• Adjust bodily injury, personal injury, and wrongdoing claims in a timely and professional manner • Perform all duties outlined in the Property Damage Adjuster role • Review new claim assignments within 24 hours and develop a clear plan of action • Establish contact with insureds and claimants within 24 hours of assignment • Conduct thorough investigations including: • Gathering evidence and documentation • Obtaining recorded statements from claimants, insureds, and witnesses • Reviewing internal client investigation reports when applicable • Evaluate damages and determine need for appraisers or field adjusters • Review estimates and supporting documentation for accuracy and appropriateness • Set reserves and maintain accurate claim evaluations • Manage claim workflow and system reminders; ensure progress within 72 hours of assigned tasks • Coordinate with defense counsel and monitor litigation activity when applicable • Handle claim denials in accordance with client and regulatory guidelines • Request payment authorization in alignment with client and Davies procedures • Maintain consistent, professional communication with clients, claimants, and partners • Ensure accurate and timely documentation of all claim activity in the claim system • Manage Medicare reporting and compliance where applicable • Run ISO ClaimSearch and evaluate potential fraud indicators • Identify and report claims to excess carriers when thresholds are met • Respond to reservation of rights and excess carrier communications as needed • Maintain compliance with state regulations (including PIP/No-Fault laws where applicable) • Monitor claim progress and maintain a target 95% claim closure ratio • Participate in continuing education to maintain adjuster licensure • Support team members and assist leadership with additional duties as assigned

Role Description This position is National Remote. You’ll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges. The Claims Representative / Insight Analyst Assistant primary duties may include but are not limited to: - Initiating and managing tasks associated with case workflow - Adhering to protected health information rules and regulations on behalf of our clients This position is full time, Monday - Friday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 8:00 am - 5:00 pm. It may be necessary, given the business need, to work occasional overtime. This will be on-the-job training and the hours during training will be during normal business hours, Monday - Friday. Primary Responsibilities: - Process medical record submissions through various avenues - Manage cases from the time of opening to the time medical records are received, including verification and management of standard turn-around times on cases, or the case is closed for NMR - Act as a Subject Matter Expert (SME) and provide exceptional communications with Providers - Maintain the ability to work in an environment with PHI - Understand and adhere to HIPAA privacy requirements - Other duties as assigned You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Qualifications - High School Diploma / GED - Must be 18 years of age OR older - 1+ years of customer service experience - Experience with Microsoft Word (create correspondence and work within templates) - Experience with Microsoft Excel (data entry, sort/filter, and work within tables) - Experience with Microsoft Outlook (email and calendar management) - Ability to work full time, Monday - Friday - Flexibility to work any of our shift schedules during normal business hours of 8:00 am - 5:00 pm - May be necessary to work occasional overtime Requirements - 1+ years of experience in healthcare related OR healthcare claim industry Telecommuting Requirements - Ability to keep all company sensitive documents secure (if applicable) - Required to have a dedicated work area established that is separated from other living areas and provides information privacy - Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service Soft Skills - Strong verbal and written communication - Commitment to confidentiality, privacy, and professionalism - Ability to work independently and as a team member - Self-motivation, flexible, strong time management, organizational and analytical skills - Detail oriented and possess the ability to multi-task - Experience working in a fast-paced professional environment Benefits - Comprehensive benefits package - Incentive and recognition programs - Equity stock purchase - 401k contribution (all benefits are subject to eligibility requirements) - Hourly pay for this role will range from $18.00 to $32.00 per hour based on full-time employment Application Deadline This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

• Determine, evaluate, investigate, negotiate and resolve quota share and single insurer property claims • Verify coverage under the applicable Commercial Property insurance policy • Coordinate with field adjusters and experts for inspections or further investigation • Review supporting documentation submitted for the claims and properly note the details of the review within the file • Analyze damage estimates and repair costs as well as review vendor invoices for accuracy • Identify potential issues such as fraud, duplicate claims, or policy exclusions • Communicate with policyholders, adjusters, contractors, and other stakeholders regularly to ensure constant claim progression and keep all involved parties updated • Prepare written status and large loss reports for clients, including Reservation of Rights and Coverage Position Letters • Handle appeals or disputes related to claim decisions • Attend mediations and settlement conferences as necessary • Direct and monitor defense counsel to settle litigated claims • Provide monetary authority and strategy to counsel to ensure client’s money and claims are protected • Present and explain claim overviews to business partners on a monthly basis • Participate in audits and quality control reviews • Stay updated on industry trends, policy changes, and best practices

• Support the management of inquests, unexpected deaths and legal claims across our healthcare services • Coordinate case administration • Maintain accurate records • Liaise with key internal and external stakeholders including Coroners, solicitors and insurers • Ensure documentation is managed efficiently and within required timescales • Provide support for claims activity • Help coordinate investigations • Monitor case progress • Maintain compliance with legal and governance requirements