Virtual Assist - Auto Adjuster - Mountain or Pacific Time Zone - Remote remote type Fully Remote locations USA - OR (Remote) USA - MT (Remote) USA - UT (Remote) USA - AZ (Remote) USA - CO (Remote) USA - ID (Remote) USA - NV (Remote) USA - NM (Remote) USA - WY (Remote) time type Full time job requisition id R30084 At Allstate, great things happen when our people work together to protect families and their belongings from life’s uncertainties. And for more than 90 years, our innovative drive has kept us a step ahead of our customers’ evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection. Job Description Candidates must live in Mountain or Pacific Time Zone As a Virtual Assist Auto Adjuster, you will have the flexibility to work from home daily. You will be an integral part of our team, leveraging advanced technology conducting inspections remotely by analyzing photos and live videos to provide exceptional service to customers whose vehicles require repair. You will play a key role in reviewing, writing estimates, creating supplements, and handling total losses for a wide variety of vehicles. In this role, you’ll be expected to communicate clearly and efficiently with all parties involved, ensuring that the customers’ needs are met with the highest level of professionalism and care. Your attention to detail and problem-solving skills will be key to your success, making this a perfect opportunity for someone passionate about delivering outstanding customer service and working with cutting-edge technology. If you're a self-motivated, detail-oriented individual who thrives in a flexible work environment, this is the perfect opportunity for you! This position requires on-camera presence when assisting customers, participating in team meetings, or as otherwise directed Candidates must live in Mountain or Pacific Time Zone Preferred Qualifications: - 18 months+ previous experience in auto Collision estimating using CCC or Mitchell. - Demonstrated expertise in crafting comprehensive cost estimates for paintwork, body, frame restoration and mechanical. - Proficiency in using virtual inspection tools and applications. - Strong analytical skills to assess damages and write accurate estimates. - Excellent communication skills to interact with customers and stakeholders effectively. - Ability to work independently and manage time efficiently in a virtual work environment. - Familiarity with insurance policies and industry regulations related to auto claims. You’ll wear a few hats to fill a few roles throughout your day that all require a level of experience: The Customer Service Expert –you’ll live into Allstate’s Claims Culture by caring, empowering, and restoring, and you will accomplish that by being compassionate, clear, and a committed partner in each auto claim. You lead with empathy, always. The Investigator – you’ll confidently and independently investigate auto claims by performing detailed reviews of damage and interpreting policies to determine coverage. The Effective Communicator – you’ll use phone, emails and sometimes even video chat with customers to help them through a fast, fair, and easy claims process. You’ll also incorporate a specific approach to claim handling to offer the customer their preference of communication to efficiently discuss their claim needs and keep them updated on the claim progress. The Negotiator – You will evaluate and negotiate claims settlements with customers, vendors, third party carriers and claimants, in accordance with all legal and business standard methodologies. With negotiations, you will incorporate tactics in handling challenging and complex situations. The Problem Solver –you’ll utilize multiple tools to get the job done in a fast-paced environment, including estimate tools, job aids, and additional settlement platforms, all while using your sharp critical thinking skills. The Recorder – you’ll protect the company financially by executing policies along policy agreements, and you keep a clear record of your work in a claims system that you will be trained on. You’ll accomplish this by ensuring timely and accurate documentation is completed as you work on each claim. Work Location: This position is a remote home-based role. Your home office does not need to be near an Allstate office, but it does need to be in the United States. This Position is not available for Washington, California, Alaska, and Hawaii residents. When you work from home full time, you’ll need: - A dedicated workspace in your residence that is private and free from distractions. - A minimum internet bandwidth of 50 MB download speed and 5 MB upload speed. - Appropriate work surface and seating. Work schedule: Candidates are considered based on the time zone they live in. If you selected for this position you need to be willing to work one of the following schedules to be determined by business needs. - 8:30 am - 5:00 pm Pacific Time Zone - 9:00 am - 5:30 pm Mountain Time Zone (Times may vary and will be determined by business needs) “Please note, you may be required to attend 2-week of in person training.” What Allstate will provide: - A technology bundle that includes all equipment needed to perform your work from home (laptop, monitor, headset, keyboard, and mouse.) - Connectivity reimbursement of $80 per month to offset some of the cost of internet. Notice of Licensing Requirement: As a condition of employment, your office/area may require you to obtain an adjuster and/or an appraiser license which includes passing an additional background check with the Department of Labor. If applicable, you will be required to secure license(s) within 60 days of hire. If required, the Hiring Manager will work with you along with the Centralized Licensing team to ensure that you are properly licensed. Sign on Bonus: You may be eligible for a $1000 Licensing Sign on Bonus if you have the applicable active licenses needed for this role. This could include Home Resident Property & Casualty License, Designated Home State (DHS) Florida or Texas License, and/or applicable Appraiser License. **Candidates who have previously worked for and are seeking to be rehired at Allstate and its family of companies are not eligible for this sign-on bonus. Allstate Benefits: Allstate cares about you and your wellbeing. We offer a comprehensive total rewards package that includes pay, benefits, and programs to help you balance work with the rest of your life. You can choose whatever benefits are most important you. Here are some of our offerings: - Competitive salary based on experience and qualifications. - Medical, dental, and vision coverage. - Allstate pension plan and 401(k) savings plan. - Ayco financial coaching. - Spring Health mental and emotional wellbeing resources. - Paid parental leave. - Adoption reimbursement. - Paid time off. - Tuition reimbursement. - Wellness incentives. Notes: The preceding description is not designed to be a complete list of all duties and responsibilities. May be required to perform other related duties as assigned. Regular, predictable attendance is an essential function of this job. #LI-RF2 Skills Auto Estimating, CCC ONE, Computer Literacy, Conflict Resolution, Mitchell Estimating, Negotiation, Oral Communications, Verbal Communications Compensation Base compensation offered for this role is $65,600.00 - $111,550.00 annually and is based on experience and qualifications. The candidate(s) offered this position will be required to submit to a background investigation. Joining our team isn’t just a job — it’s an opportunity. One that takes your skills and pushes them to the next level. One that encourages you to challenge the status quo. One where you can shape the future of protection while supporting causes that mean the most to you. Joining our team means being part of something bigger – a winning team making a meaningful impact.

Role Description The credentialing specialist will provide customer service centered and timely credentialing, re-credentialing and other necessary credentialing and provider enrollment activities for onboarding of initial and continued privileges of NorthStar Anesthesia medical providers caring for our patients. Such activities shall be performed in accordance with organization and department policies and procedures. This position can be performed from anywhere within the United States. Candidates must have reliable internet access and be able to work effectively in a virtual environment. Work site attendance may be required from time to time in accordance with business conditions. Essential Functions: - Perform credentialing activities within the organizational and department policies and procedures as well as applicable federal, state and accreditation regulatory standards. - Maintain knowledge of current provider enrollment requirements and client medical facility requirements for credentialing of providers. - Initiate credentialing and re-credentialing applications on behalf of providers for submission to client medical facilities as well as to applicable medical billing agencies. - Review provider files, document and report as applicable to recruiting, operations and client medical facility representatives of known malpractice claims, NPDB report activity, license disciplinary action or other activity that may affect medical provider credentialing. - Monitor, collect and maintain current copies of medical licenses, DEA certificates, malpractice coverage and other required credentialing documents for all providers. - Routinely monitor application processing and follow up as required until completion and provider is granted privileges at client medical facilities and applicable documentation is submitted to medical billing agencies. - Report to credentialing manager status of departmental operations and provider credentialing issues of concern. - Document and maintain credentialing activities of medical providers through utilization of department software application system and individual provider files. - Send notifications to client medical facilities and medical billing agencies regarding provider changes, including name changes, privilege resignations and terminations. - Establish and maintain customer service centered and productive working relationships with medical providers, peers, department partner teams, management staff and contacts outside the organization. - Promote NorthStar Anesthesia’s Core Values. - Demonstrates regular, reliable and predictable attendance. - Performs other duties as required. Qualifications - High school diploma or equivalent; associates degree or equivalent preferred. CPCS certification a plus. - Minimum of three years of work-related experience in the field of medical provider credentialing for medical facility fulfillment. Requirements - Proficient in Office 365 and applications (Word, Excel, Teams, Outlook). - Customer service / client focus communication (verbal and written). - Experience with primary sourcing of provider licensure, board certification, NPI, NPDB. - Experience in using a provider credentialing software or provider data management system. - Attention to detail and documentation. - Work well in a team environment. - Ability to organize and prioritize work and manage multiple priorities. - Professional verbal and written communication skills. Company Description NorthStar Anesthesia is a company of caregivers, founded by an anesthesiologist and a Certified Registered Nurse Anesthetist (CRNA). With more than 4,000 anesthesiologists and CRNAs under its banner, NorthStar partners with more than 280 client sites across over 20 states and counting to deliver a more productive and efficient model of anesthesia care. Its "care team" approach focuses on the provision of high-quality care while measurably improving operating room performance.

Title: California Claims Professional Adjuster - REMOTE Location: Louisville, KY, US Salary Range: $90,000.00 To $95,000.00 Annually Job Description: WORKERS’ COMPENSATION CLAIMS ADJUSTER Midwestern Insurance Alliance (MIA) is seeking a full-time Claims Adjuster to join its worker’s compensation claims processing team. MIA is a national workers’ compensation program administrator offering custom-tailored worker’s compensation insurance programs through its carrier partners. MIA focuses on niche segments such as local and long-haul trucking, parcel and mail delivery, and fuel hauling. MIA’s acquisition by San Diego-based K2 Insurance Services in 2012 has enabled MIA to expand its product offerings and product distribution channels. Claims Adjuster responsibilities include, but are not limited to: - Thoroughly investigating worker’s compensation claims by contacting injured workers, medical providers, and employer representatives. - Determining if claims are valid under applicable worker’s comp statutes. - Communicating with medical providers to develop and authorize appropriate treatment plans. - Reviewing and analyzing medical bills to confirm charges and treatment are worker’s comp injury-related and in accordance with the treatment plan. - Ensuring payments for medical bills and income replacement are remitted on a timely basis in accordance with applicable fee schedules and statutes. - Calculating and assigning appropriate reserves to claims, and managing reserve adequacy throughout the life of the claim. - Managing claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries, and Social Security and Medicare offsets. - Preparing required state filings within statutory limits. - Providing information as needed for litigation or settlement negotiations. The ideal Claims Adjuster will have: - Bachelor’s degree preferred, but not required. - At least 2 years’ WC claims adjusting experience that includes experience with California WC claims. - AB1262 California Experienced Examiner designation or currently meet the requirements for designation under AB1262. WCCA or WCCP preferred. - Strong verbal and written communication skills. - Strong organizational skills with attention to details. - Ability to work with little supervision. - Ability to manage multiple tasks in a fast-paced environment. - Proficiency in MS Word, Excel, and Outlook. MIA offers the opportunity to join an established company in growth mode. Our benefits package includes medical, dental, vision, disability, and life insurance and 401(k) with employer match. We also offer a business casual work environment and an 8:00-5:00 Monday-Friday work week. Salary: 90,000-95,000 USD Annually

Title: Medicaid Claims Analyst Location: OR, US, Remote Job Description: Description Here at GOBHI, we understand and support diversity by appreciating it and encouraging it by creating a culture of dignity and respect for our employees. We are honored to be an Equal Opportunity Employer. We have multiple job ads for this position, please only apply to one. GOBHI has an immediate opening for a full-time Medicaid Claims Analyst. This remote position will be based out of the employee’s home located in the state of Oregon or accepted radius. The Medicaid Claims Analyst supports GOBHI’s Non-Emergent Medical Transportation (NEMT) program by reviewing, processing, and reconciling Medicaid claims to ensure accuracy, compliance, and timely reimbursement. This position is responsible for coding, billing, auditing, and reconciliation functions related to NEMT services, serving as a key liaison between transportation providers, internal staff, and state Medicaid offices. This role ensures that all claims activities comply with federal and state regulations while supporting program efficiency, accuracy, and integrity. Essential duties include: - 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. Requirements What is needed to succeed in this role: - Two years’ experience in Medicaid claims processing, billing, or healthcare reimbursement. - Experience working in transportation claims strongly preferred. - Knowledge of Medicaid billing, HCPCS/CPT coding, and claims submission requirements. - Strong analytical skills and attention to detail. - Excellent problem-solving, communication, and organizational abilities. - Handles highly sensitive and confidential information and complies with HIPAA requirements. - Technology savvy, proficient using MS software and Google Suites. - Experience with claims management systems, billing software, and Microsoft Excel. - Capacity to handle multiple priorities and meet strict deadlines. - Education – Associate’s degree in Business, Accounting, Healthcare Administration, or a related field. Bachelor’s degree preferred. What we offer: - Competitive salary – starting at $27.88 DOE - Medical, dental and vision insurance for you and dependents - 22 paid time off days and 12 paid holidays - EAP - FSA, with a $500 employer contribution - Triple AAA insurance - Mileage reimbursement - Wellness benefits - 401k contribution, including 6.5% employer contributions - Cell phone and internet reimbursements About GOBHI: Founded in 1994, Greater Oregon Behavioral Health, Inc. is an innovative behavioral health organization that serves communities across Oregon. GOBHI is a 501(c)(3) nonprofit corporation that is charged with administering the behavioral health Medicaid benefit, non-emergent medical transportation and community engagement in 12 rural and frontier counties in Oregon.