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 Salary: Salary can be up to $120,000 per year, dependent upon experience Claims Background: Professional Liability Claims, Paralegal experience, or related insurance support role Jurisdictional Experience: Open to any Active Adjuster Licenses: Must be willing to obtain all licenses as required by the manager within a specified timeframe The Claims Specialist within GB Specialty is responsible for managing moderately complex Healthcare Professional Liability claims. This role manages the full claim life cycle, including coverage analysis, investigation, evaluation, and resolution, while ensuring claims are handled in accordance with client expectations, policy obligations, and regulatory requirements. How you'll make an impact - Analyzes coverage and settles moderately complex claims in Healthcare Professional Liability. - Generally, incumbent does not work on workers’ compensation claims. - Able to manage the full-life cycle of all assigned claims files. - Analyzes coverage and determines defense obligations. - Under minimal supervision, conducts thorough analysis and investigations necessary to determine claims exposure and recommend appropriate settlement strategies and action plans. - Creates reservation of rights and coverage denial letters. - Negotiates settlements with clients, client attorneys, and Public Adjusters. - Interacts extensively with various parties involved in the claims process, and may recommend retaining the advice of outside experts as necessary. - Prepares reserve and settlement authority requests for client and carrier approval. - May act as a client advocate with carriers to ensure proper claims handling, including any necessary scoping, estimating, and addressing of coverage. - Has a solid understanding of claims processing and the insurance brokerage business. - Has a basic understanding of the terminology and case law associated with correctional medicine professional liability claims. - Handles claims consistent with clients’ and corporate policies, procedures and best practices and in accordance with statutory, regulatory, and ethical requirements. - Incumbents at this level should be able to work at full caseload capacity. About You Claims Background: Paralegal experience, junior professional liability claims experience, or insurance claims support background, preferably within healthcare or medical professional liability Jurisdictional Experience: Open to any Active Adjusters’ Licenses: Not required initially; must be willing to obtain licenses as directed Required: - Bachelor's Degree Required - Minimum 2 years of experience in claims, insurance, paralegal, legal support, or a related environment. - Strong insurance fundamentals and understanding of claims processes. - Ability to analyze documentation, summarize facts, and support coverage and liability determinations. - Computer proficiency with claims systems and standard business software. - Must be able to obtain required adjuster licenses within designated timeframes. Preferred: - Prior experience within healthcare (medical malpractice) claims is a plus Behaviors: - Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, and communicate effectively in writing and verbally. - Strong analytical skills to support claims decisions and issue resolution. - Ability to interpret policies, records, and related documentation. #LI-TJ1 #GBSpecialtyCareers

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 Salary: Salary for this position could go up to $119,000 per year, dependent upon experience. Jurisdictions: Open to any Licenses: Must be willing to obtain all licenses as required by the manager within a specified timeframe Location: This role is eligible for fully remote work The Claims Specialist within GB Specialty is responsible for managing moderately complex Healthcare Professional Liability claims, with a primary focus on Correctional Medicine. This role manages the full claim life cycle, including coverage analysis, investigation, evaluation, and resolution, while ensuring claims are handled in accordance with client expectations, policy obligations, and regulatory requirements. How you'll make an impact - Analyzes coverage and settles moderately complex claims in Correctional Medicine Professional Liability. - Generally, incumbent does not work on workers’ compensation claims. - Able to manage the full-life cycle of all assigned claims files. - Analyzes coverage and determines defense obligations. - Under minimal supervision, conducts thorough analysis and investigations necessary to determine claims exposure and recommend appropriate settlement strategies and action plans. - Creates reservation of rights and coverage denial letters. - Negotiates settlements with clients, client attorneys, and Public Adjusters. - Interacts extensively with various parties involved in the claims process, and may recommend retaining the advice of outside experts as necessary. - Prepares reserve and settlement authority requests for client and carrier approval. - May act as a client advocate with carriers to ensure proper claims handling, including any necessary scoping, estimating, and addressing of coverage. - Has a solid understanding of claims processing and the insurance brokerage business. - Has a basic understanding of the terminology and case law associated with correctional medicine professional liability claims. - Handles claims consistent with clients’ and corporate policies, procedures and best practices and in accordance with statutory, regulatory, and ethical requirements. - Incumbents at this level should be able to work at full caseload capacity. About You Required: - Bachelor’s degree required - Minimum 2+ years of experience in handling professional liability claims - Strong insurance fundamentals and understanding of claims processes. - Ability to analyze documentation, summarize facts, and support coverage and liability determinations. - Computer proficiency with claims systems and standard business software. - Must be able to obtain required adjuster licenses within designated timeframes. Preferred: - Prior experience within healthcare, medical malpractice, or correctional medicine claims a plus. - Strong insurance background (carrier, TPA, brokerage, or claims support experience). - JD preferred but not required Behaviors: - Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, and communicate effectively in writing and verbally. - Strong analytical skills to support claims decisions and issue resolution. - Ability to interpret policies, records, and related documentation. #LI-TJ1 #GBSpecialtyCareers

Role Description Wir suchen einen Sachbearbeiter (m/w/d) im Bereich Energieabrechnung im 100 % Homeoffice in Erfurt. Sie verfügen über Erfahrung in der Energieabrechnung und kennen sich mit netz- und vertriebsseitigen Abrechnungsprozessen aus? Dann begleiten wir Sie auf Ihrem nächsten Schritt. Vergütung ab 15,50 € pro Stunde – je nach Qualifikation und Erfahrung. - Durchführung von Energieabrechnungen im Netz- und Vertriebsumfeld - Bearbeitung von Netznutzungsabrechnungen - Erstellung und Prüfung von Abrechnungen für SLP- und RLM-Kunden - Bearbeitung von Mehr- und Mindermengenabrechnungen - Klärung von Differenzen mit Netzbetreibern und Marktpartnern - Pflege und Kontrolle von Stamm- und Bewegungsdaten - Erstellung von Auswertungen und Reports Qualifications - Mehrjährige Erfahrung in der Energieabrechnung zwingend erforderlich - Erfahrung in netz- und vertriebsseitigen Abrechnungsprozessen - Kenntnisse in Systemen wie SAP IS-U, Schleupen, Wilken oder Powercloud - Sicherer Umgang mit MS Office, insbesondere Excel - Strukturierte und eigenständige Arbeitsweise - Sehr gute Deutschkenntnisse Benefits - 100 % Homeoffice (bundesweit) - Projektbezogener Einsatz bei Kundenunternehmen aus der Energiewirtschaft - Unbefristete Festanstellung - Strukturierte Einarbeitung und klare Prozesse - Planbare Arbeitszeiten (Montag bis Freitag) - Langfristige Perspektive Contact Interessiert an der Position Sachbearbeiter (m/w/d) Energieabrechnung Homeoffice? So geht es weiter! Sie können über den untenstehenden Button Ihre Bewerbung für die Position als Sachbearbeiter (m/w/d) Energieabrechnung Homeoffice direkt an uns absenden. Alternativ senden Sie uns Ihre Bewerbungsunterlagen direkt per E-Mail oder rufen uns an: 📩 bewerbung.sangerhausen@neo-temp.de ☎️ 03464 26 09 85-0 Ihre Ansprechpartnerin: Frau Sandra Stephan Neo Temp GmbH Ulrichstraße 12 06526 Sangerhausen 03464 260 985-0 bewerbung.sangerhausen@neo-temp.de

Position Summary The Resolution Specialist is responsible for managing escalated member and client concerns, ensuring timely and effective resolution of complex issues. This role operates within a fast-paced remote environment and serves as a key escalation point for high-touch situations requiring advanced communication, critical thinking, and cross-functional coordination. The Resolution Specialist ensures a positive member and client experience by maintaining professionalism under pressure, demonstrating strong ownership of issues, and facilitating solutions across internal teams. Responsibilities - Manage and resolve escalated member and client issues with urgency and professionalism. - Assess complex situations quickly and take prompt, independent action to drive resolution. - Maintain ownership of escalated cases from intake through resolution, ensuring follow-through and closure. - Communicate clearly and effectively with members, clients, and internal stakeholders, particularly in high-touch or sensitive situations. - Maintain a composed, professional demeanor when handling difficult or escalated interactions. - Act as a liaison across departments to facilitate timely and effective solutions. - Coordinate with internal teams to resolve issues related to benefits, claims, prior authorizations, and appeals. - Support frontline team members by taking on complex cases from inbound calls, task queues, and "Contact Us" requests. - Navigate multiple systems and workflows to research, document, and resolve issues efficiently. - Ensure all interactions and resolutions are documented accurately in the system. - Ensure escalations are resolved within established service level agreements. - Educate members and clients on plan benefits, coverage, and processes including prior authorization, formulary, and appeals. - Identify trends in escalations and provide feedback to improve workflows and member experience. - Participate in team huddles, training sessions, and performance reviews. - Maintain detailed and accurate records of all interactions. - Adhere to compliance standards, privacy regulations, and internal protocols. - Performs other related duties as assigned or requested. Any one position may not include all the duties listed. The job description identifies the responsibilities and tasks typically associated with the performance of the position. Required Experience - 2+ years in member services, healthcare operations, or pharmacy benefit management, preferably in a high-touch or escalation-focused role. - Demonstrated experience handling escalated member or client concerns with professionalism and accuracy. - Advanced written and verbal communication skills, particularly in high-pressure situations. - Strong ability to assess situations quickly and resolve issues independently. - Experience using CCaaS, Microsoft Office, and CRM platforms. - Experience managing task queues and complex workflows with attention to detail and follow-through. - Ability to collaborate cross-functionally and drive solutions across multiple teams. Preferred Experience - Experience in pharmacy benefits, managed care, or healthcare navigation. - Familiarity with prior authorization, formulary management, and appeals processes. - Experience with claims processing and rejection resolution, including pharmacy systems and tools (e.g., Tritium, Five9). - Exposure to compliance and quality assurance in member-facing roles. - Strong cross-functional collaboration skills, with demonstrated ability to work effectively with multiple teams and leadership.