• Investigate first party physical damage and third party liability claims to determine coverage, liability, and damages • Review accident reports, witness statements, repair estimates, and related claim materials • Conduct interviews with claimants, insureds, witnesses, and other involved parties • Analyze policy provisions and coverage details to determine claim applicability • Complete damages investigations including repair estimates, loss of use, diminished value, etc • Issue payments in accordance with coverage, liability, and damages investigation, company policies, and client service standards • Identify subrogation, or other risk transfer opportunities, and refer the file to the subrogation unit • Manage assigned claims from initial report through resolution • Establish and maintain appropriate claim reserves based on claim exposure • Establish and maintain appropriate plan of action and file diary • Evaluate damages including bodily injury, liability exposure, and property damage • Negotiate settlements with claimants, attorneys, and other involved parties • Process form letters • Maintain regular communication with clients, insureds, claimants, and other involved parties • Provide updates regarding claim status, strategy, and resolution progress • Deliver high-quality customer service • Maintain accurate and detailed claim documentation within the claims management system • Ensure claim handling complies with company guidelines, regulatory requirements, and client service standards • Identify potential fraud indicators and escalate concerns when appropriate

Role Description Remote claims position handling commercial general liability claims. This position is handled inside, working remotely from your residence. No field work. This is a temporary interim assignment which is estimated to be 90 days in duration. Work days Mon - Fri, 38 to 40 hours per week. We pay weekly by direct deposit. - Review and analyze commercial GL claims - Determine coverage and liability - Negotiate settlements with claimants or their attorney - Settle claims within your authority Qualifications - Must have an active adjuster license - Minimum of 3 years experience handling commercial general liability claims with an insurance company or TPA Company Description Western International Staff, Inc. Contact Information: - Email: dhayes@westerninternational.com - Phone: (w) 480-777-0008 Ext 1

Role Description Under limited supervision and established practices, responsible for the investigation, evaluation, and disposition of Complex Workers Compensation cases of high exposure and severity. Applies established medical management strategies on high dollar complex claims. Has developed high level knowledge of Workers Compensation claims handling techniques, a full knowledge of LMG claims procedures and is cognizant of new industry trends and claim handling techniques. Uses available data to track claims trends and other claim related metrics. - Investigates claims to determine whether coverage is provided, establish compensability and verify exposure. - Resolves claims within authority and makes recommendations regarding case value and resolution strategy to Branch Office Management and HO Examining on cases which exceed authority. - Participates in pricing, reserving and strategy discussions with HO Examining and Examining Management. - Works closely with staff and outside defense counsel in managing litigated files according to established litigation management protocols. - Identifies and appropriately handles suspicious claims and claims with the potential to develop adversely. - Identifies and appropriately handles claims with third party subrogation potential, SIF and MSA exposure. - Establishes and maintains accurate reserves on all assigned files. - Makes timely reserve recommendations to Branch Office Management and HO Examining on cases which exceed authority. - Prepares for and attends mediation sessions and/or settlement conferences and negotiates on behalf of LMG and LMG Insureds. - Demonstrates the ability to understand new and unique exposures and coverages. - Demonstrates the ability to understand key data elements and claims related data analysis. - Confers directly with policyholders on coverage and resolution strategy issues. - Coordinates and participates in training sessions for less experienced staff, including both Complex non-Complex staff. Qualifications - A Bachelors degree or equivalent business experience is required. - 5-7 years of related claims experience with 1-2 years of experience in complex claims. - Demonstrated proficiency in Excel, PowerPoint as well as excellent written and verbal communication skills required. Benefits - Comprehensive benefits that support life and well-being. - Workplace flexibility and professional development opportunities. - Opportunities provided through Employee Resource Groups. Company Description At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.

• Claims Submission: Prepare, review, and submit claims for diagnostic lab services to commercial and government payers, ensuring compliance with payer guidelines and laboratory policies. • Denial Management: Analyze denied claims, identify root causes, and initiate corrective actions including appeals and resubmissions. • Follow-Up: Proactively follow up on outstanding claims, monitor aging reports, and communicate with payers to resolve issues and expedite payment. • Documentation: Maintain accurate records of claim status, correspondence, and payer responses in the billing system. • Collaboration: Work closely with prior authorization, billing, and reimbursement teams to resolve complex claims and support cross-functional RCM initiatives. • Compliance: Stay current with payer requirements, coding updates (CPT, ICD-10), and regulatory changes affecting laboratory claims. • Reporting: Generate and analyze claims performance reports to identify trends, opportunities for process improvement, and support management decision-making.