Role Description The Experienced Homeowner Litigation and Appraisal Adjuster is a senior-level individual contributor role within Openly’s Property Claims organization, responsible for managing complex homeowner property claims in litigation and appraisal from assignment through final resolution. This position demands deep technical claims expertise, strong litigation acumen, and the confidence to drive strategy independently on high-stakes files. - Write and critically review estimates. - Navigate sophisticated coverage questions. - Manage defense counsel and appraisal panels. - Deliver fair, well-reasoned outcomes for all parties. The ideal candidate is a consummate professional who commands every file with proactive ownership and unwavering integrity, bringing urgency and genuine empathy to every interaction. Key Responsibilities - Litigation & Appraisal Management: - Manage end-to-end handling of HO property claims in litigation and appraisal. - Drive litigation development and strategy on the file. - Manage the appraisal process from invocation through award. - Make difficult, independent decisions with confidence and sound judgment. - Claim Investigation & Coverage Analysis: - Conduct thorough investigations including review of policy terms and damages evaluation. - Examine claims for potential subrogation opportunities. - Issue coverage position letters and other formal claim correspondence. - Estimating & File Documentation: - Independently scope and write property damage estimates using Cotality. - Critically review estimates prepared by others. - Prepare and maintain thorough file documentation. - Adhere to reserving best practices and update reserves accurately. - Customer Service & Communication: - Provide superior customer service throughout the claims process. - Discuss and provide updates to all parties involved in the claim. - Maintain proactive control of every file. - Negotiation & Independent Decision-Making: - Apply strong verbal negotiation skills to complex claim situations. - Negotiate settlement of claims with fairness and professionalism. - Vendor & Partner Collaboration: - Manage and collaborate with vendor partners to drive accurate claim outcomes. - Provide feedback on process and performance. - Partner with internal functions to drive aligned claim outcomes. - Support and mentor peers as needed. Qualifications - 5+ years of HO claims experience, handling litigation matters from assignment through resolution. - Proven ability to independently scope and write property estimates in Cotality. - Experience managing the appraisal process from invocation through award. - Strong verbal negotiation skills and collaborative experience with defense partners. - Experience with formal claim handling and related correspondence. - Active adjuster license(s) or eligibility to obtain licenses in required states. - Experience in a remote or hybrid claims environment. - Proficiency in Microsoft and Google productivity tools. - Exceptional written and verbal communication skills. - Strong organization, time management, and multi-tasking abilities. - Tech-savvy with comfort using high-end technology tools for adjusting. - Ability to work independently and manage a complex workload. - Agile and change-ready mindset. Preferred - Experience handling claims in Oklahoma and other West Coast states. - Auto Physical Damage (APD) experience. - Innovative mindset with a track record of process improvement. - Experience with MacBook and Google Suite products in claims handling. - Bachelor’s Degree or equivalent combination of education and experience. - CPCU, AIC, or other relevant professional designation.

Role Description Examine titles to determine legal condition of property title, primarily for residential properties. Copy or summarize recorded documents, which affect the condition of title to the property. The Title Examiner role gathers information and creates a commitment of title. - Works independently and uses experience to examine title to real property, ranging in complexity, to determine status and establish chain of title. Essential Functions - Performs title examination and examines the chain of title for a wide range of title orders, primarily residential. - Abstracts and analyzes records, such as mortgages, liens, judgments, easements, vital statistics, and plat and map books, to determine ownership and legal restrictions and to verify legal description of property and completeness of records. - Resolves most issues such as missing information, incomplete, inaccurate or contradictory information contained in the title documentation. - Prepares initial title commitment documentation based on the application of procedural guidelines. - Prepares and reviews reports for accuracy. - May provide underwriting interpretation within established guidelines. Qualifications - Detail / quality orientation. - Analytical review skills. - Research and investigative skills. - Strong problem-solving skills. - Communication skills, both verbal and written. - Customer service orientation. - Standard MS skill set. - Proficient with company operating systems. - Knowledge of legal terms helpful. Requirements - High School diploma or equivalent. - Typically requires 2+ years directly related experience. - New York experience required. - New Jersey experience is a plus. Pay Range $27.85-$32.00 Hourly. This hiring range is a reasonable estimate of the base pay range for this position at the time of posting. Pay is based on a number of factors which may include job-related knowledge, skills, experience, business requirements and geographic location. Benefits - Comprehensive benefits package including medical, dental, vision, 401k, PTO/paid sick leave. - Employee stock purchase plan.

Role Description Join the transformative team at City of Hope, where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. The Research Insurance Specialist is essential in the success of supporting clinical trials. The primary task is to verify insurance policy benefit information and obtain authorizations/pre-certifications for services not covered by the clinical trial study. - Verify with the clinical trial patient’s insurance provider if the patient has coverage to participate in the proposed trial. - Using a clinical trial study coverage analysis, determine for each upcoming appointment whether the upcoming service will be covered by the study sponsor or if prior authorization is needed. - Obtain timely authorizations/pre-certifications when needed for all services not covered under the study. As a successful candidate, you will: - Obtain Insurance Benefits Confirmation: - Review billing grid/budget and compile a list of all standard of care procedures associated with research. - Verify hospital and professional insurance policy benefits for clinical trial patients through telephone contact, mail/facsimile, or online inquiry. - Enter information concerning the policy benefits into the system and update insurance information. - Ongoing Authorization: - Review billing grid/budget to determine if upcoming services require authorization and update in medical record. - Request authorization extension or new authorizations for continuity of care for research as needed or when coverage changes and input updates into the system. - Customer Service: - Ensure a high level of customer service by being a resource to patients and team members. - Serve as a liaison between patients and support staff. - Develop effective relationships with colleagues, physicians, providers, leaders, and other employees across the organization. - Demonstrate genuine interest in helping our patients, providers, and other employees by using excellent communication skills, being polite, friendly, patient, and calm under pressure. Qualifications - High School Diploma - 2 years of related experience - 1+ years of healthcare experience working with insurance/authorizations Benefits - City of Hope employees' pay is based on work experience, qualifications, and work location. - City of Hope is an equal opportunity employer. - To learn more about our Comprehensive Benefits, please CLICK HERE .

Role Description Performs registration and all insurance benefit and verification duties. Serves as a resource for identifying underinsured and uninsured patients. Gathers financial information, creates estimates, and informs patients of alternatives for financial obligation for services. Assists impecunious parties in obtaining free or financial assistance. Communicates new insurance benefits found to Utilization Management as well as other departments and physician offices throughout the network. Job Duties - Obtains and verifies demographic, clinical, financial, and insurance information in the process of pre-registering and financially clearing patients for service delivery. - Performs complete and accurate account pre-registration and insurance verification functions. Meets required accuracy rates. - Completes registrations in accordance with department productivity and timeliness standards. - Works to provide patient information which maximizes reimbursement, achieves collection ratios, and meets accounts receivable (AR) goals. - Ensures that scheduled appointments match the corresponding account status registration so that information flows into the designated work queue workflows. - Creates estimates and identifies any non-covered patient responsibility such as coinsurance, deductibles, and copayments prior to service. - Provides general information to hospital departments, physician offices, patients, and families and ensures that patients meet financial requirements. - Works with all pre-service departments and any department throughout the revenue cycle to ensure patient expectations are met. Qualifications - High School Diploma/GED - 3 years previous experience in a customer-oriented environment, patient registration, or insurance-related field. - 1 year experience in a related healthcare environment with pre-cert, billing, and registration background. - Ability to anticipate and understand customer financial needs, document, and/or relay patients' needs to appropriate personnel. - Knowledge of medical terminology. - Must be self-directed and able to prioritize duties in a fast-paced environment. Preferred Qualifications - Associate’s Degree - Specialized training in insurance, coding, billing, or similar healthcare certificate programs. - Knowledge of EPIC, Navinet, and Passport. - Ability to speak Spanish. Physical Demands - Lift and carry 25 lbs. - Frequent sitting/standing. - Frequent keyboard use. - Patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting, and performing CPR. Work Shift Day Shift Address 1200 S Cedar Crest Blvd Primary Location REMOTE IN PENNSYLVANIA Position Type Remote Union Not Applicable Work Schedule 8:00 AM to 4:30 PM Department 1004-13050 COH-Benefits Verification