Title: Insurance Claims Specialist | Patient Financial Services Location: Gainesville United States Job Description: - Office and Clerical - 63499 Job Description Overview Bring your claims expertise to a remote team committed to service excellence and operational success. Work Style: Remote Location Requirement: Gainesville, FL FTE: Full-Time (1.0 FTE) This position is responsible for coordinating incoming and outgoing payer correspondence, reviewing claim documentation, supporting Epic account updates, and ensuring accurate claim processing and routing. Ideal candidates are detail-oriented, analytical, and thrive in a fast-paced environment while helping drive efficiency and accuracy across the revenue cycle team. Responsibilities Key Responsibilities - Manage incoming insurance payer correspondence, ensuring documentation is accurately reviewed, sorted, and prepared for scanning - Coordinate outgoing mail and fax communications to patients and insurance payers in support of Insurance Claims Specialists - Review and evaluate paper claims to ensure proper handling and routing - Maintain accurate account documentation and correspondence updates within Epic - Analyze large volumes of payer and demographic information to identify trends, discrepancies, and updates - Support revenue cycle operations through strong attention to detail, organization, and process accuracy - Work collaboratively with team members to ensure timely and efficient claims support activities - Maintain knowledge of insurance processes, payer requirements, and operational workflows while supporting the financial integrity of UF Health Qualifications Education - High School Diploma/Equivalent Required Skills & Qualifications - Minimum of six (6) months of billing experience within a hospital or physician practice setting, or one (1) year of experience in a business environment involving finance, accounting, or insurance portal systems - Experience verifying patient insurance eligibility and working with commercial, including BCBS, United, Aetna, Cigna and other commercial payors. - Epic experience preferred, with familiarity using computerized insurance billing systems and Microsoft Office programs preferred - Strong communication, organizational, and problem-solving skills with the ability to work independently in a fast-paced environment - Above-average math aptitude with strong attention to detail and accuracy - Ability to interact professionally with payers, and internal teams while exercising sound judgment in account resolution - Knowledge of medical terminology preferred - Demonstrated ability to consistently achieve performance expectations while managing multiple priorities under pressure

• To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements. • Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency. • Develops and manages workers compensation claims' action plans to resolution, coordinates return-to-work efforts, and approves claim payments. • Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract. • Manages subrogation of claims and negotiates settlements. • Communicates claim action with claimant and client. • Ensures claim files are properly documented and claims coding is correct. • May process complex lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review. • Maintains professional client relationships.

Title: Senior Liability Claims Adjuster Location: Greenville, South Carolina, 29601, United States Department: Claims Job Description: About Canal Insurance Canal Insurance Company was founded in 1939 and is located in Greenville, South Carolina. Canal specializes in insurance for commercial trucking and specialty transportation operations. While Canal does not write insurance in all states, the claims department handles claims in all 48 contiguous states and Canada. Canal’s customers are mainly federally regulated Motor Carriers and as such the core group of customers carry $1,000,000 in liability limits. At Canal, we recognize that our success would not be possible without the hard work and dedication of our employees. We know that happiness and productivity go hand in hand, and to that end, we consciously cultivate a culture that enables us to recruit and retain the very best talent in the business. A Culture With YOU in Mind - Located in beautiful downtown Greenville, SC - Career growth & advancement opportunities - Comprehensive benefits package - Employee referral program - Casual dress code - Innovation-focused & customer-centric - 80+ years of industry expertise - Committed to giving back to our community - Unquestioned integrity and commitment Benefits at Canal - Basic & Voluntary Life Insurance Plans - Medical, Dental, & Vision - Short Term & Long Term Disability - 401(k) plan with company match up to 6% - Flexible Spending Accounts - Employee Assistance Programs - Generous PTO Plan Senior Liability Claims Adjuster Job Summary: The Senior Liability Claims Adjuster position is responsible for the analysis and adjustment of litigated moderate to severe commercial claims. Major Accountabilities: - Verify coverage as new losses are received. - Collaborate with Claims Legal regarding complex coverage issues. Drafting Reservation of Rights and coverage Declination letters. - Adjust cases with significant exposure, including cases with potential excess exposure, on an inside basis including investigating, evaluating, negotiating, documenting, and validating to conclusion within authority level. - Manage litigation budgets and strategies with attorneys assigned in the defense of the insured and attend mediations and trials as a representative of the Company. - Direct investigations utilizing independent adjusters and attorneys in the field, when appropriate. - Establish and maintain adequate reserves and communicate with management, when appropriate. - Act as a resource for team questions and/or training of new employees as assigned by management. - Perform other duties as assigned by management. Qualifications Education/Training Requirements: Bachelor’s degree or commensurate experience required. Professional insurance designation preferred. Adjuster licensing required. Experience/Specialized Skills: - Minimum of seven years adjuster experience in handling bodily injury claims with Bachelor’s degree required or 10 years of claims handling experience. - Training, working team lead, or informal leadership experience preferred. . - Experience adjusting transportation (trucking) liability claims preferred. Commercial auto claims required. - Advanced knowledge and understanding of insurance and tort law, litigation, and terminology as it relates to insurance operations. - Advanced knowledge of medical terminology and procedures required. - Advanced knowledge of insurance coverage preferred. - Experience litigating claims and working with inside and outside panel counsel required. - Experience adjusting claims involving moderate to severe injury required. - Intermediate computer skills (word processing, spreadsheets, databases, Internet, e-mail) required. Special Considerations Physical Requirements: Constant use of vision, hearing, and communication (oral and written/in-person and via telephone). Frequent concentration, standing, walking, handling, reaching, and grasping. Occasional bending, kneeling and lifting (up to 25 lbs.) Heavy use of computer and office equipment. Travel/Hours of Service: Approximately 10% required travel for mediations and trial attendance. Periodic work outside of standard business hours or on weekends may be required. #LI‑Hybrid Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

Role Description The Auto Total Loss Adjuster will be responsible for investigating, evaluating, negotiating, and settling total loss auto claims efficiently and accurately. This individual will work closely with insureds, claimants, vendors, and internal teams to ensure timely claim resolution while delivering a high level of customer service. Qualifications - 3+ years of experience handling auto total loss and subrogation claims - Strong understanding of auto claims handling and total loss procedures - Experience reviewing vehicle valuations and settlement calculations - Familiarity with salvage and title processing - Ability to manage claims in a fast-paced environment - Excellent negotiation, communication, and organizational skills - Strong attention to detail and customer service mindset - Active adjuster license(s) preferred where applicable Requirements - Handle a pending of auto total loss claims from inception through resolution - Investigate coverage, liability, and damages related to total loss claims - Review vehicle valuations and determine accurate settlement amounts - Negotiate settlements with insureds, claimants, lienholders, and vendors - Coordinate vehicle inspections, salvage processing, and title documentation - Maintain detailed and accurate claim file documentation - Ensure compliance with state regulations and company guidelines - Provide excellent customer service throughout the claims process - Collaborate with internal departments and external partners to resolve claims efficiently Benefits - $75,000 - $85,000/year (based on experience) - Comprehensive benefits offering - Remote flexibility - Opportunity for growth within a rapidly expanding organization