Title: Auto Claims Representative Locations: Duluth, GA Kennesaw, GA Albany, GA Macon, GA Newnan, GA time type Full time job requisition id R_5330 A career at Auto-Owners is challenging and rewarding. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs. Job Description We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, you could have the flexibility of work-from-home time as defined by the leadership team. Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated claims representative to join our team. This job handles entry-level insurance claims under close supervision through the life-cycle of a claim including but not limited to: investigation, evaluation, and claim resolution. This job provides service to agents, insureds, and others to ensure claims resolve accurately and timely. This job includes training and development completion of the Company’s claims training program for the assigned line of insurance and requires the person to: - Investigate, evaluate, and settle entry-level insurance claims - Study insurance policies, endorsements, and forms to develop foundational knowledge on Company insurance products - Learn and comply with Company claim handling procedures - Develop entry-level claim negotiation and settlement skills - Build skills to effectively serve the needs of agents, insureds, and others - Meet and communicate with claimants, legal counsel, and third-parties - Develop specialized skills including but not limited to, estimating and use of designated computer-based programs for loss adjustment - Study, obtain, and maintain an adjuster’s license(s), if required by statute within the timeline established by the Company or legal requirements Desired Skills & Experience - Bachelor’s degree or direct equivalent experience with property/casualty claims handling - Ability to organize data, multi-task and make decisions independently - Above average communication skills (written and verbal) - Ability to write reports and compose correspondence - Ability to resolve complex issues - Ability to maintain confidentially and data security - Ability to effectively deal with a diverse group individuals - Ability to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents) - Ability to drive an automobile, possess a valid driver license, and maintain a driving record consistent with the Company’s underwriting guidelines for coverage - Continually develop product knowledge through participation in approved educational programs Benefits Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent compensation/benefits package. Along with a competitive base salary, matched 401(k), fully-funded pension plan (once vested), and bonus programs, Auto-Owners also provides generous paid time off including holidays, vacation days, personal time, and sick leave. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you! Equal Employment Opportunity Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law. *Please note that the ability to work in the U.S. without current or future sponsorship is a requirement. #LI-DNP #LI-Hybrid #IN-DNI

Role Description The Claims Specialist is responsible for timely and accurate filing of all vision and medical claims for a vision care practice. This position requires working with insurance companies, creating and submitting insurance claims, processing insurance claims, and any necessary follow-up work for rejected claims. Additional responsibilities include: - Processing insurance claims and following up - Applying cash received to open invoices - Other billing departmental needs as assigned Qualifications - Good to excellent spelling, grammar and written communication skills - Knowledge and understanding of EOBs and HCFA forms - Ability to analyze and resolve unpaid claims issues - Knowledge of CPT and ICD codes - Excellent telephone and oral communication skills - Must have experience with electronic processing of medical and vision claims - Experience in Accounts Receivable (A/R) - 1-2 years of medical and vision claims experience preferred - Prior use of Practice Management and EHR Systems preferred Company Description Equal Opportunity Employer

• Support Claims teams by resolving complex system and process issues • Identify root causes and deliver timely solutions that improve daily operations • Collaborate with the Help Desk, IT, and business partners to enhance workflows • Contribute to system improvements and support testing and training efforts • Drive greater efficiency, reduce disruptions, and empower users to work more effectively and independently • Serve as subject matter expert for the Claims Help Desk on complex claims systems, administration, and technical issues • Triage and resolve escalated issues using diagnostics and root cause analysis • Deliver timely, accurate resolutions and recommend appropriate workarounds when needed • Partner with Help Desk and IT teams to support issue resolution and system improvements • Develop and maintain training materials, job aids, and procedural documentation • Collaborate with Claims Training to create resources and deliver user training • Act as liaison between Claims and IT to clarify business needs, outcomes, and impacts • Manage intake, escalation, and documentation in alignment with established standards and SOPs • Analyze and prioritize defects, bugs, and enhancement requests requiring long-term fixes • Ensure escalated issues are well-scoped, documented, validated, and tracked • Support system testing, enhancements, and identify improvement opportunities • Coordinate operational readiness activities like communications and adoption tracking • Partner with stakeholders to support non-technical project work and improve workflows/system usability

• Investigating, evaluating, and processing insurance claims • Determining policy coverage for the claimed loss • Creating and issuing claims decisions to policyholder • May order medical records from providers • May communicate with clients and providers during treatment • Performs other duties and responsibilities as assigned