Company : Highmark Inc.Job Description : JOB SUMMARY This job is responsible for screening, reviewing, evaluating online entry, correcting errors and/or performing quality control review and final adjudication of paper/electronic claims. Determines whether to return, deny or pay claims following organizational policies and procedures. Reviews processed claims and inquiries to determine corrective action and takes the corrective action steps using enrollment, benefit, and historical claim processing information. ESSENTIAL RESPONSIBILITIES: - Receives and processes claims to include entering/verifying claims data; determines if claim information is complete and correct. (40%) - Resolves claim edits, reviews history records and determines benefit eligibility for service. Reviews payment levels to arrive at final payment determination; elevates issues to next level of supervision, as appropriate. (35%) - Meets all production and quality standards, ensuring timeliness and accuracy of all work given by support staff/management. Maintains accurate records including timekeeping records. (15%) - Attends all required training classes. (10%) - Other duties as assigned or requested. ​ EDUCATION Required - High School Diploma/GED Substitutions - None Preferred - None EXPERIENCE Required - None Preferred - 1 year of related experience ​ LICENSES or CERTIFICATIONS Required - None Preferred - None SKILLS - Ability to take direction and to navigate through multiple systems simultaneously. - Knowledge of administrative and clerical procedures and systems such as word processing and managing files and records. - Ability to use mathematics to adjudicate claims. - Ability to solve problems within pre-defined methods and guidelines. - Knowledge of operating systems specific to claim processing. - Ability to thoroughly read guidelines ensuring claim accuracy and following directions. Language (Other than English): None Travel Requirement: 0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Office-based Teaches / trains others regularly Never Travel regularly from the office to various work sites or from site-to-site Never Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Never Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Pay Range Minimum: $18.00 Pay Range Maximum: $21.99 Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Job Description: Creative Risk Solutions (CRS), a proud line of business under the Holmes Murphy umbrella, is a leading Third-Party Administrator (TPA) specializing in innovative claims management solutions. At CRS, we believe in doing things differently—empowering our team to deliver exceptional service, embrace creativity, and make a real impact for our clients. We are looking to add a Workers’ Compensation Claims Specialist to join our team. Experience handling claims in Florida and Kentucky is required. Essential Responsibilities: - Receives, gathers and accurately transmits workers’ compensation information to the company, from communications with the insured, claimants, and internal staff in a timely manner. - Investigates, evaluates, and resolves lost time Workers’ Compensation claims, including litigated claims. - Mediates situations as they arise between the insured and the insurance company, with little to no support from leader, to include researching coverage issues. - Enters and maintains accurate information on a computer system during the claim process, to include final settlement information. - Generates checks for indemnity and medical payments daily. - Develops and monitors consistency in procedural matters of claims handling process within CRS. - Willingness to become licensed if required in jurisdiction where claims are handled. Qualifications: - Education: High school diploma; college degree preferred. Technical designations encouraged, such as AIC and CPCU. - Experience: 3-5 years claims experience with strong background in Workers’ Compensation claims handling. Prior experience handling Florida and Kentucky claims is required. - Licensing: Active Florida and/or Kentucky Workers Compensation License required or the ability to acquire license within three months of hire. - Skills: An ideal candidate will have proficient knowledge of Workers’ Compensation insurance coverage and claims processing procedures. They will possess the ability to adjudicate lost time claims across multiple jurisdictions and demonstrate the capacity to quickly learn and adapt to various software programs. - Technical Competencies: An ideal candidate will have a strong grasp of claims principles, practices, and insurance coverage interpretation, contributing to workflows and adhering to compliance requirements. They will prioritize problem-solving, actively foster relationships, and collaborate to deliver impactful solutions and a world-class client experience. Here’s a little bit about us: Creative Risk Solutions is a leading provider of innovative risk management solutions. We specialize in delivering customized claims management, loss control, and risk consulting services to our clients. Our team is dedicated to excellence, integrity, and creating value for our clients through proactive risk management strategies. In addition to being great at what you do, we place a high emphasis on building a best-in-class culture. We do this through empowering employees to build trust through honest and caring actions, ensuring clear and constructive communication, establishing meaningful client relationships that support their unique potential, and contributing to the organization's success by effectively influencing and uplifting team members. Benefits: In addition to core benefits like health, dental and vision, also enjoy benefits such as: - Paid Parental Leave and supportive New Parent Benefits — We know being a working parent is hard, and we want to support our employees in this journey! - Company paid continuing Education & Tuition Reimbursement — We support those who want to develop and grow. - 401k Profit Sharing — Each year, Holmes Murphy makes a lump sum contribution to every full-time employee’s 401k. This means, even if you’re not in a position to set money aside for the future at any point in time, Holmes Murphy will do it on your behalf! We are forward-thinking and want to be sure your future is cared for. - Generous time off practices in addition to paid holidays — Yes, we actually encourage employees to use their time off, and they do. After all, you can’t be at your best for our clients if you’re not at your best for yourself first. - Supportive of community efforts with paid Volunteer time off and employee matching gifts to charities that are important to you — Through our Holmes Murphy Foundation, we offer several vehicles where you can make an impact and care for those around you. - DE&I programs — Holmes Murphy is committed to celebrating every employee’s unique diversity, equity, and inclusion (DE&I) experience with us. Not only do we offer all employees a paid Diversity Day time off option, but we also have a Chief Diversity Officer on hand, as well as a DE&I project team, committee, and interest group. You will have the opportunity to take part in those if you wish! - Consistent merit increase and promotion opportunities — Annually, employees are reviewed for merit increases and promotion opportunities because we believe growth is important — not only with your financial wellbeing, but also your career wellbeing. - Discretionary bonus opportunity — Yes, there is an annual opportunity to make more money. Who doesn’t love that?! Holmes Murphy & Associates is an Equal Opportunity Employer. #LI-SM1

Who we are: ENG (engbim.com) is a BIM company that specializes in hands-on, field-focused BIM services. Founded in 2007, we have positioned itself as the largest and most experienced BIM production service provider in the United States, having completed 5,000 BIM projects with a dedicated team of over 500 staff members. We provide MEP Modeling, VDC/BIM Management, Laser Scanning, and Scan to BIM services, as well as a comprehensive array of BIM production services to architects, engineers, and owners. The Role: A modeler, as its very name says, is the one who models the buildings in Revit or similar programs. Depending on their seniority or expertise, they can model one or more disciplines. Modelers at ENG must also understand and review discipline specifications, project manuals, and submittals (Quality Analysis), and be able to read the design information provided by our clients to create accurate and constructible BIM models. Mandatory Requirements: - An Upper Intermediate level of English is an absolute must, to be able to communicate directly with US clients. - Intermediate - Advanced Revit knowledge and applied experience (plumbing). - Civil or Mechanical Engineeering degree. - Experience in the mechanical field. Desirable Requirements: - Experience with or knowledge of FABParts and Sysque software. - Experience with US-based projects. - Navisworks knowledge. - Plant 3D. Soft Skills: - Enthusiastic, passionate about BIM. - Curiosity-driven, eager to learn. Responsibilities and Scope: MEP and prefabrication modeling and coordination in software like Revit, Sysque and FABParts, clashes review in Navisworks, attending coordination meetings, creation of layout drawings, issues reporting, emails writing, and phone calls with clients. Company Culture and Values - Candor: We value honesty, openness, and sincerity in all interactions. - Accountability: We take ownership and are committed to delivering high-quality work on time. - Win-Win Mentality: We strive for mutual success in all business relationships. Growth Opportunities At ENG, we believe in fostering the growth and development of our team members. As part of our commitment to your career progression, we offer: - Career Development Programs. - Internal Mobility. - Performance-Based Promotions. - Leadership Opportunities. - Project Diversity. Why join us? Explore our amazing benefits! ✨ 🌍 Work from Anywhere: Flexibility to work remotely or from a coworking space. 🌴Unlimited PTO: Recharge with flexible paid time off when you need it. 🎉 Wellness & Culture: Freedom and responsibility culture, healthy snack allowances, fun challenges and team celebrations. 🎓Continuous Learning: Programs to develop your technical and soft skills. 💻Work Equipment to Keep You Productive: We provide everything you need to create the perfect workspace. 🎧Tech & Office Allowances: Upgrade your workspace with our one-time allowances. With "Pimp up your Devices," and “Home Office set up allowance” you can upgrade gadgets for a better experience. 📶 Monthly Internet Allowance: Stay connected with a monthly allowance for internet and expenses. Highly Competitive Compensation Package: Includes both fixed and variable payments, all processed in our local currency, USD. Join us and grow in a flexible, innovative environment! 🚀 Compensation Compensation will be in USD, competitive and commensurate with experience. Contact Information Apply through the link. Before you apply, make sure your CV is in English, otherwise your application can’t be considered. #LI-DNI

Division or Field Office: Casualty Claims Division Department of Position: Home & Auto Liability Dept Work from: Remote in Maryland, DC or WV 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. - Candidate will primarily handle claims for MD, DC or WV but could handle claims for other jurisdictions. - Preferred candidate will work remote and can live near MD or DC however, hiring manager will consider candidates that live in Northern VA and/or West Virginia or within surrounding areas. 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%)