Role Description We are seeking an experienced Bodily Injury Claims Adjuster to join our growing team. This role is responsible for the investigation, evaluation, negotiation, and resolution of complex third-party liability claims involving bodily injury, personal injury, and allegations of wrongdoing. Claims may include: - General Liability - Auto Liability - Errors & Omissions - Law Enforcement Liability The ideal candidate will possess strong investigative skills, excellent judgment, a customer-focused approach, and the ability to independently manage claims through resolution while maintaining compliance with client requirements and applicable regulations. Qualifications - College degree or equivalent claims experience preferred. - Active Adjuster License required or ability to obtain and maintain appropriate licensing. - Minimum of 3+ years of bodily injury claims handling experience. - Experience handling: - Auto Liability Claims - General Liability Claims - Errors & Omissions Claims - Law Enforcement Liability Claims - Strong understanding of: - Tort law - Liability analysis - Bodily injury evaluation - Medical terminology - Coverage interpretation - Litigation management - Experience independently handling claims from assignment through closure. - Experience working with defense counsel and litigated files preferred. - Knowledge of Medicare reporting requirements and excess carrier reporting procedures preferred. - Familiarity with ISO ClaimSearch and industry-standard claims platforms. - Excellent negotiation and settlement skills. - Exceptional written and verbal communication abilities. - Strong organization, documentation, and time management skills. - Ability to prioritize multiple assignments in a fast-paced environment. - Strong analytical, investigative, and problem-solving skills. - Proficiency with Microsoft Office Suite and claims management systems. - Ability to work independently with minimal supervision while maintaining high-quality claim outcomes. Requirements - Investigate, evaluate, negotiate, and resolve third-party bodily injury and liability claims in accordance with client guidelines and Davies best practices. - Review all new claim assignments within 24 hours and develop an appropriate plan of action. - Contact insureds, claimants, attorneys, and other involved parties within 24 hours of claim assignment. - Conduct thorough investigations to determine liability, causation, damages, and exposure. - Obtain recorded statements from claimants, insureds, witnesses, and other involved parties as necessary. - Gather and evaluate evidence, including medical records, photographs, police reports, expert reports, and witness statements. - Coordinate appraisals, damage estimates, and field investigations when required. - Determine injury status of all parties involved in claims and accident investigations. - Analyze coverage, liability, damages, and settlement exposure. - Evaluate claims involving attorneys and determine the appropriate level of legal involvement. - Negotiate settlements within authority and seek payment authorization in accordance with client and company requirements. - Maintain accurate reserves and recommend adjustments based on claim development. - Manage litigated claims and coordinate with defense counsel when assigned. - Immediately notify management and clients of any Summons and Complaint received. - Monitor defense counsel performance and obtain status updates at minimum 90-day intervals. - Review field adjuster reports for thoroughness, accuracy, and completeness. - Run ISO ClaimSearch reports on injured claimants and evaluate findings as appropriate. - Report qualifying claims to excess carriers and provide timely status updates. - Respond to Reservation of Rights inquiries and carrier communications as needed. - Develop and maintain working knowledge of No-Fault/PIP statutes and regulations. - Ensure Medicare reporting compliance and follow company guidelines when resolving claims involving Medicare recipients. - Review claims for compliance with applicable sovereign immunity statutes and governmental liability requirements, including Florida Statute 768.28 when applicable. - Maintain complete and timely claim documentation, file notes, correspondence, and workflow activities. - Maintain diary systems and follow-up schedules to ensure timely claim progression and closure. - Meet established service standards, closure goals, productivity expectations, and quality metrics. - Maintain required adjuster licenses and continuing education credits. - Assist colleagues, supervisors, and management with special projects and claim-related support as needed. Benefits - Medical, dental, and vision plans to support your health and that of your family. - A 401(k) plan with employer matching. - Time-off policies, including Discretionary Time Off (DTO) for exempt employees and Paid Time Off (PTO) for non-exempt employees. - Paid holidays. - Life insurance and short-term and long-term disability coverage. - Benefit offerings, eligibility, and required employer contributions may vary based on role, classification, and applicable federal, state, and local laws. - Where required by law, the Company provides paid sick leave, paid family and parental leave, and other mandated benefits in accordance with applicable state and local requirements.

Role Description At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it’s our purpose. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people’s lives. It takes empathy, precision, and a strong sense of partnership—and that’s exactly what you’ll find here. We’re a team of fast-paced fixers, empathetic experts, and outcomes drivers — people who care deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals move forward with confidence. Here, you’ll be supported by a culture that values teamwork, encourages curiosity, and celebrates the impact of your work. Because when you’re here, you’re part of something bigger. You’re part of a team that shows up, stands together, and leads with purpose. Qualifications - High School Diploma - Minimum of 10 years related claims experience - Appropriately licensed and/or certified in all states in which claims are being handled - Knowledge of all team member related functions - Bachelor's Degree (Desired) - 1 - 3 years of supervisory experience (Desired) Requirements - Supervise a Workers Compensation claims team handling a variety of caseload sizes and complexities to deliver high-quality and efficient service. - Guide claims team to handle claims in accordance with GB’s Best Practices. - Take charge of adjuster hiring and training, encouraging a culture of performance and continuous improvement. - Define team goals, motivate performance, and effectively manage workloads to ensure optimal efficiency. - Utilize Gallagher's technology to enhance your team's efficiency and overall quality of service. - Communicate with clients, carriers, and brokers in a professional, positive, and proactive manner. - Effectively manage multiple competing priorities, identify coaching opportunities, and position team members for successful development. Benefits - Medical/dental/vision plans, which start from day one! - Life and accident insurance - 401(K) and Roth options - Tax-advantaged accounts (HSA, FSA) - Educational expense reimbursement - Paid parental leave - Digital mental health services (Talkspace) - Flexible work hours (availability varies by office and job function) - Training programs - Gallagher Thrive program – elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing - Charitable matching gift program - And more...

Role Description We are currently looking for a Washington Certified Peer Recovery/Support Specialist to assist our members across Washington State. This role is primarily remote, with occasional community-based work as needed. Peer Recovery/Support Specialists serve as role models for individuals facing substance-exposed living and those in various phases of recovery. In this role, you will follow the Substance Use Disorder Program guidelines to: - Plan care - Assess client needs - Complete screenings - Refer clients to appropriate resources - Coordinate with the Substance Use Disorder Program team, primary care providers, managed care organizations, and community agencies to provide high-quality care Qualifications - You are a Peer Recovery Specialist or Peer Support Specialist who has successfully participated in a recovery program. - You are caring and compassionate, with a passion for helping individuals facing substance-exposed living make positive changes in their lives. - You have strong organizational skills and a talent for problem-solving. Requirements - Identifying individual member needs and documenting interventions based on relationships and assessments. - Providing support to members through a variety of settings and assisting with support groups, as needed. - Contributing to case management meetings to ensure a team approach is delivered for each member. - Completing documentation for member contacts, touches, cancellations and care plans based on organizational policies. - Communicating professionally with members, families, physicians, community agencies, agency leadership and office staff. - Following chain of command in communicating concerns or recommendations. - Responsible for achieving set goals/Key Performance Indicators (KPI's). - Representing and promoting Mindoula and the Substance Use Disorder program through participation and interaction with community, professional organizations and community outreach efforts. - Participating in timely conflict resolution and treating people fairly and with respect. - Supporting all members of the team in performance of their duties. - Participating in any performance improvement processes and initiatives. - Promoting responsible and ethical stewardship of Mindoula's resources. - Maintaining excellent punctuality and attendance during work hours. - Partnering with the enrollment team to grow the member census and identifying eligible members to enroll in the program. - Other duties as assigned. Benefits - Medical, Dental and Vision Insurance - Supplemental Life Insurance - Short Term and Long Term Insurance paid by Mindoula - 401k, with a company match - 3 weeks paid vacation each year, 4 mental wellness days and 11 holidays - Parental Leave: 8 weeks of paid parental leave - Personal Development Program: $500 credit reimbursement per calendar year Company Description We launched Mindoula because each of us has had personal experience with mental illness, either directly or through a loved one. We realized that the behavioral health system was broken and decided to take it upon ourselves to fix it by focusing on the people we serve, not their diagnoses or symptom sets. Each of us, and everyone we serve, is a person first, and a set of challenges second. Come be part of the solution!

Role Description The Department of Revenue Cycle at UT Southwestern Medical Center has a new employment opportunity available for the role of Eligibility Denial Specialist I MSP. This position is responsible for researching basic denied claims based on eligibility to ensure correct payers are billed timely on submitted insurance claims. The duties for this position will consist of but are not limited to the following: - Maintain regular phone communication with patients and insurance companies - Verifying insurance - Updating registration - Working high volume denial inventory - One on one training along with detailed tip sheets - Experience with Parkland Charity processes is preferred Shift: Flex-shift from 0600-5:00pm, 8-hours per day Work From Home (WFH): This is a work from home position. Applicants must live within the Greater DFW area. Additional details related to this will be discussed as part of the interview process. Qualifications - High School Diploma or equivalent - 2 years of medical billing, claims processing, and/or insurance eligibility - May consider medical billing certifications or graduate degrees in lieu of experience Requirements - Review, research and resolve basic denied insurance claims based on eligibility through the billing system, including Medicaid, Medicare, Worker's Compensation, Mental Health payers and third-party payers - Interpret Explanation of Benefits from insurance companies on denied claims - Contact payers via website, phone and/or correspondence regarding claims denied for eligibility - Contact patients and assist with Coordination of Benefits or other coverage denials - Works in up to two professional billing service areas - Updates registration and demographic information in at least two hospital billing service areas - Review and resolve any Visit Filing order changes - Functions as a liaison between clinical departments and third-party payers - Completes special projects as requested - Identifies problems and inconsistencies by using management reports; summarizes findings and makes recommendations to resolve billing issues in an effort to maximize collections - Duties performed may include one or more of the following core functions: - Directly interacting with or caring for patients - Directly interacting with or caring for human-subjects research participants - Regularly maintaining, modifying, releasing or similarly affecting patient records (including patient financial records) - Regularly maintaining, modifying, releasing or similarly affecting human-subjects research records - Performs other duties as assigned Benefits - PPO medical plan, available day one at no cost for full-time employee-only coverage - 100% coverage for preventive healthcare - no copay - Paid Time Off, available day one - Retirement Programs through the Teacher Retirement System of Texas (TRS) - Paid Parental Leave Benefit - Wellness programs - Tuition Reimbursement - Public Service Loan Forgiveness (PSLF) Qualified Employer