Title: Litigation Claim Adjuster Job Category: Claims Requisition Number: LITIG001696 Full-Time Hybrid Locations Buffalo Corporate Office Buffalo, NY 14202, USA Job Description: Merchants Insurance Group is a leading Property and Casualty Insurer in the Northeast and is looking for a Litigation Adjuster join our growing Claims Legal Team in our Corporate Headquarters located in Buffalo, New York. The Litigation Adjuster will become part of a dedicated team focusing on auto and premises liability claims, which includes New York Labor Law, construction defect and/or third-party property damage claims. This position interacts extensively with internal colleagues as well as policyholders, agents, attorneys and a multitude of claim-related service providers. Merchants Insurance Group, rated A- (Excellent) with a stable outlook by the A.M. Best Company, is proud to be one of Buffalo Business First’s Best Places to Work in Western New York (2023-2026), a Fast Track company (2019-2025), and a Top Private Company (2019-2025). Merchants was also granted the Ward’s 50® designation as a top-performing property-casualty insurance company for four consecutive years (2021-2024) and has been granted the Ivans Spark Award for innovation (2024-2025). In October 2024, Newsweek and Statista included Merchants Insurance Group on their first-ever America’s Most Reliable Companies list, which highlights organizations that other companies can feel confident doing business with in 2025. Of 1,500 B2B companies evaluated, Merchants was one of only 300 companies to make the list. Merchants offers its colleagues a Hybrid work schedule. The Hybrid work schedule requires 2 full days per week in the office, with the option to work the remaining days at home or in the office. This exciting Hybrid Work benefit offers colleagues a flexible work schedule with the ability to remain connected with their Merchants team and colleagues. Essential Duties and Responsibilities include, but are not limited to: - Cultivating relationships with claims and other internal staff, policyholders, attorneys, agents and a variety of service providers and experts all while working towards achieving the most optimal outcomes for Merchants and our policyholders. - Providing a high level of customer service while managing a portfolio of complex and high exposure litigated claims involving complex liability and damage issues. - Evaluating coverage by interpreting/applying policy language to claim facts and preparing appropriate and timely coverage position letters. - Conducting and directing timely and quality claim investigation, evaluation and equitable settlement of all assigned claims. - Ensuring timely and accurate reserves consistent with established reserving philosophy and practices. - Negotiating fair and equitable settlements directly with attorneys. - Identifying risk transfer opportunities through trade contracts and/or applicable law. Qualifications & Skills: - Qualified candidates will have a 4-year degree or equivalent work-related experience. - A minimum of 3 years’ experience handling commercial lines claims. Experience with New York Labor Law, construction defect and/or third-party property damage claims is a plus. - Candidates with a JD and insurance defense experience looking for a new career path are encouraged to apply. - Ability to oversee and manage defense counsel, select and retain appropriate experts and develop appropriate resolution strategies. - Professional designations or working towards industry specific designations are a plus. - Exceptional organization, negotiation, verbal and written communication skills are required. Merchants Insurance Group Pay information: Merchants Insurance Group offers a competitive pay scale. The estimated salary for this role ranges from $85,000 - $95,000 based on leveling and geography, along with an equity component and a comprehensive benefits package. This range is merely an estimate; actual compensation may deviate from this range based on skills, experience and qualifications. Merchants Insurance Group Benefits: - Welcoming and positive work environment. - Colleague Appreciation events. - Flexible work arrangements, including flex scheduling and summer hours. - Hybrid work schedule. The Hybrid work schedule will require 2 full days per week in the office, with the option to work the remaining days per month at home or in the office. - Competitive pay scale. - Company bonus program. - Generous paid time off package. - Full Benefits: Health, Dental, Vision, Life Insurance, Short Term Disability, 401(k) employer match amount is 100% up to 6% of your annual contributions. You are immediately 100% vested in the employer match dollars. - Tuition Reimbursement. And many more exciting company benefits!! Merchants Insurance Group is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status. Merchants Insurance Group supports a safe workplace through pre-employment background screenings. Qualifications Experience Preferred 3 years: A minimum of 3 years’ experience handling commercial lines claims. Experience with New York Labor Law, construction defect and/or third-party property damage claims is a plus.

Role Description Come join us at CarolinasDentist in Asheville where we provide positively-different dentistry! We are a hardworking, fun, outgoing team, who strive to give our patients the best experience all while maintaining an upbeat, yet relaxing atmosphere. We are up to date on all the latest technology and offer both general and cosmetic dentistry including Invisalign. We are looking for an energetic, self-driven team member to join our growing practice. The Claims Coordinator ensures accuracy and timely filing for all dental claims for assigned office and reports problems and issues on follow up report to dental office. Reviews Accounts Receivable reports on assigned rotation for all offices, following up on outstanding insurance claims and balances; working problem EOBs, denials, and processing appeals as needed. Responsibilities: - Reviews clinical note, x-rays, and account ledger for cohesion of information. - Creates and submits e-claims and paper claims attaching any necessary x-rays, notes, narratives, charting, etc. This includes ortho claims. - Sends claims through clearing house and manages all invalid and rejected claims. - Claims should be sent out within 48 hours of the date of service. - Any account or claim issues are included on a Follow Up report to the dental office or assigned to the designated DO team member within PMS with the expectation that answers and corrections will be made within 48 hours of sending the report. - If accounts are unresolved from the dental office from the follow up report, an Urgent Weekly Report goes to the dental office. - Files corrected claims triaged from the AR Specialist based on returned problem EOBs. - Manages Accounts Receivable report on an assigned schedule, reviewing accounts for outstanding insurance claims and balances. - Calls and follows up with insurance companies on claims issues and non-payments. - Maintains and completes all appeals and requests from insurance companies. - Reviews returned EOBs: - Denials - manages info needed for appealing claims. - Denials - manages info needed for missing information or attachments. - Corrected claims and/or retractions. - Tracks all outstanding insurance balances by category and reports to OM when completed. Administrative Responsibilities: - Participates in special projects and tasks as assigned. - Fills in for other Claims/AR Coordinators as needed. - Assists and conducts training of new CBO team members. - Attends and contributes to monthly meetings. - Reports to CBO-RCM with any grievances or issues. Qualifications - Previous experience in dental office administration, dental billing, or insurance claims processing is highly beneficial. - Familiarity with dental terminology and procedures is essential for accurately processing claims and communicating with dental providers and insurance companies. - A good understanding of dental insurance policies, coverage limitations, and claim submission procedures is necessary. This includes knowledge of common insurance codes (e.g., CDT codes) and claim forms (e.g., ADA dental claim form). - Dental claims coordinators must be detail-oriented to accurately review claims, ensure all necessary information is included, and identify any discrepancies or errors. - Strong communication skills are important for interacting with patients, dental providers, insurance companies, and other staff members, including both verbal and written communication skills. - The ability to effectively manage and prioritize multiple tasks, such as processing claims, following up on outstanding payments, and resolving claim disputes, is crucial in this role. - Proficiency with dental practice management software and other computer applications used for claim processing and administrative tasks is typically required. - Dental claims coordinators often interact with patients regarding billing and insurance matters, so good customer service skills are important for addressing inquiries and concerns in a professional and empathetic manner. - The ability to troubleshoot issues related to claim processing, billing errors, or insurance coverage discrepancies is valuable for resolving issues efficiently and effectively. - Knowledge of and adherence to legal and ethical guidelines related to patient privacy (HIPAA) and billing practices is essential. Benefits - Competitive Pay: Receive pay that matches your experience and performance. - Comprehensive Insurance: Enjoy peace of mind with health, dental, and vision coverage. - Future Planning: Secure your financial future with our 401k retirement savings plan. - Time for You: Paid time off and holidays to recharge. - Growth and Learning: Unlock your potential with opportunities for professional development and growth.

Client Service Executive - New York Territory Locations: New York, NY; Northeast Region This role can have a Hybrid or Remote work schedule.  Candidates who live near one of our office locations (NY City, One Penn Plaza) will have the expectation of working in an office 3 days a week (Tuesday through Thursday).   100% Remote Full time Sr UW Program Manager - UE07DE We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals – and to help others accomplish theirs, too. Join our team as we help shape the future.    The Client Service Executive (CSE) is responsible for supporting profitable growth and retention of accounts. Additionally, the CSE will understand an account's needs while developing and delivering an end-to-end service offering that differentiates The Hartford in the marketplace. We look to the CSE to support the end-to-end service mission while delivering engaging customer presentations that demonstrate professional diplomacy, articulated messaging and a friendly confidence that drives positive outcomes for our customers. - As an integral member of the service team, you support the service mission by delivering customer presentations that demonstrate professional diplomacy, clear and articulate messaging, and confident engagement to drive positive customer outcomes. - Negotiates and coordinates end-to-end account services between the claim organization, underwriting, the account and the agent/broker while executing loss cost containment initiatives through detailed analysis of performance results.  - Resolves service issues promptly via engagement with various internal service providers. - Provides training to local agents and business partners on new claim products and services.  Qualifications - Minimum of 10 years of Property and Casualty experience in Claims, Underwriting, Sales, or related role is preferred. - Expertise in multiline claims with a minimum of 5 years of functional claim experience in one or more of these product lines: Workers’ Compensation, Property, Auto or General Liability (or equivalent experience servicing large or VIP agencies / brokers). - Excellent ability to present virtually and in person to senior leaders and internal and external audiences. - Advanced knowledge of analytical claim data review with demonstrated ability to consult and influence. - Solid leadership acumen with prior leadership experience preferred along with the ability to influence those in which there is no direct authority. - Strong conflict management skills and ability to navigate ambiguous situations. - Superior customer service skills (patience, empathy, active listening, service recovery, high degree of attentiveness and follow through. - A valid driver’s license is required as a company car may be assigned - Ability to travel up to 25% This candidate will service the Northeast Region. This role can have a Hybrid or Remote work schedule.  Candidates who live near one of our office locations (NY City, One Penn Plaza) will have the expectation of working in an office 3 days a week (Tuesday through Thursday).  Candidates who do not live near an office will have a remote work schedule, with the expectation of coming into an office as business needs arise.  Compensation The listed annualized base pay range is primarily based on analysis of similar positions in the external market. Actual base pay could vary and may be above or below the listed range based on factors including but not limited to performance, proficiency and demonstration of competencies required for the role. The base pay is just one component of The Hartford’s total compensation package for employees. Other rewards may include short-term or annual bonuses, long-term incentives, and on-the-spot recognition. The annualized base pay range for this role is: $108,000 - $162,000

• Support the Clinical Research billing and account review needs of the Providence Health System • Review charges, processing and tracking of ongoing research-related clinical billing • Regularly review research-related billing process for accuracy and compliance