Role Description Ready to step into a new opportunity that values your expertise? Say goodbye to grueling 12-hour days and 6-day work weeks. Improve your work/life balance with a 40-hour, Monday-Friday work week. Work 100% remotely from home while leveraging your automotive repair and/or service writing experience in an exciting new role. If you have three or more years of experience as a service advisor, service manager, mechanic, and/or service technician - ideally at a franchised dealership - this could be the perfect opportunity to transition from those long service hours to a rewarding role with stability and flexibility. You can use your automotive repair and/or service writing experience in new and exciting ways – all while working remotely from the comfort of your home. Apply if you have the needed mechanical experience, are customer service oriented, can proactively solicit and analyze information, can effectively negotiate, are comfortable making decisions and are able to document information quickly and accurately while typing at least 30 wpm - you must be comfortable working at a fast pace, receiving phone calls from service advisors and/or customers all while making decisions and entering information into the claims application. Qualifications - Three or more years of experience as a service advisor, service manager, mechanic, and/or service technician. - Ideally experience at a franchised dealership. - Mechanical experience. - Customer service oriented. - Ability to solicit and analyze information proactively. - Effective negotiation skills. - Comfortable making decisions. - Able to document information quickly and accurately while typing at least 30 wpm. - Comfortable working at a fast pace. Requirements - Experience in automotive repair and/or service writing. - Ability to receive phone calls from service advisors and/or customers. - Ability to enter information into the claims application while making decisions. Benefits - Competitive annual pay: Starting at $45,000 with eligibility for annual bonus. - Comprehensive onboarding and training program: Promoting strong relationships and positioning new team members to be successful in their role. - Medical, Dental, Vision: Ensuring health and wellness. - Flexible Spending Accounts: Providing financial flexibility. - 401(k) Plan, Paid Time Off: Fostering financial security and work-life balance. - Tuition Reimbursement: Investing in continuous learning. - Employee Assistance Program, Parental Leave, Life Insurance, Short- and Long-Term Disability Plans: Offering support and protection. - Remote Work from Home: Embracing remote work as a strategic commitment to cater to our adjusters’ diverse needs and preferences. Company Description Established in 1982, CNA National set out to redefine the service contract industry with a commitment to being the best and doing the right thing. Over 40 years later, we remain true to that vision, evolving alongside the auto industry and delivering top-notch products with exceptional customer service. At CNA National, our mission centers around prioritizing our customers, placing them at the heart of every endeavor. We are committed to earning their trust, delivering on promises, and showcasing the expertise of each team member. Our organizational culture thrives on challenge and engagement, providing abundant opportunities for employees to learn, grow, and feel a profound sense of significance within our dynamic workplace.

Role Description This position is responsible for contacting healthcare providers to discuss negotiations for a specific dollar range of eligible claims/bills prior to payment, in order to achieve maximum discounts and savings on behalf of payor/client. - Manage a high volume of healthcare claims thoroughly to maximize savings opportunities on each claim within the established department production standards and individual goals by contacting provider on all assigned claims and presenting a proposal while maintaining high quality standards. - Perform provider research to provide support for desired savings. - Address counteroffers received and present proposal for resolution while adhering to client guidelines and policy and procedures. - Seek opportunities to achieve savings with previously challenging/unsuccessful providers. - Seek opportunities to establish ongoing global or concurrent agreements for future claims. - Update provider database for reference and claims processing on subsequent claims. - Initiate provider telephone calls as often required with respect to proposals, overcome objections and apply effective telephone negotiation skills to reach successful resolution on negotiated claims. - Up to 40% of time will be on phone with providers. - Provider education to providers online provider portal services available for proposal review and approval. - Meet and maintain established departmental performance metrics. - Handle post claim closure service inquiries, including payment status and defending original negotiation terms. - May require ACD phone responsibilities and tracking outcomes. - Collaborate, coordinate, and communicate across disciplines and departments. - Ensure compliance with HIPAA protocol. - Demonstrate Company's Core Competencies and values held within. - Please note due to the exposure of PHI sensitive data -- this role is considered to be a High Risk Role. - The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned, as necessary. Qualifications - Minimum high school diploma or GED. - Minimum 6 months experience in the health care industry (provider billing, medical coding, provider collections, insurance, or managed care); 1 year preferred. - State licensure certification, including NY Health and/or P&C State Adjustor license, may be required. If hired without certification, certification must be obtained, and maintained thereafter, within six months of notification. - Knowledge of applicable laws and statutes (state, local or federal) for positions focusing on Workers' Compensation or automobile medical ("auto") bills a plus. - Knowledge of general office operations and/or experience with standard medical insurance claim forms. - Good Communication (verbal, written and listening) teamwork, negotiation, and organizational skills. - Ability to process verbal and written instructions. - Display professionalism by having a positive demeanor, proper telephone etiquette and use of proper language and tone in a business professional environment. - Ability to commit to providing a level of customer service within established standards. - Provide attention to detail to ensure accuracy including mathematical calculations. - Identify issues and determine appropriate course of action for resolution. - Organize workload to meet deadlines and participate in department/team meetings. - Adjust/alter workflow to meet deadlines in a fast-paced environment. - Work independently and handle confidential information. - Ability to use software and hardware related to job responsibilities, including MS Word and MS Excel spreadsheets and database software. - Individual in this position must be able to work in a standard office environment which requires sitting and viewing monitor(s) for extended periods of time, operating standard office equipment such as, but not limited to, a keyboard, copier, and telephone. Requirements - Minimum high school diploma or GED. - Minimum 6 months experience in the health care industry (provider billing, medical coding, provider collections, insurance, or managed care); 1 year preferred. - State licensure certification, including NY Health and/or P&C State Adjustor license, may be required. - Knowledge of applicable laws and statutes (state, local or federal) for positions focusing on Workers' Compensation or automobile medical ("auto") bills a plus. - Knowledge of general office operations and/or experience with standard medical insurance claim forms. Benefits - Medical, dental and vision coverage with low deductible & copay. - Life insurance. - Short and long-term disability. - Paid Parental Leave. - 401(k) + match. - Employee Stock Purchase Plan. - Generous Paid Time Off – accrued based on years of service. - 10 paid company holidays. - Tuition reimbursement. - Flexible Spending Account. - Employee Assistance Program. - Sick time benefits – for eligible employees, one hour of sick time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year.

Division or Field Office: Casualty Claims Division Department of Position: Home & Auto Liability Dept Work from: Remote Salary Range: $63,130.00 - $100,843.00 * 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 and judgement in claims handling involving complex liability issues, to include coverage issues and severe injury claims. - This is a remote, work from home position handling claims for the State of Illinois. - The ideal candidate will preferably reside in Illinois. Duties and Responsibilities - Conducts investigations, evaluate and make recommendations regarding coverage and liability. - Handles claims involving complex liability, damages or coverages. - Negotiates with all parties, or their representatives, within designated authority. - Documents the file and submits reports. - Identifies subrogation opportunities and initiates appropriate action. - Completes required training. - The position requires the incumbent to provide support for property claims during periods of heavy volume. - Trains and mentors. - Travel for training may be required. The first five 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 - Collaborates - Customer Focus - Cultivates Innovation - Optimizes Work Processes (IC) - Instills Trust - Ensures Accountability - Job-Specific Knowledge - Decision Quality Qualifications Minimum Educational and Experience Requirements - High school diploma or GED required; - Associates or bachelor's degree preferred. Additional Experience - Five years casualty claims adjusting experience or equivalent experience in the medical or legal field required. - Broad knowledge and expertise in the areas of liability coverages, laws and injuries required. - Position requires incumbents to provide support for property claims during periods of heavy volume. - Travel for training may be required. Designations and/or Licenses - Valid driver's license required. - Completion of Associate in Claims (AIC) program preferred. Physical Requirements - Lifting/Moving 0-20 lbs; Occasional (<20%) - Lifting/Moving 20-50 lbs; Occasional (<20%) - Ability to move over 50 lbs using lifting aide equipment; Occasional (<20%) - Pushing/Pulling/moving objects, equipment with wheels; Occasional (<20%) - Climbing/accessing heights; Rarely - Driving; Occasional (<20%) - Manual Keying/Data Entry/inputting information/computer use; Frequent (50-80%)

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries. Job title: Claims Processor - Work from Home Job Description: BroadPath, a Sagility Company, is hiring experienced medical Claims Processors to join our remote team! Claims Processors are responsible for the accurate and timely entry, review, and resolution of medical claims ranging from simple to moderately complex. This includes reviewing front-end claims and validating information submitted by patients or providers seeking reimbursement from the insurance company. All claim processing must align with CMS guidelines and client-specific policies and procedures. Schedules, pay rates, and program details may vary based on business needs and client assignment. Compensation Highlights - Base Pay: Starting at $17 per hour - Pay frequency: Weekly pay Schedule Highlights - Schedules can fall between the hours of Monday-Friday, 8:00 AM - 10:00 PM Eastern Time, and will be assigned based on business needs Responsibilities - Review medical claims thoroughly to ensure no missing or incomplete information - Navigate multiple computer systems and platforms to research and process assigned claims accurately (e.g., verifying pricing, prior authorizations) - Apply appropriate benefits to each claim in accordance with claims processing policies, including grievance procedures, state mandates, CMS guidelines, and benefit plan documents - Review documentation to assess whether the visit was necessary and whether the policy covers the treatment received - Determine if claims should be paid or denied, and complete denial letters when applicable Qualifications - Minimum of one year of recent experience processing medical claims for a health insurance company or payer - Familiarity with medical claim forms (CMS-1500 and UB-04) - Working knowledge of coding systems: ICD-10, HCPCS, and CPT - Proficient in computer navigation and technology, including Microsoft Windows, Excel (advanced functions), and web-based tools and platforms - Excellent verbal and written communication skills - Ability to remain focused and productive in a high-volume, repetitive task environment - High School Diploma or equivalent At BroadPath, a Sagility Company, we believe that transparency, authenticity, and collaboration are the keys to building strong, connected remote teams. Being on camera is an integral part of our culture. It is how we build relationships, share ideas, and stay engaged. If you are someone who values open communication, connection, and teamwork, you will thrive in our environment where showing up authentically matters. What to Expect: - On-camera participation during interviews, training, team meetings, and regular check-ins. - Face-to-face discussions sparking collaboration and engagement - A supportive atmosphere where you can express yourself openly and be part of a team that values your contributions. Benefits: - Medical, Dental, and Vision coverage. - Life Insurance. - Short-Term and Long-Term Disability options. - Flexible Spending Account (FSA). - Employee Assistance Program. - 401(k) with employer contribution. - Paid Time Off (PTO). - Tuition Reimbursement. BroadPath, a Sagility Company, may conduct background checks, previous employment verifications, and education verifications, based on position requirements Diversity Statement At BroadPath, a Sagility Company, diversity is our strength. We embrace individuals from all backgrounds, experiences, and perspectives. We foster an inclusive environment where everyone feels valued and empowered. Join us and be part of a team that celebrates diversity and drives innovation! Equal Employment Opportunity/Disability/Veterans If you need accommodation due to a disability, please email us at HR@Broad-path.com. This information will be held in confidence and used only to determine an appropriate accommodation for the application process BroadPath, a Sagility Company is an Equal Opportunity Employer. We do not discriminate against our applicants because of race, color, religion, sex (including gender identity, sexual orientation, and pregnancy), national origin, age, disability, veteran status, genetic information, or any other status protected by applicable law. Compensation: BroadPath a Sagility Company has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location. Location: Work@Home USAUnited States of America