Role Description This position is located in the Department of Labor (DOL), Office of Workers' Compensation Programs (OWCP), Division of Energy Employees Occupational Illness Compensation Program (DEEOICP). The purpose of this position is to serve as a Unit supervisor assigned to an Adjudicatory and/or District Office with responsibility for leading, managing, and directing a staff of subordinate employees. This position is Outside the bargaining unit. The primary duties and responsibilities as the Supervisory Workers Compensation Claims Examiner include but are not limited to: - Plan, lead, and direct claims adjudication activities and performance of a Unit. - Accountable to Agency management for all aspects of the process for that Unit. - Manage the timeliness, quantity, and quality of work and service performed within the Unit. - Supervise and monitor the work of claims examiners responsible for researching, examining, and studying evidence in claim files. - Provide seasoned policy guidance, assistance, and direction to subordinate staff. - Continuously monitor workload reports to ensure the Unit's performance meets their division and OWCP operational performance goals. - Manage pending caseloads to ensure cases are processed timely. - Review all categories of cases that subordinates process as a performance and quality control mechanism. - Ensure the integrity of entries in automated systems such as status codes, name entries, address entries, medical condition codes, etc. - Adapt or develop procedures and techniques suited to changing operating conditions and workloads. Qualifications - IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE WILL NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. - POSITION TITLES ALONE CANNOT BE USED TO DETERMINE IF YOU ARE QUALIFIED. PLEASE LIST DATES IN MM/DD/YYYY FORMAT. - For GS-13: Applicants must have 52 weeks of specialized experience equivalent to at least the next lower grade level, GS-12 in the Federal Service. Requirements - Specialized experience that equipped the applicant with the particular knowledge, skills, and abilities (KSA's) to perform the duties of the position successfully. - Qualifying specialized experience for Supervisory Workers Compensation Claims Examiner includes: - Experience reading, interpreting, and applying government regulations. - Experience processing complex medical or compensation claims. - Experience reviewing and analyzing performance reports; determining priorities; and meeting organizational goals. - Experience dealing with both internal and external government customers. - Experience developing, mentoring, or leading staff.

Title: Disability and Leave Management Claims Specialist (Disability Claims Experience Required) (REMOTE) Location: UNITED STATES-Remote Job Description: What You Will Bring - Bachelor’s degree or equivalent work experience - 1+ years disability claims experience - Exceptional customer service skills - Maintains positive and effective interaction with challenging customers - Strong knowledge of disability and leave laws and regulations - Ability to handle sensitive information with confidentiality and professionalism Preferred Qualifications - Group Disability Claims experience - Exceptional written and oral communication skills demonstrated in previous work experience - Excellent organizational and time management skills with ability to multitask and prioritize deadlines - Ability to manage multiple and changing priorities - Detail oriented; able to analyze and research contract information - Demonstrated ability to operate with a sense of urgency - Experience in effectively meeting/ exceeding individual professional expectations and team goals - Demonstrated analytical and math skills - Ability to exercise critical thinking skills, risk management skills and sound judgment - Ability to adapt, problem solve quickly and communicate effective solutions - High level of flexibility to adapt to the changing needs of the organization - Self-motivated, independent with proven ability to work effectively on a team and work with others in a highly collaborative team environment - Continuous improvement mindset - A commitment to support a work environment that fosters diversity and inclusion - Proficiency in computer literacy and skills with the ability to work within multiple systems; proficiency with PC based programs such as Excel and Word Skills Analytical Thinking: Knowledge of techniques and tools that promote effective analysis; ability to determine the root cause of organizational problems and create alternative solutions that resolve these problems. Customer Support Operations: Knowledge of customer support techniques, tools, technologies, and best practices; ability to utilize all aspects of customer support operations to manage a call center. Customer Support Systems: Knowledge of principles and techniques used in customer support and ability to use applications, hardware, software, networking, and the applications environment used for customer support. Managing Multiple Priorities: Knowledge of effective self-management practices; ability to manage multiple concurrent objectives, projects, groups, or activities, making effective judgments as to prioritizing and time allocation. Problem Solving: Knowledge of approaches, tools, techniques for recognizing, anticipating, and resolving organizational, operational or process problems; ability to apply knowledge of problem solving appropriately to diverse situations. #LI-Remote About the Role At Equitable, we help clients secure their financial well-being so they can pursue long and fulfilling lives- a mission we’ve honed since 1859. Equitable is looking for an experienced Claims Specialist supporting Disability and Leave Management claims to join our team! The Claims Specialist is responsible for providing excellent customer service. You will be expected to utilize judgment and assess risk as you work with various business partners to render claim decisions and partner with internal and external resources. Reliability and dependability throughout our extensive training program is required. What You’ll Be Doing - Deliver an exceptional customer experience and ensure that customer commitments and deliverables are achieved - Communication via telephone, email, and text with employees, employers, attorneys, and others - Review and interpret medical records, utilizing resources as appropriate - Complete financial calculations - Gain an understanding and working knowledge of the Equitable claim and other applicable systems, policies, procedures, and contracts as well as regulatory and statutory requirements for claim adjudication - Apply contract/policy provisions to ensure accurate eligibility and liability decisions - Demonstrate and apply analytical and critical thinking skills - Verify on-going liability and develop strategies for return-to-work opportunities as appropriate - Document objective, clear and technical rationale for all claim determinations and demonstrate the ability to effectively communicate claim decisions to our customers via oral and written communication - Leverage a broad spectrum of resources, materials, and tools to render claims decisions - Provide timely and exceptional customer experience by paying appropriate claims accurately and timely, responding to all inquiries and maintaining expected service and quality standards - Work within a fast-paced environment, with tight deadlines, and demonstrate the ability to balance multiple priorities - Work independently as well as within a team structure This position offers a remote work schedule that allows you to stay fully engaged with your team to provide outstanding, customer‑focused service during our core hours (8\:30 AM–5\:30 PM EST). Periodic office visits may be requested based on business needs. The base salary range for this position is $50,000-$60,000. Actual base salaries vary based on skills, experience, and geographical location. In addition to base pay, Equitable provides compensation to reward performance with base salary increases, spot bonuses, and short-term incentive compensation opportunities. Eligibility for these programs depends on level and functional area of responsibility. For eligible employees, Equitable provides a full range of benefits. This includes medical, dental, vision, a 401(k) plan, and paid time off. For detailed descriptions of these benefits, please reference the link below. Equitable Pay and Benefits:Equitable Total Rewards Program

Title: Claims Examiner - Xcelys Remote, Temporary Location: Ontario, CA, United States Job Description: Req ID: 366967 NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Claims Examiner - Xcelys Remote, Temporary to join our team in Ontario, California (US-CA), United States (US). Senior Claims Auditor (Xcelys System) To serve as a Medical Claims Processor within the Xcelys environment. Provide subject-matter expertise on claims workflows and be a key contributor to system enhancements, audits, and process optimizations. Role Responsibilities: - Adjudication & Review - Process comprehensive medical claims using Xcelys and associated subsystems - Resolve complex pends, coding issues, and contract exceptions - Author overpayment/underpayment determinations and coordinate appeals - Quality & Compliance - Engage in quality reviews, audits, root cause analyses - Monitor accuracy, variance, and rework metrics - Ensure alignment with regulatory and internal compliance guidelines - Support - Act as escalation point and subject matter expert - Process & System Improvement - Participate in system testing, UAT, and workflow enhancements - Recommend improvements, document system and process changes - Reporting & Analytics - Prepare production, pending, and quality reports - Identify trends and recommend corrective actions - Cross-Functional Collaboration - Liaise with provider relations, legal, IT, compliance teams - Support internal initiatives related to claims systems / operational improvements Required Skills/Experience - 3+ years claims adjudication experience - Minimum of 1 year experience in Xcelys - 2+ years in coding (CPT, ICD-10, HCPCS) - 2+ years provider contracts, pricing, regulatory guidelines experience Preferences - Excellent analytical and communication skills - Experience training staff or acting as a mentor - Familiarity with system testing and documentation - Ability to manage high-volume workload and meet performance metrics Education: Verifiable high school diploma or GED About NTT DATA NTT DATA is a $30 billion business and technology services leader, serving 75% of the Fortune Global 100. We are committed to accelerating client success and positively impacting society through responsible innovation. We are one of the world's leading AI and digital infrastructure providers, with unmatched capabilities in enterprise-scale AI, cloud, security, connectivity, data centers and application services. our consulting and Industry solutions help organizations and society move confidently and sustainably into the digital future. As a Global Top Employer, we have experts in more than 50 countries. We also offer clients access to a robust ecosystem of innovation centers as well as established and start-up partners. NTT DATA is a part of NTT Group, which invests over $3 billion each year in R&D. Whenever possible, we hire locally to NTT DATA offices or client sites. This ensures we can provide timely and effective support tailored to each client's needs. While many positions offer remote or hybrid work options, these arrangements are subject to change based on client requirements. For employees near an NTT DATA office or client site, in-office attendance may be required for meetings or events, depending on business needs. At NTT DATA, we are committed to staying flexible and meeting the evolving needs of both our clients and employees. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. NTT DATA is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

Claims Analyst I Employee Type: Contract Location: San Diego, CA, US Job Type: Pay Range: $22 - $26 per hour Job Description: Job#: 3031279 Job Description: Claims Analyst I Location: San Diego, CA Schedule: 4 days onsite, Fridays remote Hours: Flexible start time (as early as 6:00 AM or later start available) Openings: 2 Contract: 2‑year contract with strong potential for conversion based on performance and budget Position Overview We are seeking a Claims Analyst I to support general liability, bodily injury, motor vehicle, property damage, and subrogation claims. This role is ideal for an insurance professional who can investigate losses, clearly communicate complex scenarios, and help drive fair and timely claim resolutions. The Claims Analyst will pursue recovery from third parties responsible for damage to company facilities, property, or equipment and support general liability claims involving personal injury or property loss. Structured onboarding, including shadowing and hands‑on training, is provided. Key Responsibilities - Investigate, analyze, and pursue subrogation recovery against third parties responsible for damage to facilities, property, or equipment - Support general liability claims by investigating incidents, analyzing exposure, and determining insurance liability related to bodily injury or property damage - Negotiate and attempt to resolve claims with insurers, claimants, and other stakeholders - Set up and manage claims in internal systems, ensuring accuracy and compliance - Review claims payment reports for correctness and compliance - Oversee claims processing and payments to third‑party providers - Monitor charges, verify appropriate payments, and issue denial letters when applicable - Send follow‑up requests for additional or missing documentation - Maintain thorough, accurate claim documentation and files - Communicate complex claim information clearly and effectively, both verbally and in writing Required Qualifications - Minimum 3 years of experience in insurance claims, including experience with: - Subrogation - Motor vehicle accidents - Personal / bodily injury - Property damage - General liability claims - Strong written and verbal communication skills - Ability to simplify complex claim matters - Proven ability to influence, negotiate, and drive outcomes - Bachelor’s degree preferred; years of experience accepted in lieu of degree Preferred Background - Prior experience with insurance carriers such as GEICO, State Farm, Farmers, Liberty Mutual, Progressive, or similar organizations - Experience working in a structured or high‑volume claims environment Additional Details - Equipment provided (laptop and monitor for office and home use) - One interview round with the hiring manager and an additional supervisor - Structured training program, including shadowing and on‑the‑job learning Apex Systems is a world-class IT services company that serves thousands of clients across the globe. When you join Apex, you become part of a team that values innovation, collaboration, and continuous learning. We offer quality career resources, training, certifications, development opportunities, and a comprehensive benefits package. Our commitment to excellence is reflected in many awards, including ClearlyRated's Best of Staffing® in Talent Satisfaction in the United States and Great Place to Work® in the United Kingdom and Mexico. Apex uses a virtual recruiter as part of the application process. Apex Benefits Overview: Apex offers a range of supplemental benefits, including medical, dental, vision, life, disability, and other insurance plans that offer an optional layer of financial protection. We offer an ESPP (employee stock purchase program) and a 401K program which allows you to contribute typically within 30 days of starting, with a company match after 12 months of tenure. Apex also offers a HSA (Health Savings Account on the HDHP plan), a SupportLinc Employee Assistance Program (EAP) with up to 8 free counseling sessions, a corporate discount savings program and other discounts. In terms of professional development, Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. Apex has a dedicated customer service team for our Consultants that can address questions around benefits and other resources, as well as a certified Career Coach.