Role Description This is a full-time remote position. Applicants must live in Eastern Standard Time Zone. Schedule: Monday - Friday 8:00AM - 4:30 PM or 8:30 AM - 5:00 PM EST. - Complete internal training in adjusting medical only workers’ compensation claims. - Evaluate claimant eligibility; communicate with attending physician, employer and injured worker. - Confirm coverage and applicable insurance policy or coverage document and statutory requirements. - Establish compensability status through case investigation and evaluation and application of jurisdictional statutes and laws. - Ensure timely payment or denial of benefits in accordance with jurisdictional requirements. - Identify potential for third party recovery, including subrogation. - Pursue the process of reimbursement and complete posting of recovery to the claim file, where appropriate. - Investigate potentially suspect claims possibly with the aid of a field investigator assignment. - Establish claim reserve levels by estimating the potential exposure of each assigned claim, documenting rationale; maintain and adjust reserves over the life of the claim to reflect changes in exposure. - Manage diary in accordance with Best Practices and complete tasks to ensure that cases move to the best financial outcome and timely resolution. - Close all files as appropriate in a timely and complete manner, maintaining closing ratio as directed by management team. - Oversee and coordinate medical treatment for injured employees and provide information to treating physicians and/or nurse case managers regarding employees’ medical history, health issues, and job requirements; provide direction to assigned nurse case manager where applicable. - Work directly with employers to facilitate return to work, either on a transitional duty or full-time basis. - Complete PARs (payment authorization request) or CARs (claims analysis report) when applicable. - Communicate effectively, verbally and in writing with internal and external parties on a wide variety of claims and account-related issues. - Provide a high degree of customer service to clients, including face to face interactions during claim reviews, meetings and similar account-specific sessions. - Perform other duties as required. Qualifications - High School Diploma required. - Associate’s degree preferred, or one or more years of insurance, medical/health or legal related work experience. - 1-2 years of experience handling workers’ compensation claims preferred. - Proficient with MS Excel and Word; computer experience with related claims software. - Excellent verbal and written communication skills. - Proven interpersonal skills capable of dealing with all levels of personnel. - Knowledge of Workers’ Compensation legal principles and related claims handling practices preferred. Benefits - Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts. - Life and AD&D Insurance. - 401(k). - Tuition Reimbursement. - An array of resources that encourage a lifetime of healthier living. - Compensation depends on the applicable US geographic market. The expected base pay for this position ranges from $16.40 - $24.03 hourly, based on skills, experience, and education.

Career Opportunities: Virtual Mortgage Specialist - Calgary, AB (257790) Requisition ID 257790    Virtual Mortgage Retention Specialist In-office role Location: 225 6 Ave SW, Calgary (Brookfield Place) Working Conditions: This role will operate under extended hours. Hours of operation are Monday to Friday 8:00am to 8:00pm MDT; the incumbent will be scheduled shifts within these times. Leading with a financial planning approach, the Virtual Mortgage Specialist is responsible for retaining, servicing and deepening relationships with mortgage renewal customers by offering a full suite of complimentary financial strategies and solutions that best meet the customers’ immediate and future financial needs. The primary responsibility of the Virtual Mortgage Specialists is to remotely support multiple branches across Canada in achieving mortgage renewal and retention goals through proactive customer contact. Is this role right for you? In this role, you will: - Through proactive customer contact, provide expert mortgage knowledge and advice on a full range of customized solutions using a holistic financial planning approach with the goal of retaining and deepening relationships with an assigned portfolio of mortgage renewal customers. - Primary focus of proactively establishing contact with mortgage renewal customer and retain the mortgage business. - Through a proactive mortgage retention process, remotely manage assigned renewal leads including, assessing customer financial needs/goals, presenting mortgage retention offers, managing rate negotiations and making appropriate recommendations to secure the renewal. - Through effective preparation and discovery, identify and act on opportunities to deepen the relationship with additional, relevant financial solutions. Deepen and grow relationships and business by: - Understanding customer’s financial goals and preferences, analyzing their needs, and recommending the appropriate strategies and solutions to help them achieve their goals. - Planning and executing on weekly measurable targets including proactive customer contacts, and effective mortgage retention. - Identifying referral opportunities in response to changes in needs/preferences and where necessary, referring and collaborating with key partners, such as Financial Advisor Investment and Retirement Specialists, Small Business Advisors or the appropriate Global Wealth partners. ​Deliver exceptional customer experiences by: - Effectively executing the Customer Experience Model (CEM) - Consistently delivering on the Service Basics and Advice+ Promises in all customer/employee interactions - Delivering on the diverse advice expectations of our customers. - Escalating and tracking customer concerns and complaints as required ​​​​Minimize the Bank’s exposure to risk by: - Contributing to operational excellence and a satisfactory Branch audit - Staying current and adhering to all retail lending compliance, regulatory compliance, custody and Occupational Health & Safety requirements and changes - Ensuring strict adherence to Bank security procedures, including retail lending policies and processes, assigned authorities and limits - Escalating fraudulent activities, unusual occurrences, issues/deficiencies/trends to your direct supervisor and/or Branch Manager and/or AML and/or Branch Compliance Officer or Alternate (BCO/ABCO) and/or Chief Compliance Officers and/or applicable Shared Services Department as appropriate - Adhering to custody and security procedures at all times - Understand how the Bank’s risk appetite and risk culture should be considered in day-to-day activities and decisions. - ​​Adhering to compliance with regulatory activities and guidelines as part of the sales process, including Privacy, Anti-Money Laundering(AML)/Anti-Terrorist Financing, Financial Consumer Agency of Canada(FCAC), Know Your Customer(KYC), Canadian Deposit Insurance Corporation(CDIC), regulations and policies and Guidelines for Business Conduct. - ​​​​​​​Champions a high-performance environment and contributes to an inclusive work environment. Do you have the skills that will enable you to succeed in this role? We'd love to work with you if you have: - Strong understanding of residential mortgage product knowledge, including policy and process - Experience working with in a customer-facing role within the financial industry or related field - Post-secondary degree in business/finance or related field (considered an asset) - Expert knowledge using Microsoft Teams, Salesforce and E-Signature - Prior experience leading virtual advice discussions and assisting customers on how to navigate virtual meetings (considered an asset) - Highly organized with strong attention to detail - Effective written and verbal communication skills What we’re offering: - The opportunity to join a forward-thinking organization where you are surrounded by a collaborative team of innovative thinkers. - A competitive compensation and benefits package. - An organization committed to making a difference in our communities– for you and our customers. - You can expect to be recognized and rewarded for high-performance. You’ll be supported by leadership through meaningful development conversations that enable faster advancement and internal training to support your growth and development. - You’ll receive clear, transparent criteria to progress in your career. Location(s):  Canada : Alberta : Calgary

Role Description 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. Qualifications - Claims Background: Workers Compensation - Prior leadership experience: 2 years - Jurisdictional Experience: California Requirements - High School Diploma - Minimum of 8 years related claims experience - Appropriately licensed and/or certified in all states in which claims are being handled - Knowledge of all team member related functions Benefits - Medical/dental/vision plans, which start from day one! - Life and accident insurance - 401(K) and Roth options - Tax-advantaged accounts (HSA, FSA) - Educational expense reimbursement - Paid parental leave - Digital mental health services (Talkspace) - Flexible work hours (availability varies by office and job function) - Training programs - Gallagher Thrive program – elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing - Charitable matching gift program - And more...

• Research and resolve all claims and authorizations exceptions using internal resources. • Provide communication to providers as necessary regarding the status of a claim or authorization. • Follow up with providers on all financial implications of reprocessed claims or authorizations. • Transport all claims entered by processors from image software to proprietary software for review. • Utilizing knowledge of system, research current queues of work to find claims requiring further research and correction. • Research and resolve any claim and authorization issues to determine best resolution. • Work with internal departments to resolve issues involving authorization or claim handling. • Recoup any overpayments to providers resulting from changes to a claim or authorization processing by posting to the provider account. • Log all claims and authorizations that cannot be resolved and send rejection letters to providers. • Using knowledge of authorizations, hold certain payments pending the outcome of client review. • Adjudicate claims and send for payments ensuring that all proper documentation is attached. • Complete daily audit of claims entered by Claim Intake representative. • Take any incoming calls from providers or members regarding authorizations, benefits, or claim status. • Provide backup to Accounts Receivable Assistant or Authorization Representative as needed. • Develop and/or communicate methods to improve productivity and efficiency. • Assist with gathering data for client audits. • Contribute to the team effort by accomplishing additional responsibilities as needed. • Assist with training of new staff members.