• Manage an active desk of litigated and non-litigated claims of varying complexity under miscellaneous professional liability coverages • Recognize exposures and ensure reserves are adequate and timely • Evaluate coverage issues and identify risk transfer opportunities • Manage litigation by proper expert selection, planning, budgeting and partnership with defense counsel • Strong negotiation skills • Effective communication both internally and externally • Proactively manage claim resolution, including formation and implementation of resolution strategy, settlement valuation and obtaining settlement authority • Actively participate in mediations as needed, within limit of settlement authority • Manage allocated loss adjustment expense through strategic handling and bill review/payment processing in coordination with the billing unit • Appropriately document claim files in accordance with established guidelines • Maintain adjuster licenses, as required. • This position may require occasional travel to attend mediations, trainings, trials and/or other related meetings.

Role Description Sage is looking for a Delegated Credentialing Specialist (Remote) to join our team! The Delegated Credentialing Specialist is responsible for organizing, maintaining, and verifying all aspects of the delegated credentialing process for General and Specialty Dentists. In all activities, they must comply with all legal and regulatory policies and procedures. - Adhere to NCQA guidelines. - Audit Provider Licensure Files to NCQA guidelines. - Pull Monthly Delegated Verification Files in accordance with NCQA. - Knowledge of Delegated Verification Websites (ie. National Provider Data Base, etc.) - Understanding of Initial and Re-Credential Delegated files / processing. - Prepare and Present provider files for internal and external auditing. - Upload and update the system and / or software with new documents. - Request & Obtain any Licensure renewals. - Must be able to utilize the licensure portals. - Experience in Clearinghouse / Manual Education Verifications. - Experience in Manual Hospital Privileges Verifications. - Experience in Board Certification Verifications through the appropriate portals. - Strong understanding of the differences between similar credentials (ie. Malpractice, Diplomas, etc.) - Knowledge of what a Credentialing Committee consists of. - Coordinate, monitor, maintain and process all internal re-credentialing to NCQA guidelines. - Heavy Understanding of Attestation questions, actions, exclusions and explanations. - Ability to speak effectively with providers, educators and internal departments. - Assist offices and internal departments with credentialing issues. - Ability to multi-task in a fast-paced environment. - Work other projects as assigned. Qualifications - Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) - Data Entry & Record Management - General Computer Knowledge - Keyboard Shortcuts - Typing Speed: 57 WPM - Time Management - Organization & Attention to Detail - Customer Service - Written & Verbal Communication - Self-Motivated - Flexible Scheduling - Team Collaboration - Confidential Information Handling Benefits - Be part of a purpose-driven organization transforming dental care. - Collaborate with a passionate, innovative team. - Access to cutting-edge technology and professional development resources. - Competitive compensation and benefits.

Role Description At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it’s our purpose. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people’s lives. It takes empathy, precision, and a strong sense of partnership—and that’s exactly what you’ll find here. We’re a team of fast-paced fixers, empathetic experts, and outcomes drivers — people who care deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals move forward with confidence. Here, you’ll be supported by a culture that values teamwork, encourages curiosity, and celebrates the impact of your work. Because when you’re here, you’re part of something bigger. You’re part of a team that shows up, stands together, and leads with purpose. - Apply claims management experience to execute decision-making to analyze claims exposure, plan the proper course of action, and appropriately resolve claims. - Interact extensively with various parties involved in the claim process to ensure effective communication and resolution. - Provide exceptional customer service to our claimants on behalf of our clients exhibiting empathy through each step of the claims process. - Handle claims consistent with clients' and corporate policies, procedures, and standard methodologies in accordance with statutory, regulatory, and ethics requirements. - Document and communicate claim activity timely and efficiently, supporting the outcome of the claim file. Qualifications - Claims Background: Commercial General Liability and Litigation Management - Jurisdictional Experience: Any - Active Adjusters' licenses: Any Requirements - High School Diploma. - Minimum of 5 years related claims experience. - Appropriately licensed and/or certified in all states in which claims are being handled. - Knowledge of accepted industry standards and practices. - Computer experience with related claims and business software. Benefits - Medical/dental/vision plans, which start from day one! - Life and accident insurance - 401(K) and Roth options - Tax-advantaged accounts (HSA, FSA) - Educational expense reimbursement - Paid parental leave - Digital mental health services (Talkspace) - Flexible work hours (availability varies by office and job function) - Training programs - Gallagher Thrive program – elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing - Charitable matching gift program - And more...

• To analyze Auto Bodily Injury Litigation claims on behalf of our valued clients to determine benefits due. • Ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. • 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.