Role Description As our Senior Claims Representative on the TPA Services team, you will support the coordination of communication among clients, claim examiners, insurance carriers, and captive managers. You will: - Respond promptly to inquiries from clients and internal teams. - Provide guidance on reporting guidelines and procedures. - Overall provide support to the TPA Services team. Qualifications - 2–3 years’ related experience supporting claims or insurance operations; comfortable working in a fast‑paced role with many different tasks. - Experience setting up and maintaining claim files (PL/HPL) and familiarity with credentialing, loss runs, NPDB, and MMSEA compliance reporting. - Ability to review and adjust defense counsel invoices for adherence to litigation guidelines and billing standards. - Proven collaborator who partners with claims examiners—provides day‑to‑day operational support, shares timely updates, and helps move files toward resolution. - Flexible and resilient: able to navigate the ebb and flow of workload, stay focused during high‑volume periods, and “roll up your sleeves” to get work done. Requirements - These additional qualifications are a plus, but not required to apply: - BA/BS degree in Business, Insurance, or a related field. - Intermediate skill level in Microsoft Office Suite. Benefits - Medical, dental, vision, 401K benefits and more. - The flexibility to work at home or an office, based on your discretion and schedule. - Start with 20 days of paid time off. - A paid day off to volunteer and company-organized volunteer events. - Up to $1,000 per year in matching charitable donations. - Up to $750 per year in wellness rewards. - All the nitro cold brew coffee and sparkling water you can drink. - A company-wide mentality that you can never appreciate your co-workers too much.

Role Description To analyze and process complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. We are seeking experienced professionals to manage complex commercial and personal auto claims, including bodily injury and litigated matters. Ideal candidates are detail‑oriented, organized, and effective communicators who can coordinate investigations, manage vendors, and drive claims toward timely and appropriate resolution. Essential Responsibilities - Processes complex auto commercial and personal line claims, including bodily injury and ensures claim files are properly documented and coded correctly. - Responsible for litigation process on litigated claims. - Coordinates vendor management, including the use of independent adjusters to assist the investigation of claims. - Reports large claims to excess carrier(s). - Develops and maintains action plans to ensure state required contact deadlines are met and to move the file towards prompt and appropriate resolution. - Identifies and pursues subrogation and risk transfer opportunities; secures and disposes of salvage. - Communicates claim action/processing with insured, client, and agent or broker when appropriate. - Performs other duties as assigned. - Supports the organization's quality program(s). Qualifications - Five (5) years of claims management experience or equivalent combination of education and experience required to include in-depth knowledge of personal and commercial line auto policies, coverage’s, principles, and laws. - Bachelor's degree from an accredited college or university preferred. - Professional certification as applicable to line of business preferred. - Secure and maintain the State adjusting licenses as required for the position. Requirements - Work environment requirements include: - Physical: Computer keyboarding - Auditory/visual: Hearing, vision and talking - Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. Benefits - Comprehensive benefits package including but not limited to: - Medical - Dental - Vision - 401k and matching - PTO - Disability and life insurance - Employee assistance - Flexible spending or health savings account - Other additional voluntary benefits

Role Description Build your experience in the insurance industry by supporting the assessment and processing of health and dental claims within a fast-paced transformation project. This fully remote opportunity offers exposure to cloud-based systems, collaboration within a close-knit team, and strong potential for long-term career growth and professional development. Responsibilities - Assess complex health and dental claims in accordance with contract provisions and established service standards. - Review claims for completeness, enter and assess claim information, and determine payment responsibility after insurance benefits are applied. - Make decisions that may impact member benefit entitlement and payable amounts. - Manage assigned claims while prioritizing urgent cases effectively. - Deliver high-quality customer service within established turnaround times. - Communicate effectively with internal and external stakeholders to meet service expectations and support customer satisfaction. - Contribute to financial efficiency and continuous improvement objectives. - Support initiatives aimed at improving customer satisfaction and Net Promoter Score (NPS) results. - Apply appropriate risk management tools and techniques in daily activities. - Participate in projects focused on improving claims processing effectiveness and operational efficiency. - Resolve claims-related issues and coordinate appropriate escalation when required, including claims adjustments and technical decisions. - Support Business As Usual (BAU) activities during the transition from a legacy system to a cloud-based platform. Qualifications - Bachelor’s degree in Business or a related field. - 0–2 years of professional experience. - Experience reviewing and adjudicating insurance claims, including verifying policy coverage and determining eligibility for settlement, is an asset. - Previous experience within the insurance, health care, call center, or data processing industries is an asset. - Experience collaborating with legal, medical, or external service providers is an asset. - Strong proficiency with Microsoft Office 365 applications. - Strong analytical and detail-oriented skills, including the ability to review receipts, extract data, and accurately enter information. - Excellent verbal and written communication skills for interacting with diverse audiences. - Ability to work independently and collaboratively in a fast-paced environment. - Strong customer service orientation and interpersonal skills. - Ability to take initiative and manage priorities effectively. - Bilingual in English and French to support communication with internal and external clients while maintaining high-quality customer service standards. Benefits - Hourly salary of $19. - 6-month contract with the potential for permanent employment. - Full-time position: 37.50 hours per week. - Schedule from 9 am to 5 pm. - Enjoy the flexibility of remote work.

Role Description The Research Assistant supports implementation research by conducting literature reviews, collecting, managing, and analyzing data, administering and interpreting standardized assessments. This position will be located in Hawaii. Qualifications - Experience in conducting literature reviews - Data collection and management skills - Ability to analyze data - Experience with standardized assessments Requirements - Background check may be required after a conditional job offer is made - Consideration of the background check will be tailored to the requirements of the job Benefits - Comprehensive medical, prescription, behavioral health, dental, vision, and life insurance benefits - Generous retirement plans including Basic, Matching, and Supplemental options - Pre-tax or Roth savings options available - Wide variety of investment options through TIAA and Vanguard - Benefit eligibility determined based on ACA guidelines