• Deliver an exceptional customer experience and ensure that customer commitments and deliverables are achieved • Communication via telephone, email, and text with employees, employers, attorneys, and others • Review and interpret medical records, utilizing resources as appropriate • Complete financial calculations • Gain an understanding and working knowledge of the Equitable claim and other applicable systems, policies, procedures, and contracts as well as regulatory and statutory requirements for claim adjudication • Apply contract/policy provisions to ensure accurate eligibility and liability decisions • Demonstrate and apply analytical and critical thinking skills • Verify on-going liability and develop strategies for return-to-work opportunities as appropriate • Document objective, clear and technical rationale for all claim determinations and demonstrate the ability to effectively communicate claim decisions to our customers via oral and written communication • Leverage a broad spectrum of resources, materials, and tools to render claims decisions • Provide timely and exceptional customer experience by paying appropriate claims accurately and timely, responding to all inquiries and maintaining expected service and quality standards • Work within a fast-paced environment, with tight deadlines, and demonstrate the ability to balance multiple priorities • Work independently as well as within a team structure

Role Description This position is responsible for reviewing and determining all claim requirements needed for initial and continuation claims. This position assists Care Managers and Care Coordinators, while also providing quality customer service to our policy holders, their representatives and providers. - Reviews internal databases, client guidelines, and policy contract language to determine all claim requirements needed for initial and continuation claims. - Reviews documented claim forms and contacts the insured, insured's representative, or provider to request information needed to process the benefit inquiry. - Keeps clear and concise documentation of all claim intake activity within the required databases. - Meets quality and production metrics as established and communicated by the department. - Processes requests from the client or from other departmental areas within illumifin. - Other duties as assigned. Qualifications - Associates Degree or equivalent formal training program, or 2 years experience in the health or life insurance industry. - 1-3 years work experience in a claims environment preferred. - Intermediate level experience with Microsoft Office products. Requirements - Experience working in a geriatric healthcare environment. - Knowledge of health, long-term care or disability insurance. - Excellent verbal and written communication skills. Benefits - The base pay for this position is starting at $18.50/hour depending on experience and qualifications.

• Investigates and maintains crop claims by inspecting crops • Evaluates damages and determining the amount of loss • Determines liability, secures information, reviews coverages • Arranges property damage appraisals and settles claims • Initiates first and subsequent contact with insureds and all relevant parties

• Apply your technical know-how as an automotive expert while acting as a key point of contact for our partners and customers • Check the plausibility of claims reports and take responsibility for examining claims • Process and monitor automated data imports for Nordics in the warranty environment, ensuring data quality • Manage external partners and ensure smooth operation • Monitor compliance with contractual regulations and ensure transparent cost control • Keep everyone involved up to date and be a reliable contact person