We value inclusion and diversity Click Here to review our U.S. Eligibility Requirements Inclusion and diversity (I&D) is a core part of our business, and it’s embedded into the fabric of our organization. For more than 95 years, Gallagher has led with a commitment to sustainability and to support the communities where we live and work. Gallagher embraces our employees’ diverse identities, experiences and talents, allowing us to better serve our clients and communities. We see inclusion as a conscious commitment and diversity as a vital strength. By embracing diversity in all its forms, we live out The Gallagher Way to its fullest. Gallagher believes that all persons are entitled to equal employment opportunity and prohibits any form of discrimination by its managers, employees, vendors or customers based on race, color, religion, creed, gender (including pregnancy status), sexual orientation, gender identity (which includes transgender and other gender non-conforming individuals), gender expression, hair expression, marital status, parental status, age, national origin, ancestry, disability, medical condition, genetic information, veteran or military status, citizenship status, or any other characteristic protected (herein referred to as “protected characteristics”) by applicable federal, state, or local laws. Equal employment opportunity will be extended in all aspects of the employer-employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination. In addition, Gallagher will make reasonable accommodations to known physical or mental limitations of an otherwise qualified person with a disability, unless the accommodation would impose an undue hardship on the operation of our business.