• Complete field inspections, reviews and adjustments accurately and efficiently to administer crop insurance policies. • Ensure compliance with insurance statutes and regulations to apply crop policies cost-effectively. • Build and maintain customer relationships through timely and accurate policy service. • Document and transmit loss information accurately to assess potential damages. • Support business objectives through quality control tasks, audits, and risk assessments. • Contribute to a positive work environment by demonstrating cultural expectations and influencing others positively.

• Serve as the main point of contact for clients, providing guidance and updates throughout the claims process • Review and submit claims documentation to insurance carriers, ensuring completeness and accuracy • Liaise with adjusters, carriers, and third-party vendors to track claim progress and advocate for clients • Follow up on open claims, ensuring timely movement and resolution • Interpret policy coverage and explain claim outcomes to clients in a clear, professional manner • Maintain detailed and accurate records in agency management systems • Assist clients with gathering required documentation such as incident reports, photos, and estimates • Identify potential coverage issues and escalate complex claims to senior team members • Ensure compliance with U.S. insurance regulations and internal procedures • Support reporting on claims status, trends, and performance metrics

Appeals Professional III (APIII) Overview: J29 is an employee centered healthcare management consulting company that specializes in processing, reviewing, and analyzing medical claims, records, disputes, and audits. Established in 2017, J29 prides itself on its employee centric culture and high employee retention rates that allow us to ensure that we are creating a working environment that prioritizes the employee experience. Our team brings corporate performance that stretches to various areas where we can provide our clinical, healthcare policy, and compliance expertise through our support to health and human service programs at the State, Federal, and Commercial levels. Position Purpose Performs complex (senior-level) work. Provides dissatisfied parties to a Medicare appeal the opportunity to present documentation to demonstrate why an appeal should be allowed. Provides an independent second level determination based on the documentation, facts, laws, regulations, and guidelines. Works under general supervision, with moderate latitude for the use of initiative and independent judgment. Essential Responsibilities - Reviews medical records/case file, writes a reconsideration decision letter that is clear, concise, and impartial and supports the determination made, and documents review. - Makes sound, independent decisions based on medical evidence in accordance with statutes, regulation, rulings, and policy. - Responds to and ensures that all appeal issues raised by the beneficiary/patient, representative, and provider/supplier have been addressed. - Provides a fair and impartial decision based on current evidence, regulations, policies, and procedures. - Conducts research using online federal regulations, contract policy, standards of medical practice, contract manuals, coverage issues manuals, medical literature, and other related resources to complete an accurate and well-supported decision. - Stays abreast of changes in regulations, medical and healthcare practices, policies and procedures. - Participates in case specific verbal discussions. - Conducts reviews of appeals/disputes with multiple beneficiaries/services in one case. - Plans responses to statistical analysis challenges with assistance from statisticians. - Attends meetings and participates in workgroups at the direction of management. - Conducts quality reviews, as needed. - Serves as a subject matter expert. - Mentors and/or trains staff. - May conduct quality reviews and audits. - Participates in special projects and performs other duties as assigned. Minimum Qualifications Education - - Associate's degree or 60 or more credit hours towards a Bachelor’s degree from an accredited college or university in healthcare or related discipline Additional experience in Medicare appeals, medical review, clinical, or other related experience in a healthcare setting may be substituted for Associate’s degree on a year per year basis. (Experience requirements may be satisfied by full-time experience or the prorated part-time equivalent.) Experience - - Three (3) years of medical dispute resolution or Medicare appeals, medical review, clinical, or related experience in a healthcare setting - Healthcare Professional with Nursing, Physical Therapy, Respiratory Therapy or Occupational Therapy experience - Demonstrated experience writing or making medical necessity decisions - Experience directly relevant to Medicare managed care appeals or utilization management activities, preferred - Resided in the United States for a minimum of three (3) years out of the last five (5) years? (Per Contract Requirement) Knowledge, Skills and Abilities Considerable knowledge of - Research techniques - Medical terminology - Medicare program, including coverage and payment rules - Medicare regulations, claims administration, and medical review processes - Applicable laws, rules and regulations Expert skill in - Preparing correspondence/documents using correct spelling, grammar and punctuation; proofreading and reviewing documents for clarity and consistency - Researching, analyzing and interpreting policies and state and federal laws and regulations Proficient skill in - Prioritizing and organizing work assignments - The use of personal computers and applicable programs, applications and systems Ability to - Multitask and meet deadlines - Exercise logic and reasoning to define problems, establish facts and draw valid conclusions - Make decisions that support business objectives and goals - Identify and resolve problems or refer issues appropriately - Communicate effectively verbally and in writing - Adapt to the needs of internal and external customers - Show integrity and ethical behavior; respect confidentiality, business ethics and organizational standards - Assures compliance with company policies, procedures, and guidelines including cybersecurity, regulatory, contractual and accreditation entities J29, Inc. is committed to hiring and retaining a diverse workforce. We are proud to be an Equal Opportunity/Affirmative Action Employer, making decisions without regard to race, color, religion, creed, sex, sexual orientation, gender identity, marital status, national origin, age, veteran status, disability, or any other protected class. J29, Inc. is a proud Veteran friendly employer.

Ready to grow your claims career faster than the traditional industry allows? We’re looking for a Auto Claims Handler to join ClaimSorted. This role is ideal for: - a Claims Handler who wants to build their career at a company that rewards performance, not tenure - someone with 6+ months of claims experience who is hungry to learn and grow fast 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 Claims Handler 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 - Handle claims end to end: from first notification of loss through to settlement - Communicate with policyholders throughout the claims journey, ensuring a clear and positive experience - Review documentation, verify coverage, and assess liability accurately - Set appropriate reserves and manage claims within your authority - Identify potential fraud indicators and escalate appropriately - Maintain accurate and thorough claims records for audit and compliance - Contribute to continuous improvement by flagging process inefficiencies What we’re looking for - Based in the United States with work authorisation - 6+ months of auto claims experience (personal or commercial lines) - 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 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