• Processes various types of certification applications and policy variances related to extenuating circumstances. • Monitors the process of automated applications to identify gaps for process improvement. • Supports the internal teams with escalated inquiries related to certification. • Assists external stakeholders with certification questions, as necessary. • Reviews, on a consistent basis, all certification program materials and documentation to ensure consistency with any programmatic policy changes. • Collects and reports KPI data and report findings with any noted trends. • Analyzes data and generates daily/monthly/quarterly reports that align with accreditation standards. • Participates in meetings, webinars, and live communications that apply to certification.

• Responsible for the screening and accurate completion of referrals to ensure patients meet agency admission criteria and comply with state and federal regulations. • Processes referrals for all programs (Traditional, Peds, and Infusion Therapy) from hospital sites, MD offices, utilizing standard work and determines whether patient qualifies for home care based on established guidelines. • Verifies home health care benefits according to payor plans. • Obtains authorizations for services as indicated. • Ensure physicians initial home care orders are obtained. • Identifies risk management situations and completes high risk referral process on all appropriate patients based on established guidelines. • Interprets company services, admission criteria and medical policies to referral sources and individuals seeking information. • Documents the initial plan of home health care and initiates interdisciplinary communication. • Interviews patients/families in the hospital or SNF, to assess and evaluate patient for home care appropriateness. • Works in conjunction with the care management staff to assist the patient/family in the initiation of home care services. Responds to inquiries regarding home care services. • Works within established productivity guidelines for assigned site(s). Reports productivity to supervisor daily. • Trains patient/families in using equipment (e.g. pump) at home. Provide quality customer service; promote collaboration/coordination between referral sources and home care services to promote continuity of care and utilization of home care resources effectively.

• Review of automobile claim investigations. • Make handling recommendations and provide directions to subordinates. • Ensure ongoing adjudication of claims within company standards and industry best practices and regulations. • Determine, recommend and grant authority for settlement and payment processes. • Responsible for overall file handling and work product quality of subordinates. • Produce grammatically correct and clearly written correspondence including letters, memos, reports and claim file documentation. • Assist in the operations of the claims department, including making recommendations and implementing an organizational structure adequate for achieving the department's goals and objectives. • Maintain a documented system of claims policies, systems, procedures and workflows to ensure smooth operations. • Provide feedback to Management on process and system improvement initiatives for the department. • Report to Management as soon as there is an awareness of any issues or concerns which may be detrimental to the department or Company; recommend policies and procedures to Management regarding quality issues that may arise. • Staff Training-Foster a highly focused training and development environment within the Claims Department. • Complies with state and federal laws, Department of Insurance criteria, insurance carrier criteria and follows and enforces Aspire General Insurance Company and partner’s policies, procedure and work rules. • Communicate and provide timely notification to the Human Resources Department for all things related to employee attendance, punctuality or possible leave related situations. • Provide timely and thorough documentation for all things related to employee performance, training, recognition and/or coaching. • Evaluate subordinates’ performance and administer personnel actions as required in coordination with human resources department. Ensure the Department has adequate scheduling, including time-off requests, work shift management, etc Assist to identify, recruit, hire and develop top talent. • Ability to achieve targeted performance goals Maintain that sensitive information regarding employees and the Company is kept confidential Regular and predictable punctuality and attendance. • Other duties as necessary.

• Under direction of Material Damage leadership, the Sr. Material Damage Field Appraiser performs the essential functions of the position • Ensures equitable settlement of damages and maintains good customer service and shop relations • Inspect and evaluate either in the field or virtually the degree of physical damage to vehicles for first and third party claims • Complete detailed summary of damage and estimate cost of repair based on knowledge of equipment, parts and present values • Present estimates and reach agreed upon price with repair facility, and confirm assessment of damages and costs • Negotiate settlements with related parties as necessary • Research actual cash value of vehicles and parts by gathering and analyzing current market information to reach a settlement for total losses • Take photographs of vehicle and physical damage to aid in the determination of liability and to substantiate findings • Perform re-inspections and/or authorize supplemental repairs as necessary to ensure quality service and thorough restoration of damage • Maintain communication with clients throughout repair process • Report initial evaluation and summary of damage • Explain relevant procedures • Respond to customer inquiries • Provide complete, courteous and timely customer service. • Keep abreast of current values of vehicles and parts • Ensure ongoing adjudication of claims within company standards and industry best practices and regulations • Produce grammatically correct and clearly written correspondence including letters, memos, reports and claim file documentation • Complies with state and federal laws, Department of Insurance criteria, insurance carrier criteria and follows and enforces Aspire General Insurance/partner’s policies, procedure and work rules • Writes appraisals using licensed software • Regular and predictable punctuality and attendance. • Other duties as necessary.