• Manage end-to-end appeals process maintaining strict adherence to regulatory timelines. • Conduct comprehensive reviews of medical records and prior claim history to decide whether to overturn, uphold, or partially overturn original decisions. • Provide clear, concise, and empathetic determination letters to policyholders, ensuring all communications meet internal and regulatory standards. • Communicate directly with policyholders via phone calls and emails to explain appeal determinations and/or answer additional questions. • Act as the liaison to the insurance group and underwriter for escalations, including DOI and BBB complaints, ensuring responses are professional and timely. • Set up and provide detailed written communications regarding legal complaints and attorney inquiries related to claims determinations. • Coordinate with the Insurance Team and underwriter on second appeals and/or escalations. • Serve as a cross-trained resource to assist in Specialty Claims Investigations. • Assist in the audit and referral of high-value claims with invoices exceeding $10,000 to verify medical necessity and policy compliance. • Support the Specialty Team with reassessments, correcting underpayments and overpayments as needed.

Join our network of independent alteration professionals specializing in formalwear and tailoring. What You'll Do • Alter suits, tuxedos, dress pants, and formal jackets (hemming, tapering, shoulders, waist, sleeves) • Work with women's formalwear including gowns, cocktail dresses, and bridesmaid dresses • Conduct fittings, take precise measurements, and communicate timelines clearly • Deliver high-quality finishing and maintain an organized workspace suitable for fittings We also receive requests for wedding dresses, prom dresses, evening gowns, and other special event garments. Requirements • Experience with formalwear alterations and/or tailoring • Strong garment construction knowledge + precision measuring • Machine + hand sewing proficiency • Professional communication and customer service Benefits / Highlights • Work from home (independent contractor role) • Local client requests provided through the platform • Flexibility to accept the jobs that fit your schedule • Opportunity to grow repeat clients and reviews through your profile

• Provide disability claim adjudication from the initial decision to building the right case management plan • Active case management of files, providing regular communication with all stakeholders • Provide assessment of key dates within the lifecycle of the claim and ensure case management plans are updated regularly • Render timely and potentially difficult decisions and effectively communicate these decisions • Build effective relationships with key stakeholders to support recovery and return to work

Field Claims Representative, Virtual WI/IL Who We Are Solera is a global leader in data and software services that strives to transform every touchpoint of the vehicle lifecycle into a connected digital experience. In addition, we provide products and services to protect life’s other most important assets: our homes and digital identities. Today, Solera processes over 300 million digital transactions annually for approximately 235,000 partners and customers in more than 90 countries. Our 6,500 team members foster an uncommon, innovative culture and are dedicated to successfully bringing the future to bear today through cognitive answers, insights, algorithms and automation. For more information, please visit solera.com The Role Conduct and manage on-site insurance property claim inventory assignments pursuant to SOS field inventory processes. Complete all tasks assigned in a diligent manner consistent with department, facility or operational and corporate goals and objectives. Assist in business development activities in conjunction with new and existing service offerings. Promote, build, and maintain good customer relations with adjusters assist in retention and repeat use. Communicate with your Field Manager and Service Manager on a daily basis with regards to operational issues and/or improvements. Follow all standard operating and safety procedures, written and oral, at all times. Ability and willingness to take on additional responsibilities as assigned. What You’ll Do - Present in a professional manner both in personal and vehicle appearance. - Ability to work in adverse conditions (post loss insurance claims). - Perform work assignments in a safe and concise manner, following all Enservio safety standards. - You will coordinate with our Scheduling team on scheduled and receiving assignments. - You will meet with insured, their POC, the adjuster, public adjuster, and/or restoration company onsite. - You conduct a walkthrough and a brief interview of the insured while taking overall photos of each room in the home/business. - You will work independently capturing a complete inventory of the total loss contents throughout the home/business. - You will be responsible for completing reports and administrative duties within 24 hours of completion of the inventory capture. What You'll Bring - Strong problem solving, project management skills while maintaining excellent customer service with client policyholder and insurance company claim staff. - Proficient with Microsoft Office Suite. - Strong problem solving and analytical skills. - Strong interpersonal, writing and communication skills. - Excellent personal organization and leadership skills. - Results oriented with the ability to accomplish work in a team environment. - Property and Casualty claim experience a plus. - Restoration industry experience a plus. - Ability to travel to site location in your geographic area. - Ability to lift without any physical restrictions up to 30 pounds. - Work independent of direct onsite supervision. - Valid driver's license and reliable personal vehicle available for use - Daily travel, both local and overnight. It is impossible to list every requirement for, or responsibility of, any position. Similarly, we cannot identify all the skills a position may require since job responsibilities and the Company’s needs may change over time. Therefore, the above job description is not comprehensive or exhaustive. The Company reserves the right to adjust, add to or eliminate any aspect of the above description. The Company also retains the right to require all employees to undertake additional or different job responsibilities when necessary to meet business needs. EQUAL OPPORTUNITY EMPLOYER SOLERA HOLDINGS, INC., AND ITS US SUBSIDIARIES (TOGETHER, SOLERA) IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE FIRM'S POLICY IS NOT TO DISCRIMINATE AGAINST ANY APPLICANT OR EMPLOYEE BASED ON RACE, COLOR, RELIGION, NATIONAL ORIGIN, GENDER, AGE, SEXUAL ORIENTATION, GENDER IDENTITY OR EXPRESSION, MARITAL STATUS, MENTAL OR PHYSICAL DISABILITY, AND GENETIC INFORMATION, OR ANY OTHER BASIS PROTECTED BY APPLICABLE LAW. THE FIRM ALSO PROHIBITS HARASSMENT OF APPLICANTS OR EMPLOYEES BASED ON ANY OF THESE PROTECTED CATEGORIES.