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Insurance Specialist
Location
California
Posted
77 days ago
Salary
$18 - $21 / hour
Seniority
Mid Level
Job Description
Insurance Specialist
Meduit | Driving Revenue Cycle Performance
• Reduce outstanding accounts receivable by managing claims inventory • Speak to patients and insurance companies in a professional manner regarding their outstanding balances • Gather information from patients, clients/family members, client clinical areas, government agencies, employers, third party payors and/or medical payment programs, etc. • Request, input, verify, and modify patient’s demographic, primary care provider, and payor information • Provide excellent customer service and timely response to questions and issues related to benefits, billing, claims, payments, etc. • Utilize various databases and specialized computer software for revenue cycle activities • Explain charges, answer questions, and communicate policies regarding patient financial care services
Job Requirements
- High School Diploma/GED
- 2+ years of Denials Management experience
- 2+ years Medical Billing/Follow-up experience
- Medicare, Medicaid, and commercial payor experience
- Proficiency with PC-based applications (Microsoft Outlook, Word, and Excel)
- Download speed of 30MB or higher & upload speed of 10MB or higher are REQUIRED.
- Access to a Secure and Private workspace
Benefits
- Comprehensive paid training
- Medical, dental, and vision insurance
- HSA and FSA available
- 401(k) with company match
- Paid Wellness Time and Holidays
- Employer paid life insurance and long-term disability
- Internal growth opportunities
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Role Description This is a career for people who want: - Unlimited Income potential. - Ownership of their book of business. - Leadership and team-building opportunities. - A chance to make a real impact for families. - Flexibility. We're directly responsible for handling asset protection and Insurance benefit options for: - Local, regional, and various organizations. - Police departments. - School boards of education officials. - Multiple Government agencies at the local and state level. No Cold Calling. Our ideal candidate will embrace the opportunity to drive sales among existing clients and new clients through a mix of: - Networking. - Referrals. - PR marketing strategies. - Social media platforms. Company Description
Hourly Casualty Adjuster
SedgwickSedgwick, headquartered in Memphis, Tennessee, provides a global clientele with technology-enabled risk and benefits solutions. Distinguished as an Employer of
By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Hourly Casualty Adjuster PRIMARY PURPOSE: To manage claim caseload of basic to highly complex claims within granted authority level including related financial implications, along with financial implications and to mentor Account Representatives and Account Specialists. ESSENTIAL FUNCTIONS and RESPONSIBILITIES - Utilizes special account instructions to obtain individual customer information and adhere to instructions; identifies, initiates, and coordinates various specialized services such as subrogation, fraud evaluation or case management review to resolve claims. - Establishes and maintains effective relationship with internal and external customers and coworkers; communicates effectively and timely. - Mentors/coaches account representatives and account specialists; facilitates round table discussions within the assigned team. - Investigates, evaluates and resolves claims; identifies potential problems/trends in claim files and takes corrective action or makes corrective recommendations; interprets medical reports and state law or jurisdictional law in claim handling. - Applies jurisdictional and medical knowledge to properly assess the indemnity, medical and expense exposure of assigned claims and appropriately interprets and applies insurance coverage. - Reviews client files and collaborates with team to prepare information which includes thorough analysis of file strategies, claims status and emerging trends. - Proactively manages litigation in conjunction with client requirements; works constructively with client and legal representatives to resolve claims. - Ensures compliance and best possible outcomes by minimizing financial liability. - Compiles requirements in order to prevent penalties and fines; utilizes instructions and tools provided to ensure that all state required documentation is issued accurately and in timely manner in accordance with specific jurisdictional timeframes and guidelines. - Monitors reports as assigned and documents compliance with key jurisdictional requirements (i.e. EDI, timeliness of benefit payments, etc.); assists Team Lead in tracking completion of team’s tasks and projects; reviews SAS/SOX documents and submits in timely manner; and assists with takeover and reverse takeover projects ensuring that claim files are transferred and handled appropriately. ADDITIONAL FUNCTIONS and RESPONSIBILITIES - Performs other duties as assigned. - Supports the organization's quality program(s). QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. State adjuster licenses required. Experience Six (6) years of related experience and/or training or equivalent combination of education and experience required. Skills & Knowledge - Thorough legal and jurisdictional knowledge based on line of business - Strong oral and written communication, including presentation skills - PC literate, including Microsoft Office products - Analytical and interpretive skills - Strong organizational skills - Excellent interpersonal skills - Strong customer service skills - Ability to work in a team environment - Ability to meet or exceed Performance Competencies WORK ENVIRONMENT When applicable and appropriate, consideration will be given to reasonable accommodations. Mental: Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines Physical: Computer keyboarding, travel as required Auditory/Visual: Hearing, vision and talking The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.
Primary Casualty Adjuster
SedgwickSedgwick, headquartered in Memphis, Tennessee, provides a global clientele with technology-enabled risk and benefits solutions. Distinguished as an Employer of
By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Primary Casualty Adjuster PRIMARY PURPOSE: Provides exceptional service to policyholders and clients by handling Auto and Homeowner liability claims. These claims require detailed coverage evaluations, liability investigations, and prompt and accurate claim resolution, ensuring that the policyholders and clients receive the highest level of support for these specific claims. ESSENTIAL FUNCTIONS and RESPONSIBILITIES - Investigates, evaluates, and resolves Auto liability Bodily Injury claims and Homeowner liability claims (PD and BI) - Analyzes coverage and makes appropriate coverage determinations - Analyzes liability and evaluates damages in order to resolve claims - Corresponds with and/or interviews policyholders, claimants, witnesses, etc. to gather important information and makes decisions based upon the information - Delivers an exceptional level of customer service throughout the entire claims process - Evaluates coverage and drafts coverage letters to include both reservations of rights and coverage denials - Maintains proper reserves on all pending claims at all times - Works independently within authority limits ADDITIONAL FUNCTIONS and RESPONSIBILITIES - Performs other duties as assigned. - Travel as required QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. State mandated adjusting licenses as required. Insurance designations such as CPCU, AIC, ARM preferred. Experience Six (6) years of related experience or equivalent combination of education and experience required. Experience with agency/broker distribution relationships in a high-net-worth market and cross-training in other functional insurance disciplines (underwriting, customer service, marketing, actuarial and finance, product development, etc.) preferred. Skills & Knowledge - Strong technical knowledge and coverage analysis skills - Excellent oral and written communication skills, including presentation skills - PC literate, including Microsoft Office products - Analytical and interpretive skills - Strong organizational skills - Excellent interpersonal skills - Excellent negotiating skills - Ability to create and complete comprehensive, accurate and constructive written reports - Ability to work in a team environment - Ability to meet or exceed Performance Competencies WORK ENVIRONMENT When applicable and appropriate, consideration will be given to reasonable accommodations. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines Physical: Computer keyboarding, travel and driving as required Auditory/Visual: Hearing, vision and talking The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $65k-$95. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. We are always accepting applications. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.
Enterprise Account Director - Insurance/Financial Services
InvoiceCloud, Inc.Online payment solutions that drive results
About InvoiceCloud: InvoiceCloud is a fast-growing fintech leader recognized with 20 major awards in 2025, including USA TODAY and Boston Globe Top Workplaces, multiple SaaS Awards wins for Best Solution for Finance and FinTech, and national customer service honors from Stevie and the Business Intelligence Group. Judges also highlighted our mission to reduce digital exclusion and restore simplicity and dignity to how people pay for essential services, as well as our leadership in AI maturity and responsible innovation. It’s an award-winning, purpose-driven environment where top talent thrives. To learn more, visit InvoiceCloud.com. Role Overview: InvoiceCloud is a fast-growing fintech leader recognized with 20 major awards in 2025, including USA TODAY and Boston Globe Top Workplaces, multiple SaaS Awards wins for Best Solution for Finance and FinTech, and national customer service honors from Stevie and the Business Intelligence Group. Judges also highlighted our mission to reduce digital exclusion and restore simplicity and dignity to how people pay for essential services, as well as our leadership in AI maturity and responsible innovation. It’s an award-winning, purpose-driven environment where top talent thrives. To learn more, visit InvoiceCloud.com. Job Details: We are seeking a highly skilled and results-oriented Enterprise Account Director, Financial Services to support the Sales organization. This role will play a key part in advancing InvoiceCloud’s mission to drive digital transformation for clients and enhance customer engagement. The ideal candidate operates as a proactive, trusted partner—capable of managing complex enterprise sales cycles, collaborating across teams, and maintaining the high standards of professionalism and innovation that define InvoiceCloud’s culture. Success Profile: This role is anchored in our company’s core competencies. These competencies reflect the mindsets and behaviors that define success in this role. Below is how each competency translates into meaningful impact and outcomes for this position. Results-Driven - Drive new customer acquisition within the P&C Insurance Carrier and Financial Services markets through self-sourced leads, referrals, and web-based opportunities • Consistently achieve and exceed sales quotas by executing disciplined enterprise SaaS sales strategies and maintaining strong pipeline health • Deliver compelling sales presentations and product demonstrations that clearly communicate the value of InvoiceCloud’s solutions • Travel as needed to support onsite customer presentations, industry tradeshows, and internal sales meetings to advance opportunities Customer-Centric - Engage prospective customers to understand business challenges and develop tailored payment and billing solutions aligned to their needs • Consult with clients throughout the sales process, acting as a trusted advisor to guide decision-making and solution alignment • Leverage strong listening, communication, and presentation skills to build credibility and long-term relationships with enterprise stakeholders Takes Ownership - Own the full sales cycle from prospecting through close within a named account list and assigned territory • Proactively partner withInvoiceCloud ecosystem partners to generate introductions, referrals, and new business opportunities • Manage multiple opportunities simultaneously, prioritizing effectively and maintaining accurate pipeline tracking in Salesforce or similar CRM systems • Utilize AI and automation tools to enhance prospecting efficiency, pipeline insights, and sales forecasting accuracy while maintaining data integrity and compliance Requirements: - Minimum of 5 years of closing experience in enterprise IT or software sales • Vertical expertise in P&C Insurance or Consumer Finance preferred • Payment or billing software sales experience preferred • Experience with structured sales methodologies (MEDDICC, MEDDPICC, Value Selling, or GAP Selling) preferred • Proven track record of achieving quota and maintaining tenure at prior organizations • Self-starter with high motivation, curiosity, and dedication to sales excellence • Strong business acumen and professional presence • Proficiency with corporate productivity tools and web presentation platforms • Experience using Salesforce.com or similar CRM systems • Excellent verbal and written communication skills • Strong listening and presentation capabilities • Ability to multi-task, prioritize, and manage time effectively • BA/BS degree or equivalent experience Benefits: We offer a competitive benefits program including: - Medical, dental, vision, life & disability insurance - 401(k) plan with company match - Flexible Time Off (FTO), wellbeing days, paid holidays, and summer Fridays - Mental health resources - Paid parental leave & Backup Care - Tuition reimbursement - Employee Resource Groups (ERGs) Base salary is one component of total compensation. Employees may also be eligible for an annual bonus or commission. Some roles may also be eligible for overtime pay. The above represents the expected base compensation range for this job requisition. Ultimately, in determining your pay, we’ll consider many factors including, but not limited to, skills, experience, qualifications, geographic location, and other job-related factors. Base Compensation Range $120,000—$140,000 USD InvoiceCloud is committed to providing equal employment opportunities to all employees and applicants. We do not tolerate discrimination or harassment of any kind based on race, color, religion, age, sex, nationality, disability, genetic information, veteran or military status, sexual orientation, gender identity or expression, or any other characteristic protected under applicable laws. This commitment applies to all aspects of employment, including recruitment, hiring, placement, promotion, termination, layoff, recall, transfer, leave, compensation, and training. If you require a disability-related or religious accommodation during the application or recruitment process, and wish to discuss possible adjustments, please contact jobs@invoicecloud.com. Click here to review InvoiceCloud’s Job Applicant Privacy Policy. For recruitment agencies: InvoiceCloud does not accept unsolicited resumes from agencies. Please do not forward resumes to our job aliases, employees, or any other company location. InvoiceCloud is not responsible for any fees associated with unsolicited submissions.

