• Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim. • Negotiating settlement of claims within designated authority. • Communicating claim activity and processing with the claimant and the client. • Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.

Role Description - Erstellung von Kostenvoranschlägen für die Krankenkassen - Auftragserfassung und Rezeptbearbeitung - Erstellung von Zuzahlungsrechnungen und privaten Liquidationen - Rezeptabrechnung mit Krankenkassen Qualifications - Erfahrung in der Sanitätshausabrechnung dringend erforderlich - Optimalerweise Kenntnisse in Kumavision oder BC - Fließende deutsche Sprachkenntnisse - Bereitschaft, 30 Wochenstd. oder Vollzeit zu arbeiten Benefits - Nach der Einarbeitung Arbeiten aus dem Home-Office möglich - Attraktives Gehalt - Betriebliche Altersvorsorge - 30 Tage Urlaub - Langfristige berufliche Perspektive - Interessante Tätigkeit in einem aufgeschlossenen und hilfsbereiten Team

Title: Technical Specialist I, Product Claims LATAM Location: United States Job Description: SCS Global Services is a pioneer and leader in the field of sustainability standards and third-party certification, working across the economy in the natural resources, built environment, food and agriculture, consumer products, and climate sectors for over 40 years. As a Benefit Corporation, we are committed to socially and environmentally responsible business practices, and through the application of sound science, we are driving positive change. Job Overview The Technical Specialist I, Product Claims will work as an auditor in the Non-GMO , Gluten-Free, Plant-Based and Non-UPF programs. This position is responsible for conducting desk and field audits, reviewing certifications, and providing technical expertise towards the development and continued improvement of standards, program materials, and procedures. The Technical Specialist I will also support audit-related activities across other certification programs, including research and development for new business opportunities and attendance at trade shows, conferences, and trainings. Relevant Standards/Schemes Non-GMO Project Verification Others, as determined Essential Duties and Responsibilities Auditing - Conduct onsite and desk audits in accordance with assigned standards and verification requirements - Perform required data checks, inventory reviews, and data management system evaluations - Support the development of risk assessments and verification plans - Complete assigned audit activities within agreed timelines and documentation standards - Assist in preparing clear and accurate audit reports with appropriate supervision - Communicate audit findings internally and externally in a professional manner Quality and Program Development - Deliver verification services in accordance with corporate quality systems and program requirements - Maintain accurate competency and training records - Participate in internal and external accreditation activities as assigned - Stay current on applicable standards and program updates - Support continuous improvement efforts through feedback and process adherence Client Management - Communicate professionally with clients to obtain necessary data and documentation - Support client onboarding and audit preparation activities - Ensure responsiveness and high levels of customer service - Escalate complex issues to senior team members as appropriate Minimum Qualifications - Bachelor's Degree in food science, chemistry, agriculture, or a related field and - 3+ years of experience in auditing activities for product claims standards, such as Non-GMO Project, Gluten-Free, Plant-Based, Non-UPF or similar programs and - 2+ years of experience in audit-related activities to the Non-GMO Project Verification program - Experience with third-party auditing, certification systems, ISO 9001:2008 quality systems, or other applicable industry standards - Experience in quantitative and qualitative data collection and analysis - Excellent technical writing, observation, and data management skills - Ability to complete time-sensitive projects and provide realistic deadlines - Excellent organizational skills and strong attention to detail - Strong communication abilities and demonstrated abilities in critical analysis - Initiative and ability to work independently, responsive and adaptive to team environment - Strong proficiency in Microsoft Office including Word, Excel, and PowerPoint - Verbal and written proficiency in English and Spanish Preferred Qualifications - Formal ISO 9001, ISO 19011, IOIA, and/or equivalent auditor training - Master's Degree or higher in a related field The above description is intended to describe the general nature and level of work being performed. It is not intended to be an exhaustive list of all responsibilities, duties, and skills required. Additional duties outside of normal responsibilities may be required from time to time as assigned. Working Remotely SCS is recruiting all open roles to be remote; allowing our employees the ability to work flexibly and allowing SCS as a company to diversify the experience and perspectives of our growing workforce. This is a home-office based role and may include travel with local, domestic, and/or international trips. Details will be clarified during the recruitment process. Estimated Annual Salary $24,000-$29,000 EEOC Statement SCS provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. SCS complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Title: Associate Claims Specialist Location: Weatogue United States Job Description: Description Ready to grow your career in a role that makes a meaningful impact? Liberty Mutual is hiring Workers' Compensation Claims Specialists in our Northeast Region to help injured workers navigate the claims process and return to work with confidence. We're hiring across multiple levels-Associate Claims Specialist, Claims Specialist I, and Claims Specialist II-depending on your experience. The salary range posted reflects the varying pay scale across various locations. In this role, you'll manage a caseload of routine to moderately complex claims, making key decisions on compensability, evaluating losses, and negotiating fair outcomes. You'll collaborate closely with claimants, policyholders, attorneys, and partners throughout the claim lifecycle. Training is a critical component of your success, and that success starts with reliable attendance and active engagement. Training will include 1 week of travel to our Plano, TX office in September. This role is remote within the Northeast region. Candidates must reside in Connecticut, Delaware, Maine, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, or Vermont. Candidates residing within 50 miles of our offices in Weatogue, Connecticut, or Westborough, Massachusetts, will be expected to work onsite up to two days per month. On-site expectations may evolve based on business needs. Responsibilities - Manages an inventory of claims to evaluate compensability/liability. - Establishes action plans based on case facts, best practices, protocols, regulatory issues, and available resources. - Plans and conducts investigations of claims to confirm coverage and to determine liability, compensability, and damages. - Assesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves as necessary, during the processing of the claims, and refers claims to the subrogation group or Special Investigations Unit as appropriate. - Assesses actual damages associated with claims and conducts negotiations, within assigned authority limits, to settle claims. - Performs other duties as assigned. Qualifications - Effective interpersonal, analytical and negotiation abilities required - Ability to provide information in a clear, concise manner with an appropriate level of detail - Demonstrated ability to build and maintain effective relationships - Demonstrated success in a professional environment; success in a customer service/retail environment preferred - Effective analytical skills to gather information, analyze facts, and draw conclusions; as normally acquired through a bachelor's degree or equivalent - Knowledge of legal liability, insurance coverage and medical terminology helpful, but not mandatory - Licensing may be required in some states About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. 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. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: https://www.libertymutualgroup.com/about-lm/careers/benefits 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. Fair Chance Notices - California - Los Angeles Incorporated - Los Angeles Unincorporated - Philadelphia - San Francisco