Role Description Sie bearbeiten Schäden aus dem Bereich Sachversicherung (Wohngebäude, Hausrat). - Sie verantworten den gesamten Schadenabwicklungsprozess. - Sie kümmern sich u.a. um die Reduzierung der Schadenaufwendungen und die Durchführung von Regressen. Qualifications - Sie haben eine abgeschlossene Ausbildung oder Studium z.B. im Bereich Versicherungen und Finanzen, Jura/Recht, o.ä. - Sie bringen mehrjährige Berufserfahrung in der Schadenbearbeitung mit. Benefits - Flexible Arbeitszeiten - 100 % Homeoffice/ remote Work (deutschlandweit) - 30 Tage Urlaub - Betriebliche Altersvorsorge - Gruppenunfallversicherung - Möglichkeit zur Workation - Weiterbildungs- und Entwicklungsmöglichkeiten - Individuelle Einarbeitung - Möglichkeit zum Sabbatical - Firmenkreditkarte - Job-Rad - Firmenevents - Corporate Benefits Company Description PaKo Consulting ist ein spezialisierter Personalvermittler mit Sitz in Düsseldorf, der sich auf Vertriebspositionen konzentriert. Mit jahrelanger Erfahrung im Bereich der Personalvermittlung, bietet PaKo Consulting eine professionelle und persönliche Unterstützung bei der Karriereplanung seiner Klienten. - Der Ansatz von PaKo Consulting unterscheidet sich von anderen Personalvermittlern durch eine faire Zahlungsvereinbarung, eine diskrete und vertrauliche Zusammenarbeit sowie durch einen deutschlandweiten Suchprozess. - PaKo Consulting legt großen Wert darauf, die Bedürfnisse seiner Kunden und Kandidaten zu verstehen und individuelle Lösungen anzubieten. - Zu den Kernwerten des Unternehmens zählen Zuverlässigkeit, Ehrlichkeit, Engagement und Partnerschaft. - Das Team von PaKo Consulting besteht aus erfahrenen Fachleuten, die durch ihre Kompetenz und ihre persönliche Betreuung überzeugen.

Title: SENIOR PROPERTY AND LIABILITY CLAIMS ADJUSTER Work Type: Full-time Location: REMOTE OPTIONS,PHOENIX Remote Job Description: Salary: Up to $82,000.00 The Arizona Department of Administration (ADOA), Risk Management Division (RMD), is seeking a highly skilled and seasoned professional to serve as a Senior Property and Liability Claims Adjuster. In this pivotal role, you will be responsible for managing high-exposure claims and complex federal and state civil lawsuits filed against the State of Arizona, its agencies, employees, and public universities. This position demands the expertise to navigate sensitive and often catastrophic matters, ranging from severe personal injury and wrongful death to civil rights litigation, employment disputes, and highway design liabilities. You will also address intricate cases involving professional errors and omissions, as well as critical child safety and foster parent liability issues within the Department of Child Safety. As a senior-level practitioner, you will perform work of extreme complexity with a high degree of autonomy and minimal supervision. The successful candidate must possess the analytical rigor to independently investigate major claims, establish accurate reserves, and prepare comprehensive settlement authority requests. Beyond file management, you will act as a primary negotiator with plaintiffs’ attorneys and pro se claimants, represent the State in mediations, and serve as a vital liaison between the Attorney General’s Office and outside counsel. This role requires exceptional independent judgment to identify tender opportunities and monitor key litigation milestones, ensuring the State's interests are protected through every stage of the claims process. The State of Arizona strives for a work culture that affords employees flexibility, autonomy, and trust. Across our many agencies, boards, and commissions, many State employees participate in the State’s Remote Work Program and are able to work remotely in their homes, in offices, and in hoteling spaces. All work, including remote work, should be performed within Arizona unless an exception is properly authorized in advance. Job Duties: Comprehensive Claims Investigation: Conduct pre-litigation in-depth factual investigations by interviewing witnesses, law enforcement, and agency personnel; secure recorded statements and analyze all relevant incident materials to determine coverage and liability. Evidence and Discovery Management: Collaborate closely with the Attorney General’s Office and outside counsel during the discovery phase to prepare for depositions and identify additional investigative needs. Legal and Strategic Analysis: Collaborate with counsel to evaluate liability and prepare claims for litigation or resolution. Expert Procurement and Oversight: Perform rigorous cost-benefit analyses to determine the best course of action for the State, including the procurement and management of independent appraisers, engineers, architects, life care planners, and jury research consultants. Negotiation and Risk Mitigation: Secure appropriate settlement authority and lead negotiations to resolve claims; prepare all necessary closing and release documentation to ensure the State is fully protected from future exposure. Knowledge, Skills & Abilities (KSAs): Knowledge of: Possess or develop knowledge of the Arizona Revised Statutes, Arizona Administrative Code, and Executive orders. Possess or develop knowledge of administrative, state and federal court procedures and relevant state and federal laws. Possess or develop knowledge of the operations of state government, policies, and procedures, as well as a clear understanding of other public entity relationships and legal responsibilities that run concurrent with state obligations. Considerable knowledge of insurance practices and procedures, coverage regulations, and related terminology. Thorough knowledge of investigation techniques and evaluation methods. Thorough knowledge of property and liability laws and adjusting and subrogation principles. Possess or develop knowledge in adjusting highway design and maintenance claims, slip and fall claims, employment claims, auto liability claims, civil rights claims, wrongful death, and bodily/personal injury and other negligence claims. Skills in: Excellent judgment and decision-making skills to ensure claims are resolved in the best interest of the State. Excellent research, investigative, and analytical skills. Highly complex problem-solving and active learning skills. Excellent communication skills, including speaking, active listening, reading comprehension, and writing. Excellent mathematics and cost-benefit analysis skills used to properly evaluate exposures and damages. Excellent negotiation, persuasion, and strategic positioning skills. Excellent formal mediation and arbitration skills. Excellent customer service skills. Ability to work with pro se claimants. Excellent organizational and prioritizing skills to balance caseloads and conduct investigations in a complete and logical manner. Ability to: Handle confidential information with tact and discretion. Perform a wide variety of duties and responsibilities with accuracy and speed under the pressure of time-sensitive deadlines. Conduct investigations in multi-party situations. Synthesize complex information to form conclusions necessary to determine coverage, evaluate liability, and evaluate damage exposures to ensure claims are paid in a fair and equitable manner. Apply general rules to specific problems to produce logical and ethical solutions. Identify problems or details that may be detrimental to the State. Use logical and creative thought processes to develop solutions. Listen and understand complex information and ideas, both in writing and verbally. Communicate information effectively to others in a manner they can understand, even if they disagree with your position. Document work in progress, evaluation methods, and resolution decisions. Prepare and present accurate and reliable reports containing findings and recommendations. Control conflict situations with plaintiffs and attorneys. Work under stressful conditions and deal with emotional and volatile situations. Selective Preference(s): 8+ years of relevant industry experience Proficiency in Google Workspace/Google Suite Pre-Employment Requirements: Valid Arizona driver’s license required by start date Willingness and ability to travel statewide for business purposes Background and reference check, including a criminal records verification If this position requires driving or the use of a vehicle as an essential function of the job to conduct State business, then the following requirements apply: Driver’s License Requirements. All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify). Benefits: The Arizona Department of Administration offers a comprehensive benefits package to include: Sick leave Vacation with 10 paid holidays per year Paid Parental Leave-Up to 12 weeks per year paid leave for newborn or newly-placed foster/adopted child (pilot program) Health and dental insurance Retirement plan Life insurance and long-term disability insurance Optional employee benefits include short-term disability insurance, deferred compensation plans, and supplemental life insurance By providing the option of a full-time or part-time remote work schedule, employees enjoy improved work/life balance, report higher job satisfaction, and are more productive. Remote work is a management option and not an employee entitlement or right. An agency may terminate a remote work agreement at its discretion. Learn more about the Paid Parental Leave program here. For a complete list of benefits provided by The State of Arizona, please visit our benefits page Retirement: Participation in ASRS Lifetime Benefit Pension Plan after 26 weeks of employment

Title: Disability and Leave Management Claims Specialist (REMOTE) Location: United States Job Description: UNITED STATES-Remote Other Locations : UNITED STATES-NC-Charlotte, UNITED STATES-NY-Syracuse Organization : Equitable Schedule : Full-time About the Role At Equitable, we help clients secure their financial well-being so they can pursue long and fulfilling lives- a mission we’ve honed since 1859. Equitable is looking for an experienced Claims Specialist supporting Disability and Leave Management claims to join our team! The Claims Specialist is responsible for providing excellent customer service. You will be expected to utilize judgment and assess risk as you work with various business partners to render claim decisions and partner with internal and external resources. Reliability and dependability throughout our extensive training program is required. What You’ll Be Doing - Deliver an exceptional customer experience and ensure that customer commitments and deliverables are achieved - Communication via telephone, email, and text with employees, employers, attorneys, and others - Review and interpret medical records, utilizing resources as appropriate - Complete financial calculations - Gain an understanding and working knowledge of the Equitable claim and other applicable systems, policies, procedures, and contracts as well as regulatory and statutory requirements for claim adjudication - Apply contract/policy provisions to ensure accurate eligibility and liability decisions - Demonstrate and apply analytical and critical thinking skills - Verify on-going liability and develop strategies for return-to-work opportunities as appropriate - Document objective, clear and technical rationale for all claim determinations and demonstrate the ability to effectively communicate claim decisions to our customers via oral and written communication - Leverage a broad spectrum of resources, materials, and tools to render claims decisions - Provide timely and exceptional customer experience by paying appropriate claims accurately and timely, responding to all inquiries and maintaining expected service and quality standards - Work within a fast-paced environment, with tight deadlines, and demonstrate the ability to balance multiple priorities - Work independently as well as within a team structure This position offers a remote work schedule that allows you to stay fully engaged with your team to provide outstanding, customer‑focused service during our core hours (8:30 AM–5:30 PM EST). Periodic office visits may be requested based on business needs. The base salary range for this position is $50,000-$60,000. Actual base salaries vary based on skills, experience, and geographical location. In addition to base pay, Equitable provides compensation to reward performance with base salary increases, spot bonuses, and short-term incentive compensation opportunities. Eligibility for these programs depends on level and functional area of responsibility. For eligible employees, Equitable provides a full range of benefits. This includes medical, dental, vision, a 401(k) plan, and paid time off. For detailed descriptions of these benefits, please reference the link below. Equitable Pay and Benefits: Equitable Total Rewards Program What You Will Bring - Bachelor’s degree or equivalent work experience - 1+ years disability claims experience - Exceptional customer service skills - Maintains positive and effective interaction with challenging customers - Strong knowledge of disability and leave laws and regulations - Ability to handle sensitive information with confidentiality and professionalism Preferred Qualifications - Group Disability Claims experience - Exceptional written and oral communication skills demonstrated in previous work experience - Excellent organizational and time management skills with ability to multitask and prioritize deadlines - Ability to manage multiple and changing priorities - Detail oriented; able to analyze and research contract information - Demonstrated ability to operate with a sense of urgency - Experience in effectively meeting/ exceeding individual professional expectations and team goals - Demonstrated analytical and math skills - Ability to exercise critical thinking skills, risk management skills and sound judgment - Ability to adapt, problem solve quickly and communicate effective solutions - High level of flexibility to adapt to the changing needs of the organization - Self-motivated, independent with proven ability to work effectively on a team and work with others in a highly collaborative team environment - Continuous improvement mindset - A commitment to support a work environment that fosters diversity and inclusion - Proficiency in computer literacy and skills with the ability to work within multiple systems; proficiency with PC based programs such as Excel and Word Skills Analytical Thinking: Knowledge of techniques and tools that promote effective analysis; ability to determine the root cause of organizational problems and create alternative solutions that resolve these problems. Customer Support Operations: Knowledge of customer support techniques, tools, technologies, and best practices; ability to utilize all aspects of customer support operations to manage a call center. Customer Support Systems: Knowledge of principles and techniques used in customer support and ability to use applications, hardware, software, networking, and the applications environment used for customer support. Managing Multiple Priorities: Knowledge of effective self-management practices; ability to manage multiple concurrent objectives, projects, groups, or activities, making effective judgments as to prioritizing and time allocation. Problem Solving: Knowledge of approaches, tools, techniques for recognizing, anticipating, and resolving organizational, operational or process problems; ability to apply knowledge of problem solving appropriately to diverse situations. #LI-Remote About Equitable At Equitable, we’re a team committed to helping our clients secure their financial well-being so that they can pursue long and fulfilling lives. We turn challenges into opportunities by thinking, working, and leading differently – where everyone is a leader. We encourage every employee to leverage their unique talents to become a force for good at Equitable and in their local communities. We are continuously investing in our people by offering growth, internal mobility, comprehensive compensation and benefits to support overall well-being, flexibility, and a culture of collaboration and teamwork. We are looking for talented, dedicated, purposeful people who want to make an impact. Join Equitable and pursue a career with purpose. Equitable is committed to providing equal employment opportunities to our employees, applicants and candidates based on individual qualifications, without regard to race, color, religion, gender, gender identity and expression, age, national origin, mental or physical disabilities, sexual orientation, veteran status, genetic information or any other class protected by federal, state and local laws.

• Review, validate, and process NEMT claims in accordance with Medicaid policies, GOBHI program guidelines, and contractual requirements. • Perform accurate billing and coding for NEMT claims using appropriate HCPCS/CPT codes. • Verify member eligibility, trip authorization, and service documentation prior to submission. • Ensure claims are submitted within required timelines and track adjudication through final payment. • Identify and resolve claim errors, discrepancies, and denials in coordination with providers and program staff. • Maintain current knowledge of Medicaid billing codes, guidelines, and NEMT-specific requirements. • Conduct regular audits of NEMT claims to detect and prevent errors, overpayments, or potential fraud. • Support corrective action plans and recommend process improvements to strengthen billing integrity. • Accurately code trips and services in compliance with Medicaid and NEMT guidelines. • Prepare, review and submit billing batches to Medicaid and other payers. • Reconcile claims against payments, identifying variances or unpaid balances. • Collaborate with GOBHI finance staff to support accurate accounting and reporting. • Generate and maintain reports on claims activity, denial rates, and reimbursement trends. • Provide data analysis to identify cost drivers, claim patterns, and areas for improvement. • Serve as a resource for NEMT providers regarding Medicaid billing procedures, documentation, and claim resolution. • Upon supervisor’s approval and direction, update and maintain provider rate contracts. • Provide training and technical assistance to providers on coding, billing, and submission processes. • Other duties as assigned.