Role Description As a Team Lead at Reserv, you will be a working leader providing support to a Claims manager with leadership and claim technical responsibilities. Leadership responsibilities will include overseeing adjusting staff doing work to service a commercial ride share client. We want your background and experience to deliver operational effectiveness, particularly in leveraging technology and analytics to drive better efficiencies and performance. You will serve a critical role with the team, the customers, and the client. This role will balance management responsibilities and individual contributor responsibilities when volume dictates the need for assistance with a claim. - Be flexible - you will need to be able to switch from claims handling to coaching and feedback - Be agile - you must have an agile mindset and the ability to pivot from focus to focus in a moment’s notice - Serve as backup/leader when the Manager is out of office - Responsible for initial onboarding tasks / access and new hire cultural immersion - SME for first-line questions, escalations, roundtable discussions - Be consistently dependable in achieving or exceeding goals and overcoming obstacles - Implement and maintain best practices for claims handling, including claim intake, investigation, evaluation, settlement, and recovery - Align team with client and customer expectations of the claims process - Serve as a resource for escalated claims - Foster a positive work environment, promote teamwork, and encourage professional growth and development - Attract, hire, retain, and provide a high level of training with the support of the rest of the leadership team - Prepare and present comprehensive claims reports, metrics, and analyses to clients and customers; advise clients on claim trends and loss mitigation - Increased reserve and payment authority with the ability to assist with moderate reviews - Identify topics and trends to discuss in team Huddles and Elevated Claims Experience Workshops lead/co-lead by Team Leads, Managers, and other Reserv employees - Customer Obsession Champions - Active advocates who help leadership cultivate a customer-centric mindset Qualifications - 5+ years of insurance claims experience in multiple lines of business, preference for auto with some bodily injury experience - 3+ years of leadership experience with a preference for experience managing in a remote environment - Experience with Ride Share (or TNC/Livery) is required. - Comfortable with technology and the ability to evolve the claims systems and processes to drive better efficiencies and outcomes - Demonstrated commitment to quality, accuracy, and attention to detail - Integrity, ethics, and a strong sense of accountability in handling confidential and sensitive information - Active adjuster license required: resident state license if available, otherwise a Designated Home State (DHS) license - Must hold an active New York adjuster's license or be willing and able to obtain Benefits - Generous health-insurance package with nationwide coverage, vision, & dental - 401(k) retirement plan with employer matching - Competitive PTO policy – we want our employees fresh, healthy, happy, and energized! - Generous family leave policy after 8 months of continuous work - Work from anywhere to facilitate your work life balance - Apple laptop, large second monitor, and other quality-of-life equipment you may want. Technology is something that should make your life easier, not harder! - Additionally, we will listen to your feedback to enhance and improve upon the long-standing challenges of an adjuster and the claims role - Work toward reducing and eliminating all the administrative work from an adjuster role - Foster a culture of empathy, transparency, and empowerment in a remote-first environment

• Provide prompt, courteous and high-quality customer service to all policyholders and claimants by answering customer calls, filing claims, and resolving customer requests • Gather necessary information from customers to initiate the claim and explain policy, coverage, and appropriate course of action • Manage an inventory of claims, establish initial reserves for all potential exposures, and adjust as appropriate throughout the claim • Coordinate the repair of damaged vehicles and assist with rental reimbursement • Recognize recovery opportunities in regards to subrogation and salvage, as well as total loss • Ensure compliance with specific state regulations, policy provisions, and standard operating procedures • Communicate with involved parties and negotiate appropriate settlements with claimants, insureds, and attorneys within approved payment authority • Provide input for continuous development of claims guidelines, best practices, and process improvements • Oversee and direct outside investigative service providers and work closely with the client and client counsel and investigative services to resolve the claim • Engage in learning opportunities to build knowledge of personal lines claims, court decisions impacting the claims function, current guidelines in claims function, and policy changes and modifications

Role Description The Claims Resolution Specialist is a high-impact, project-based role designed to support the organization during a critical phase of revenue cycle transformation. This position offers the opportunity to contribute to enterprise-wide improvements in claims performance while demonstrating capability for potential long-term placement as organizational needs evolve. This role is responsible for the end-to-end resolution of complex, high-dollar hemophilia-related insurance claims that have been denied, underpaid, or delayed by commercial, government, or specialty payers. Serving as both an executional expert and a strategic contributor, the Claims Resolution Specialist leverages deep expertise in payer behavior, billing practices, and appeals strategy to drive claim resolution while identifying systemic trends and opportunities for upstream process improvement. The ideal candidates will bring a strong analytical and problem-solving mindset, with the ability to operate effectively in an evolving environment. This individual will play a key role in strengthening reimbursement outcomes, reducing denials, and informing the future-state design of revenue cycle operations. Qualifications - High School Diploma or general education degree (GED) - 2 - 5 years of experience in medical billing, claims resolution, or revenue cycle operations, with a focus on complex or high-dollar claims - Strong analytical and problem-solving skills, with the ability to identify patterns and root causes - Working knowledge of payer guidelines, appeals processes, and reimbursement methodologies - Ability to navigate ambiguity and contribute in an evolving, fast-paced environment - Strong attention to detail and commitment to accuracy and compliance - Effective communication and collaboration skills across cross-functional teams Requirements - Investigate, analyze, and resolve complex, high-dollar claims that have been denied, underpaid, or delayed, ensuring timely and accurate reimbursement - Review and interpret payer denials to identify root causes (e.g., medical necessity, coding, authorization, coverage limitations, contractual discrepancies) - Prepare and submit comprehensive, payer-specific appeal packages, including clinical documentation, medical necessity justification, and supporting evidence - Interpret and apply payer policies, contracts, and regulatory requirements to support successful claim resolution and escalation strategies - Collaborate cross-functionally with billing, clinical teams, specialty pharmacy, and providers to gather documentation and resolve barriers to payment - Communicate effectively with payer representatives to advocate for reconsideration and drive resolution of complex claims - Maintain accurate and detailed documentation of claim activity, appeal status, and payer interactions within claims management systems - Monitor appeal timelines and ensure compliance with payer and regulatory requirements - Identify denial trends and recurring issues, providing insights and recommendations to improve first-pass claim accuracy and reduce future denials - Contribute to process improvement efforts by partnering with leadership and peers to enhance workflows, reduce rework, and strengthen revenue cycle performance - Ensure compliance with organizational policies, payer requirements, and applicable federal and state regulations - Retrieve, compile, and produce complete medical records and supporting documentation for denied insurance claims and formal appeals - Coordinate the collection of clinical notes, treatment records, laboratory results, authorizations, referrals, physician orders, and other required materials from internal systems, providers, and external partners - Ensure all documentation meets payer-specific requirements, formatting standards, and submission timelines - Verify documentation accuracy, completeness, and consistency prior to submission to Claims Resolution Specialists or upload to payer portals - Prepare and organize appeal packets according to established processes, including indexing, labeling, and secure transmission - Track documentation requests, outstanding items, and submission deadlines to support timely appeal filing - Maintain detailed records of documentation requests and submissions within claims management or document management systems - Communicate effectively with internal departments such as clinical teams, medical records, billing, and pharmacy to obtain required materials - Support audit readiness and compliance by adhering to HIPAA, data privacy policies, and organizational documentation standards Benefits - Competitive salary and benefit package Company Description IHI is a not-for-profit program based in Indianapolis and is the only federally designated comprehensive hemophilia program in Indiana, serving the entire state through services available in Indianapolis and at outreach clinics. - IHI is a leader in hemophilia care, education, and clinical research with a dedicated on-site multidisciplinary staff to ensure availability of a wide range of required services. - IHI participates in national and international clinical research, including new infusion products and therapies, investigation of long-term outcomes, and the impact of associated conditions. - The IHTC research program provides patients access to new therapies and an opportunity to improve care, with more than 70 clinical research projects involving bleeding disorders, sickle cell disease, thrombosis, and more.

Role Description Are you detail-oriented with claims experience and looking for a remote opportunity where your performance is rewarded? We’re hiring Claims Processors to join our team! - Training Pay: $18/hour (Monday–Friday, 8 AM–6 PM EST) for 8 weeks - Post-Training Pay: Piece rate or Subsidy $18/hour - Hitting standard goals? Earn $18/hour - High performers have the potential to earn more moving to Piece Rate pay - Production Hours: Start at 8 AM EST and work until "clean desk" meaning your day ends when the work is complete Important Requirement: - You must be comfortable working on camera for your full shift during both training and team meetings. - You will be processing Flexible Spending Account Claims (FSA) and Health Savings Account Claims (HSA) with this role. - Pay is $18/hour which may be below your state's minimum wage. Please take this into consideration when applying. Qualifications - Previous claims processing or related experience - Strong keyboard and MS Office skills - Excellent attention to detail and problem-solving abilities - Ability to multi-task efficiently - High school diploma or GED Requirements - Must be 18 or older - Must pass a criminal background check (includes employment and education verification) - Must have reliable internet (Download ≥ 25 Mbps, Upload ≥ 5 Mbps, Ping ≤ 175 ms) - Must connect via Ethernet (not Wi-Fi) - Must reside in an eligible U.S. state (see list below) We are currently NOT hiring in the following geographies, including but not limited to: - States: AK, AZ, CA, CT, CO, HI, IL, MA, MD, ME, MO, MT, NE, NJ, NY, RI, OR, VT, WA. - Metro Areas: Minneapolis - MN, Washington, DC, Denver - CO, Boulder - CO, Edgewater - CO, Flagstaff - AZ. Benefits - Health insurance coverage - Voluntary dental and vision programs - Life and disability insurance - Retirement savings plan - Paid holidays - Paid time off (PTO) or vacation and/or sick time Company Description Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day. Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law. For US applicants: People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by submitting their request through this form that must be downloaded: click here to access or download the form . Complete the form and then email it as an attachment to FTADAAA@conduent.com . You may also click here to access Conduent's ADAAA Accommodation Policy .