Claims Inquiry Representative Location: Arizona, Colorado, Connecticut, Florida, Georgia, Idaho, Illinois, Kentucky, Massachusetts, Michigan, North Carolina, Nevada, New Jersey, New York, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, and Washington. Remote Full-time Job Description: The Claims Inquiry Representative is responsible for responding to webform inquiries from providers and plan partners, reviewing Durable Medical Equipment (DME) claims for billing accuracy, investigating root causes, and delivering professional, timely solutions while maintaining compliance with legal, regulatory, and company policies including HIPAA. The role requires documentation maintenance, teamwork, adaptability, and the ability to meet productivity goals. Salary: $19.00/hour JOB QUALIFICATIONS: KNOWLEDGE/SKILLS/ABILITIES - Demonstrate the ability to work effectively with multiple health plan payers and remain adaptable to varying daily assignments. - Perform additional duties as assigned to support team and organizational goals. - Foster a climate of teamwork and collaborative problem-solving within the workgroup. - Ensure a minimum internet bandwidth of 200 Mbps download speed is maintained to support daily job duties effectively. - Remain accountable for achieving daily productivity goals that meet or exceed the current production metrics. - Commit to adding value and making positive contributions to the company and department. - Be flexible and willing to adapt to changes within the work environment. - Meet consistent attendance and punctuality expectations as required. - Follow both written and verbal instructions accurately. - Understand and perform all duties in compliance with State and Federal regulations, as well as the policies and procedures of Integra Partners and its clients. - Be self-motivated and utilize available resources to investigate issues and resolve problems independently. - Respond to provider inquiries in a professional, thorough, and timely manner. - Maintain strong attention to detail in all aspects of the role to ensure accuracy and quality. EDUCATION: High school diploma required EXPERIENCE: - Prior medical billing experience. - Proficient in Microsoft Office (Word, Excel, Outlook) and able to learn new programs. - Knowledge of 1500 claim forms, DMEPOS services, ICD-10, HCPCS, and medical terminology. - Able to accurately review medical documents. - Self-motivated, works independently and effectively in a fast-paced team. - Strong organizational and critical thinking skills - Must be reliable and meet attendance expectations. Benefits Offered - Competitive compensation and annual bonus program - 401(k) retirement program with company match - Company-paid life insurance - Company-paid short term disability coverage (location restrictions may apply) - Medical, Vision, and Dental benefits - Paid Time Off (PTO) - Paid Parental Leave - Sick Time - Paid company holidays and floating holidays - Quarterly company-sponsored events - Health and wellness programs - Career development opportunities Remote Opportunities We are actively seeking new colleagues in: Arizona, Colorado, Connecticut, Florida, Georgia, Idaho, Illinois, Kentucky, Massachusetts, Michigan, North Carolina, Nevada, New Jersey, New York, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, and Washington. Our Story Founded in 2005, Integra Partners is a leading national durable medical equipment, prosthetic, and orthotic supplies (DMEPOS) network administrator. Our mission is to improve the quality of life for the communities we serve by reimagining access to in-home healthcare. We connect Payers, Providers, and Members through innovative technology and streamlined workflows affording Members access to top local Providers and culturally competent care. By focusing on transparency, accountability, and adaptability, we help deliver better health outcomes and more efficient management of complex healthcare benefits. Integra Partners is a wholly owned subsidiary of Point32Health. With a location in Michigan plus a remote workforce across the United States, Integra has a culture focused on collaboration, teamwork, and our values: One Team, Drive Results, Push the Boundaries, Value Others, and Build Community. We’re looking for energetic, talented, and dedicated individuals to join our team. See what opportunities we have available; there may be a role for you to engage in a challenging yet rewarding career in healthcare. We look forward to learning more about you. Integra Partners is an equal opportunity employer. We are committed to providing reasonable accommodations and will work with you to meet your needs. If you are a person with a disability and require assistance during the application process, please don’t hesitate to reach out. We celebrate our inclusive work environment and welcome members of all backgrounds and perspectives.

• Investigate, evaluate, and adjust multi-line liability claims (property damage & bodily injury) in accordance with CCMSI standards and state requirements • Manage claims involving commercial vehicles, trucking exposures, and third-party liability • Determine coverage, assess liability, and develop defensible claim strategies • Review medical, legal, and vendor invoices for accuracy and reasonableness; negotiate discrepancies as needed • Establish, monitor, and adjust reserves in alignment with exposure and authority guidelines • Negotiate settlements with claimants, attorneys, and representatives in accordance with client expectations • Engage, coordinate, and manage defense counsel or other external vendors when appropriate • Identify and pursue subrogation opportunities • Maintain detailed and timely claim documentation, diary management, and financial reporting • Support excess reporting requirements and client communication needs • Deliver consistent, high-quality service with professionalism and integrity

Title: Claims Officer - Motorcycle Location: Melbourne Australia Full time Job Description: Primary Details Time Type: Full time Worker Type: Employee Providing delivery of superior claims service, determining proper policy coverage to conclude, investigate, evaluate and negotiate assigned cases Please see more information about QBE careers here Careers Location: Melbourne Type: 12-month contract Hybrid working available The opportunity We currently have an exciting opportunity for a Claims Officer to join our Melbourne-based Motorcycle team. This position will see you provide delivery of superior claims service, determining proper policy coverage to conclude, investigate, evaluate and negotiate assigned cases. About QBE We offer a range of benefits to help provide holistic support for your work life, whatever your circumstances. As a QBE employee you will have access to and benefit from: - 'Hybrid Working' - a mix of working from home and in the office to enhance your work/life balance - Free holistic wellbeing coaching, nutritional, confidential counselling, financial and legal advice - Life Leave, supporting the life events we all experience, leaving your annual leave for rest. Your new role - Management of lodgements through to total loss for Motorcycle Claims utilising multiple claims systems and processes - Maintaining positive stakeholder relationships with the insured, agents and service providers - Interpreting basic policy coverage and determining if coverage applies to claims submitted - Receiving, recording and processing incoming insurance claims - Authorizing payment within scope of authority, settling claims in the most cost-effective manner and ensuring timely issuance of disbursements and - Identifying suspicious or potentially fraudulent claims and arranging investigations. About you - Previous experience in a similar role within Motor Claims is advantageous - Strong customer service skills with excellent communication, both written and verbal - Strong negotiation, organisational, and time management skills. - A quick learner who is comfortable with technology - While not essential, a passion for motorcycles would be a plus! Benefits We offer a range of benefits to help provide holistic support for your work life, whatever your circumstances. As a QBE employee you will have access to and benefit from: - 'Hybrid Working' - a mix of working from home and in the office to enhance your work/life balance - Free holistic wellbeing coaching, nutritional, confidential counselling, financial and legal advice - Life Leave, supporting the life events we all experience, leaving your annual leave for rest

Title: Social Insurance Specialist (Claims Specialist) (ICTAP) (Temporary) Location: - Washington, DC - Roxbury, MA - Boston, MA - Cambridge, MA - Salem, MA - Springfield, MA - Augusta, ME - Cherry Hill, NJ - Hackensack, NJ - Woodbridge, NJ - Albany, NY - Binghamton, NY - Greece, NY - New Rochelle, NY - Syracuse, NY - Bloomsburg, PA - Philadelphia, PA - Arecibo, PR - Hato Tejas, PR - Toa Alta, PR - Covington, VA - Danville, VA - Lynchburg, VA - Newport News, VA - Reston, VA - Richmond, VA - Wise, VA - Saint Croix, VI Job Description: Summary Interagency Career Transition Assistance Program (ICTAP) eligibles only in the commuting area of the selected duty location. LOCATION: This position is located in various Field Offices in the Social Security Adminstration. TOUR OF DUTY: Multiple work schedules.Up to 40 hours. TYPE OF POSITION: Temporary, NTE 1 year; may be extended. Will not become permanent. Summary Interagency Career Transition Assistance Program (ICTAP) eligibles only in the commuting area of the selected duty location. LOCATION: This position is located in various Field Offices in the Social Security Adminstration. TOUR OF DUTY: Multiple work schedules. Up to 40 hours. TYPE OF POSITION: Temporary, NTE 1 year; may be extended. Will not become permanent. Salary $74,678 - $114,413 per year Salary shown is GS-11 Rest of USA min. Salary to the highest locality pay. (See Additional Information Section for Locality pay information) Pay scale & grade GS 11 Locations Many vacancies in the following locations: Washington, DC Roxbury, MA Boston, MA Cambridge, MA Salem, MA Springfield, MA Augusta, ME Cherry Hill, NJ Hackensack, NJ Woodbridge, NJ Albany, NY Binghamton, NY Greece, NY New Rochelle, NY Syracuse, NY Bloomsburg, PA Philadelphia, PA Arecibo, PR Hato Tejas, PR Toa Alta, PR Covington, VA Danville, VA Lynchburg, VA Newport News, VA Reston, VA Richmond, VA Wise, VA Saint Croix, VI Remote job - No Telework eligible - Yes, as determined by the agency policy. Travel Required Not required Relocation expenses reimbursed No Appointment type Temporary - 1 year; May be extended - Will not become permanent Work schedule Multiple Schedules - Up to 40 hours a week Service Competitive Promotion potential None Job family (Series) - 0105 Social Insurance Administration Supervisory status: No Security clearance Not Required Drug test No Position sensitivity and risk Moderate Risk (MR) Trust determination process - Suitability/Fitness Financial disclosure: No Bargaining unit status: Yes Announcement number SSA-12965676-ICTAP-26-FO Control number 869827100 Career transition (CTAP, ICTAP, RPL) Federal employees whose job, agency or department was eliminated and are eligible for priority over other applicants. Clarification from the agency APPLICATIONS WILL ONLY BE ACCEPTED FROM those eligible for Interagency Career Transition Assistance Program (ICTAP) in the commuting area of the listed duty location. Claims Specialists conduct interviews with the public to obtain, clarify, and verify information about initial and continuing eligibility for retirement, survivors, disability, health insurance benefits, and eligibility for supplemental security income including State supplements. In addition, they resolve discrepancies, clarify issues and make final decisions for initial and post-entitlement for benefits and payments; adjudicate and authorize entitlement or disallowance actions at all levels of difficulty and complexity under programs administered by SSA. Requirements Help Conditions of employment - Proof of ICTAP eligibility required - U.S. Citizenship required - Selective Service Registration, if applicable (www.sss.gov) - Background and/or security investigation required - Job offers are contingent on background / security investigation results - All qualification requirements must be met by the closing date of the announcement Qualifications Applicants must have 52 weeks of specialized experience at the GS-9 level or equivalent, which is in or related to the work of the position to be filled and has equipped applicant with the particular knowledge, skills, and abilities to successfully perform the duties of the position. Examples of specialized experience include developing, examining, investigating or authorizing of claims under a program for SSA benefits, health insurance, pension plan, income maintenance or related programs. The following time-in-grade requirement must be met by the closing date of this announcement. Applicants must have 52 weeks at the GS-9 or higher. SELECTIVE PLACEMENT FACTOR: COMPETENCY ASSESSMENT INTERVIEW PROCESS (CAIP) INTERVIEW - Applicants will be required to participate in a panel interview (after basic eligibility determination) to demonstrate an aptitude for meeting and dealing with the public. Applicants must pass this interview process in order to be found fully qualified for this position and receive further consideration for selection. This interview will cover typical situations, which might be encountered on the job, in person or over the telephone. Applicants must demonstrate qualities such as clarity of speech, ability to listen, ability to establish confidence and put others at ease and the ability to organize and express thoughts clearly. If you do not pass the CAIP interview, you will not qualify for the job. Panel interviews may be conducted via video conferencing software, if technically feasible. NOTE: Previous Meet and Deal results are not valid for this vacancy announcement; you will be required to complete the CAIP assessment. Education PROOF OF EDUCATION: If you are qualifying on the basis of education or satisfying an educational requirement, submit a copy of your transcripts that includes your name, the name of the educational institution, course title(s), number of credits, grade, and date of completion. Unofficial transcripts or screenshots of electronic/web transcripts with the required information will be accepted at the time of application. You must submit your transcripts according to the application submission details of this announcement. Documents will not be accepted via email or regular mail. If selected, you may be required to provide your official college transcripts prior to the effective date of the personnel action placing you into the new position. GS-11: Ph.D. or equivalent doctoral degree, or successful completion of three full years of progressively higher level graduate education leading to a Ph.D. or equivalent degree, or LL.M. Combining Education and Experience: GS-11: Experience and graduate level education beyond the second year may be combined to meet the minimum qualification requirement. Note: One year of full-time graduate education is considered to be the number of credit hours that the school you attended has determined to represent one year of study. If this information is not provided, we will consider 18 semester/27 quarter hours to be equal to one year of full-time graduate study. Experience and education will be computed as percentages of the overall requirements and must equal to 100 percent when combined. Additional information In addition to the minimum qualifications, applicants must be eligible under the following category: - Displaced or surplus Federal employees eligible under the Interagency Career Transition Assistance Plan (ICTAP) who have held a GS-11 or above, and in the commuting area of the listed duty locations. In addition to meeting the basic eligibility criteria, ICTAP applicants must be well qualified for the position. Well-qualified is defined as having knowledge, skills, and abilities that clearly exceed the minimum qualification requirements for the position. Under numeric rating procedures, qualified ICTAP applicants must receive a rating of 85 or higher to be eligible for selection. This is not a career-ladder position; GS-11 is the full performance level. This is a bargaining unit position represented by the American Federation of Government Employees. Selective Service: If you are a male applicant born after December 31, 1959, you must certify that you have registered with the Selective Service System, or are exempt from having to do so under the Selective Service Law. See www.sss.gov. Additional selections may be made for this vacancy six months from the closing date of this announcement. LOCALITY PAY: Salary will be set in accordance with locality pay provisions. Refer to Salaries & Wages for locality pay tables. Expand Hide additional information Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution. A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits. Review our benefits Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered. How you will be evaluated You will be evaluated for this job based on how well you meet the qualifications above. The evaluation you receive is based on your responses to the questionnaire. Your resume and supporting documentation will be compared to your responses to the occupation questionnaire, which is designed to capture the desired competencies for this position. The following knowledge, skills, and abilities are necessary to perform the duties of this position: - Knowledge of principles, objectives, policies and procedures of a benefits entitlement programs - Ability to research, interpret and apply standards, directives, policies and legislation. - Ability to communicate orally. - Ability to communicate in writing. - Skill in using online technology and automation tools. - Ability to manage multiple priorities and balance workloads. Please make sure you answer all questions and follow all instructions carefully. Errors or omissions may affect your evaluation. The questionnaire takes approximately 15 minutes to complete. To preview the questions, click the following link: https://apply.usastaffing.gov/ViewQuestionnaire/12965676 Benefits A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits. Review our benefits Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered. Required documents Resumes exceeding two pages in length will not be considered, please visit the new resume guidance for more information. You must submit supporting documentation by the closing date of the vacancy announcement to claim certain types of preference or qualify on the basis of education. INTERAGENCY CAREER TRANSITION ASSISTANCE PLAN (ICTAP): ICTAP provides eligible displaced Federal competitive service employees with selection priority for competitive service vacancies. To receive selection priority, candidates must meet the requirements for the Well Qualified category as described in the vacancy announcement. Candidates must also provide: - proof of eligibility with your application. Such proof may include a copy of your written notification of ICTAP eligibility or a copy of your separation Notice of Personnel Action, (SF-50); and - proof of your most recent performance rating of at least "fully successful" (Level III) or equivalent. For more information visit http://www.opm.gov/rif/employee_guides/career_transition.asp. PROOF OF EDUCATION: If you are qualifying on the basis of education or satisfying an educational requirement, submit a copy of your transcripts that includes your name, the name of the educational institution, course title(s), number of credits, grade, and date of completion. Unofficial transcripts or screenshots of electronic/web transcripts with the required information will be accepted at the time of application. You must submit your transcripts according to the application submission details of this announcement. Documents will not be accepted via email or regular mail. If selected, you may be required to provide your official college transcripts prior to the effective date of the personnel action placing you into the new position. If you are relying on your education to meet qualification requirements: Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education. Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.