Role Description Claims Examiner II receives, researches, and reviews allegations of fraud or abuse by beneficiaries and providers. Responsibilities include: - Review and assess incoming appeals, applying relevant policies and guidelines to render accurate approval or denial decisions. - Organize and maintain case files, thoroughly evaluate documentation, and analyze evidence to support informed determinations. - Partner with the RN team to ensure appeals requiring medical documentation are reviewed by qualified personnel and resolved appropriately. - Prepare clear, detailed written decisions that explain the rationale for determinations and reference applicable policies and procedures. - Review incoming Appeals mail to ensure it is being submitted to the appropriate team. - Initiate adjustments, reprocesses and serve as resource for other teams. Qualifications - U.S. citizenship is required for this position due to Department of Defense restrictions. - High school diploma or equivalent. - 2 years or more in claims and customer service-related field working with public. - Ability to learn and apply governing TRICARE regulations, policies, and procedures. Requirements - 2 years or more of post-high school coursework in Accounting, Auditing, or Health Care related curriculum (preferred). - 2 years or more in Accounting, Auditing, or related field, or medical-related field such as Coding or Medical Assistant (preferred). - High speed cable or fiber internet. - Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection. Benefits - Bargaining Unit position. - Remote and hybrid work options available. - Performance bonus and/or merit increase opportunities. - 401(k) with dollar-per-dollar match up to 6% of salary (100% vested immediately). - Competitive paid time off. - Health insurance, dental insurance, and telehealth services start DAY 1. - Employee Resource Groups. - Professional and Leadership Development Programs.

Role Description The Claims Team Leader is responsible for the supervision, training and development of a team of Claims Specialists. The Claims Team Leader manages the submission of claims data, payments and works with team members and agencies to resolve outstanding claim issues. - Be the point person for questions from your team members. Coordinate answers with agencies and/or internal departments including Operations. - Sign off/approve credit memos and employee receivables. - Assist with administrative accounting procedures per Controller/CFO. - Audit team performance, monitor team metrics and manage claims process. - Train new employees and existing employees in department procedures and agency requirements. - Assist in developing claims procedures for all new agencies prior to transitioning to Claims Specialist. - Prepare A/R reports for your team’s agencies to monitor unpaid claims. Work with team members and agencies to collect outstanding payments. - Communicate with Claims Manager including but not limited to: training issues, agency challenges, unbilled items and A/R issues. - Attend trainings, conferences and staff meetings. - Participate in company continuous improvement processes. - Uphold company values and mission. - Other duties as assigned. Qualifications - High School Diploma or GED required. - Associate degree preferred. - 2 years of experience relevant to the work performed. - Experience with Microsoft Office products is necessary, specifically Microsoft Excel. - Excellent organizational and administrative skills with demonstrated ability to work towards and meet deadlines by planning and organizing. - Experience in working on complex projects with critical thinking and problem solving. - Excellent written and oral communication skills. - Strong attention to detail. - Able to work with numbers and apply basic math skills to daily tasks. - Strong ability to lead and mentor multiple team members. Work Environment Work is performed from a home office setting. Company Description As a family-founded national leader in personal and financial services for individuals who rely on home- and community-based care, GT Independence supports tens of thousands of people across the country as they find and hire their own caregivers or personal assistants. - Our operations team is driven by trust, autonomy, and—yes—fun. - We believe great teams come from people who are intrinsically motivated, empowered, and valued. - We respect each other, we care about the work we do, and we succeed because we work with purpose. - We value excellence, but we won’t micromanage to achieve it. - If you are self‑motivated, we give you the space and support to grow and thrive. - Team members enjoy flexible paid time off, competitive wages & benefits, and meaningful opportunities for professional growth.

Role Description This highly specialized client facing General Liability, Excess and Surplus position is responsible for: - Agency marketing, risk selection, underwriting, pricing, and cross-sell initiatives with other business units. - Gaining and servicing new and renewal business. - Assisting in the development of new products. - Working independently with limited supervision requiring proven expertise in General Liability with Excess & Surplus Lines experience. Key responsibilities include: - Vetting of submissions – New and renewal business, including analyzing risk, loss runs, exposures, terms, profit, and loss statements, emails, and calls with brokers. - Completing the pricing tool and pricing of accounts. - Preparing quotes & binders to release to brokers, determining proper terms and exclusions unique to each account. - Full negotiations with brokers and/or agents. - Writing referrals regarding risks outside of underwriters’ authority. - Conducting in-person and virtual visits with Brokers/Agencies. - Working with internal and external partners to ensure proper endorsements are handled within guidelines. - Collaborating with corporate underwriting on writing and approval of manuscript endorsements. - Cultivating existing and new relationships to support business unit goals. - Coordinating special projects as assigned. - Maintaining underwriting files and documentation to support the underwriting thought process. - Assisting the management team with mentoring, training, and development of other team partners. - Serving as a technical expert. Qualifications - Bachelor’s degree preferred; additional insurance certifications or designations preferred. - Relevant combination of education and experience may be considered in lieu of degree. - A minimum of eight years’ experience required. - Experience in underwriting with an insurance organization with demonstrated technical knowledge in one or more areas: underwriting, marketing, loss prevention, or similar knowledge. - State licenses may be required. - Continuous learning required, as defined by the Company’s learning philosophy. Requirements - Demonstrate superior judgment and analytical abilities to analyze risks and identify corrective action. - Strong relationship management skills. - Ability to work independently. - Ability to work in a fast-paced environment while handling multiple tasks. - Ability to take a lead role and/or assist in training and mentoring of others. - Values the ability to work in a team-friendly work environment. - Thorough knowledge of the marketplace, departmental procedures, processes, and workflow. - Ability to understand business needs and conceptualize and implement processes and procedures that support business strategies. - Demonstrate ability to communicate our value proposition to the brokerage community. - Ability to understand market trends, loss development, and deliver tough messages when needed. - Demonstrate leadership abilities. Benefits - Pay Range: Actual compensation decision relies on internal equity, candidate’s skills and professional experience, geographic location, market, and other potential factors. - Reasonable estimate for this role is between $137,900 and $231,000 (add 10% to this range for AK, CA, CT, DC, HI, IL, MD, MA, NJ, NY, WA). Company Description We are an Equal Opportunity Employer. We will not tolerate discrimination or harassment in any form. Candidates for the position stated above are hired on an "at will" basis. Nothing herein is intended to create a contract.

• Prepare, submit, and track FHA, VA, USDA, FNMA, FHLMC, PMI, and investor claims accurately and within required timeframes. • Perform detailed loan-level reconciliations comparing amounts claimed, amounts paid, and outstanding indebtedness (including escrow and corporate advances). • Prepare and submit supplemental claims as necessary, coordinating with foreclosure, loss mitigation, and bankruptcy teams to obtain required documentation. • Partner with the Escrow Department to verify taxes and insurance are maintained, paid timely, and canceled or endorsed in accordance with investor and insurer requirements. • Document all claim-related activity accurately and thoroughly within the Claims Pipeline Sharepoint. • Conduct timely audits of assigned claims to validate compliance and ensure claim accuracy and completeness. • Ensure loans are fully liquidated and cleared from MSP within 48 hours of receipt of final claim proceeds. • Perform additional duties as assigned by the Claims Department Supervisor or management.