Role Description Für unsere offene Position als Sachbearbeiter im Kreditmanagement suchen wir dich! Starte im Captive Finance Team und sei verantwortlich für die Geschäftsentwicklung des Kreditgeschäfts und das Inkasso unseres Autohero Finance Departments. Der Schwerpunkt der Finance Abteilung liegt auf der Unterstützung des Managements bei strategischen und finanziellen Entscheidungen. - Bearbeite unser internationales Autohero Consumer Finance Portfolio und gewährleiste einen reibungslosen Service. - Bei der abwechslungsreichen Tätigkeit aus telefonischem und schriftlichem Support kommunizierst du mit Kunden, Dienstleistern, Ämtern und Behörden. - Führe Verhandlungen zum Beispiel zu Stundungen, Zahlpausen und übernimm weitere Vereinbarungen mit säumigen Kunden. - Fungiere als Schnittstelle zu anderen Abteilungen und pflege eine enge Zusammenarbeit. - Unterstütze dein Team aktiv bei Prozessverbesserungen und bringe Ideen ein. - Sei das Sprachrohr für Kunden, die sich für eine Finanzierung interessieren. Qualifications - Erfolgreich abgeschlossene kaufmännische Ausbildung mit gutem Zahlenverständnis. - Mindestens 2 Jahre einschlägige Berufserfahrung im Kontakt und in der Verhandlung mit Endkunden, zusätzliche Erfahrung im Forderungsmanagement ist von Vorteil. - Ausgezeichnete Kommunikations- und Verhandlungsfähigkeiten und ein ausgeprägtes Auge für Details runden dein Profil in Kombination mit einer starken Ergebnis-/Zielorientierung ab. - Guter Umgang mit den gängigen Office- und Google-Produkten, Erfahrung mit CRM-Tools. - Sehr gute Deutschkenntnisse in Wort und Schrift, gute Englischkenntnisse sind von Vorteil. Benefits - 100% remote! Ganz egal, wo du wohnst, arbeite Vollzeit von Zuhause. - Persönliches Wachstum unter Einbringung eigener Ideen. - Du musst noch nicht perfekt sein: Learning on the job. - Übergesetzlicher Zuschuss zur betrieblichen Altersvorsorge. - Babbel Sprachkurse. Company Description Wir als Autohero, der innovative Online Shop für geprüfte Gebrauchtwagen, sind Teil der AUTO1 Group, Europas führender Plattform für den Automobilhandel. Unsere innovative Plattform ermöglicht es Kunden bequem, sicher und transparent hochwertige Gebrauchtwagen online zu kaufen.

Role Description The Long-Term Care (LTC) Claims Examiner is responsible for the accurate and timely adjudication of long-term care insurance claims. This role ensures compliance with policy provisions, regulatory requirements, and company standards while delivering a high level of customer service to policyholders, providers, and internal stakeholders. - Review, evaluate, and adjudicate Long Term Care claims in accordance with policy provisions and established guidelines - Analyze claim documentation including invoices, care plans, and provider credentials - Apply knowledge of Coordination of Benefits (COB), Medicare, Medicaid, and other payer sources when applicable - Ensure claims are processed within established turnaround times and service level agreements (SLAs) - Communicate effectively with policyholders, providers, and internal teams regarding claim status, requirements, and determinations - Identify and request additional documentation when necessary to support claim decisions - Maintain accurate and detailed claim notes in system of record - Ensure compliance with HIPAA and all applicable regulatory and privacy requirements - Participate in quality assurance activities and implement feedback for continuous improvement - Support training and mentoring of new or junior staff as needed Qualifications - High school diploma or equivalent required; associate or bachelor’s degree preferred - 2+ years of experience in insurance claims, healthcare administration, or Long-Term Care claims processing - Strong understanding of Long-Term Care policies, benefits, and eligibility criteria preferred - Knowledge of medical terminology and healthcare documentation - Proficiency in claims systems and Microsoft Office (Excel, Word, Outlook) - Strong analytical and decision-making skills - Excellent written and verbal communication skills - Ability to manage multiple priorities in a fast-paced environment Requirements - Attention to Detail - Critical Thinking & Problem Solving - Customer Focus - Time Management & Productivity - Compliance & Risk Awareness - Team Collaboration Company Description At Wellcove, we strive to create an inclusive culture for all. We understand the importance of listening and incorporating various perspectives at every level of service. Our company does not discriminate based on gender identity, race, sexual orientation, age, religion, or disability.

Role Description The Claims Examiner Property is responsible for commercial and personal property claims on a national level within established authority level. This position involves claims of moderate complexity and severity. - Investigation, evaluation and settlement of claims of moderate complexity and severity, mainly through claims examining with occasional direct handling responsibilities. - Review and analyze policy conditions, provisions, exclusions and endorsements pertinent to a variety of property losses. - Verify loss details and confirm coverage related to assigned claims. - Review amounts on all estimates, invoices and documentation in support of payments. - Document claim files with appropriate particulars of claim and claim handling adhering to claim documentation standards. - Maintain timely and accurate claim reserves on files. - Proactive identification, optimization and coordination of post-loss recovery opportunities, identification of potential sources of recovery and ensure salvage and subrogation opportunities are identified and pursued to minimize claim losses. - Prepare reports to management and reinsurers. - Actively participate in settlement of claims at meetings, conferences, and mediations. - Support all marketing and client/customer service initiatives. - Oversight, monitoring and review of claims activities and services performed by third party claims administrator. For candidates outside of Ontario, this will be a remote work position. Please note, salary range is not inclusive of total compensation. The expected salary range for this position will be impacted by factors such as the successful candidate’s skills, experience and working location, as well as the specific position’s business line, scope and level. Candidates with salary expectations outside of the range are encouraged to apply. Qualifications - College Diploma or University Degree completed. - Enrolled in and working toward (F)CIP designation. - A minimum of 3-5 years of experience with property claims. - MS Word and Excel proficiency. - Exceptional team player yet capable of operating independently to meet deadlines, prioritize workloads and achieve established service and performance standards. - Excellent interpersonal, written and verbal communication skills. - Strong diagnostic, analytical, organization, negotiation and time management skills. - Ability to bring resources together to achieve desired objectives and outcomes. - In-depth knowledge of residential construction procedures, methods, techniques and building and property estimating software programs experience would be a bonus. Our Commitment We are an equal opportunity employer and are committed to provide employment accommodation in accordance with all applicable Provincial Human Rights and Accessibility Legislation. CCG will provide accommodations to job applicants with disability throughout the recruitment process. If you require an accommodation, please notify us and we will work with you to meet your needs.

Role Description Evaluate claims and determine payment or denial according to plan provisions, medical policy, and guidelines. - Process claim payment thoroughly, attend all training, and refresher courses. - Maintain clear claim notes, benefit quote documentation, thoroughly review patient and family notes. - Maintain multiple network access for pricing and authorization to avoid inactivity and disruption for processing. - Establish and maintain COB files, determine other coverage according to regulatory and plan requirements. - Apply COB payments for final claim payment. - Research and determine proper CPT procedure and ICD-10 Diagnosis Codes. - Research and respond to written correspondence from participants, providers, and local unions/employers. - Transfer claims to Benefit Review for processing instructions and or other departments according to guidelines. - Work effectively to achieve at a minimum production, quality, and accuracy standards. - Display maturity, composure and ability to operate under stress conditions. - Follow department policy and procedures distributed. - Attend mandatory department meetings as scheduled. - Assist other department areas as required dependent on workload and inventory needs. - Excellent organization and assignment management skills. - Clear communication with internal and external customers. - Ability to navigate in external network pricing platforms. - Ability to prioritize workload and adhere to network administrative agreements. - Maintain professionalism at all times. - Perform other duties as assigned. Qualifications - High school diploma or equivalent. Satisfactory completion of medical terminology course may substitute for six (6) months of equivalent experience. - Eighteen (18) months experience as a Claims Processor or similar function. - Must have a broad knowledge of medical terminology. - Must possess excellent written and oral communication skills. - Must possess good judgment skills and ability to interpret Department guidelines and contractual benefits. - Working knowledge of DHPR and CMS rules for Claim Submission, Claim Payment, Eligibility, Coordination of Benefits Primary / Secondary. - Experience with Claims and Enrollment systems; COB validation; Understanding of primary secondary coverage rules. - Must be proficient in Excel.