• Adjudicate medical, dental and mental health claims in accordance and compliance with plan provisions, state and federal regulations, and CareOregon policies and procedures. • Re-adjudicate, adjust or correct claims, including some complex and difficult claims as needed. • Consistently meet or exceed the quality and production standards established by the department and CareOregon. • Provide excellent customer service to internal and external customers. • Collaborate and share information with Claims teams and other CareOregon departments to achieve excellent customer service and support organizational goals. • Determine eligibility, benefit levels and coordination of benefits with other carriers; recognize and escalate complex issues to the Lead or Supervisor as needed. • Investigate third party issues as directed. • May review, process and post refunds and claim adjustments or re-adjudications as needed. • Report any overpayments, underpayments or other possible irregularities to the Lead or Supervisor as appropriate. • Generate letters and other documents as needed. • Proactively identify ways to improve quality and productivity. • Continuously learn and stay up to date with changing processes, procedures and policies.

Role Description Responsible for addressing all claim issues related to Assumed Accounts assigned by gathering information necessary to make informed and responsible decisions to bring claims to appropriate resolution. Key Accountabilities - Within established authority administers claims for assigned Assumed accounts. Conducts coverage verification, investigation, evaluation, reserving and authorization of claims payments and recovery. - Manage claim activity and monitor all claim development for assigned accounts. - Alert Management of significant loss development/activity. - Evaluate and investigate claims to confirm coverage and identify any potential issues. - Ensure proper reserving of reported claims through utilization of additional case reserves, proper documentation and disposition of individual excess of loss and pro rata accounts. - Ensure timely processing of claim transactions. - Ensure accuracy of processed claims payments. Coordinates with operations and accounting to confirm processing of prompt payments. - Maintain accurate data of payments, reserves, scanned documents, new mail, etc. - Maintain integrity of imaged claim files and maintain a diary system for assigned files. - Analyze and produce reports highlighting large losses, coverage and critical issues for review by claims management and actuarial. - Produce and analyze specific account data and generate reports in preparation for claim audits. - Support reinsurance audits which will utilize the specialized skill developed during this person’s career to understand whether complex claims have been handled and ceded appropriately. - Work with external customers to address questions, resolve problems and maintain rapport. - In addition to the above key responsibilities, may be required to undertake other duties from time to time as the Company may reasonably require. Qualifications - Bachelor’s degree. - 10+ years claims analysis experience with a Reinsurance/Insurance Carrier. - General understanding of legal principles as they pertain to reinsurance claims. - Requires experience across various lines of business, including GL, Property, Auto and WC. - Requires the ability to understand the various reinsurance agreements which govern these lines of business, as well as the ability to comprehend complex loss presentations received by ceding companies. - Ability to work independently. - Ability to follow instructions, respond to management direction and solicit feedback to improve performance. - Ability to demonstrate accuracy and thoroughness, monitor own work to ensure quality and apply feedback to improve performance. - Ability to adapt to changes in the work environment, manage competing demands and is able to deal with frequent change, delays or unexpected events. - Ability to identify and resolve problems in a timely manner, gather and analyze information with good attention to detail. - Detail oriented. - Organizational skills. - Ability to multi-task. - Computer skills (Microsoft applications). - Excellent written and verbal communication skills. Benefits - Enstar offers best-in-class bundled Medical, Dental, and Vision healthcare for single and family coverage. - Board-certified doctors and pediatricians are available virtually 24/7 for urgent care. - Access to Health Savings Account (HSA) or Flexible Spending Account (FSA). - Access to Dependent Care FSA to cover daycare expenses. - Access to Employee Assistance Programs (EAP) for health and well-being. - Optional Pet & Home/Auto Insurance. - Wellness Reimbursement program (up to $600 annual reimbursement for wellness-related expenses, i.e., gym memberships, massage, etc.). - 401K retirement plan (company matches up to 6% of employee contribution). - One paid annual volunteer day.

Role Description At Wycliffe Bible Translators, your work is more than just a job. As a Sign Language Specialist, you’ll be responsible for participating in the Global Partnerships Sign Language Network, serving as a Field Coordinator leading the development and management of Bible translation projects as assigned, and serving Deaf organizations as an Organizational Strengthening Consultant. This role requires building strategic partnerships with local and international organizations, overseeing all aspects of project implementation, and ensuring clear, effective communication among stakeholders. Your contributions will play a pivotal role in advancing Bible translation goals and empowering Deaf communities to access the Bible in their sign language. You’ll partner with Global Partnerships Engagement leadership and other team members to: - Serve the Church – Being inspired and directed by the Church, responding to what God is calling the Church to do and reflecting the body of Christ working interdependently rather than independently. - Investing in Sustainability – Strengthening local leadership, governance and financial capacity so Bible translation movements are locally owned, spiritually vibrant and operationally resilient for generations to come. - Achieve All Access Goals 2033 – That by the year 2033: - 95% of all people will have access to a complete Bible. - 99.9% of all people will have access to a New Testament. - 100% of all people will have access to at least a portion of the Scriptures. Responsibilities You’ll make an impact as you: - Faithfully and regularly pray for the ongoing work of Bible translation and for people from around the world to experience transformation. - Act as an organizational representative presenting the global ministry of Wycliffe and encouraging interested individuals, organizations and churches to participate in the work of Bible translation. - Live out the conviction that “work flows through relationship” by passionately “loving God and loving people” through word and deed. Promote team and organizational culture standards, ensuring high customer service standards. - Represent Global Partnership's vision, mission, values, and strategies with field partners. - Work alongside the Global Partnerships Leadership and other team members to: - Serve partner organizations in their Bible translation ministry by facilitating the development of projects aligned with Common Framework principles. - Champion church ownership in translation projects by ensuring partners have the resources needed to accomplish their goals. - Collaborate with partners to enhance Bible translation projects, resulting in a transformative impact on communities. - Participate in the Global Partnerships Sign Language Network. - Build and cultivate partnerships with national organizations and churches by engaging in strategic planning with the Sign Language Network to align goals with Global Partnership’s mission. - Through the Sign Language Network, collaborate with Sign Language initiatives to support translation efforts for sign languages, ensuring resources meet unique community needs. - In collaboration with the Sign Language Network and Areas teams, facilitate coordination and communication to ensure Sign Language field teams have the strategic direction they need. - Serve as a Sign Language Field Coordinator: - Oversee the planning and execution of Bible translation projects, as assigned, ensuring alignment with the needs of Deaf communities. - Monitor and evaluate project progress. Provide regular and timely reports on progress, highlighting significant milestones and opportunities to pray for projects. Review funding proposals and financial statements to communicate transformational impact to stakeholders. - Develop and implement Familiarization, Internalization, and Articulation training programs to enhance the capacity of Bible translation partners. - Serve as an Organizational Strengthening Consultant for Deaf Organizations: - Participate on the OSi team to support strengthening partner organizations' effectiveness and sustainability. - Work with Deaf partners to assess organizational growth needs and develop work plans to address them. - Facilitate training and workshops in support of organizational strategies. - Develop competency in and contribute to the further development of the core OSi consulting curriculum and practices. - Represent Wycliffe to promote global ministry efforts, upholding ethical standards that reflect biblical values and encouraging engagement from churches and individuals. - Perform other duties as assigned by the Global Partnerships Leadership team. Requirements - Proficiency in American Sign Language (ASL). Demonstrates fluent communication skills in ASL, enabling effective engagement with Deaf and hard-of-hearing individuals. Applies cultural understanding to build strong connections and facilitate inclusive communication within Sign Language communities. - Adjust the work schedule as needed to accommodate meetings across time zones, including occasional early mornings and evenings. - Ensure access to a strong, reliable internet and phone connection to support consistent communication and remote collaboration. - Up to 25% domestic and international travel and remain updated on field security protocols relevant to travel assignments. Qualifications - A bachelor's degree in a related field is preferred. - One to two years of experience in project coordination or management, ideally in a nonprofit, mission-driven, or international development context. - Proven experience working with Deaf communities or familiarity with Sign Language translation processes is required. - Experience building partnerships with local and international organizations, especially in multicultural or cross-cultural settings. - Must have a thorough understanding of and enthusiasm towards Global Partnerships' vision, mission, values, and strategies. Benefits - Medical, dental, vision and life insurance options for employees and their eligible dependents. - Health Savings Account (HSA) and Flexible Spending Account (FSA). - 403b retirement savings account with matching. - Paid time off with up to a max of 10 vacation days in the first year of employment (based on hours worked). - Paid sick time off up to 8 hours per month (based on hours worked). - 10+ paid holidays. - Short-term disability pay. - Regular spiritual development, worship, prayer, community gatherings and connection opportunities for all staff in all locations.

Role Description Identify subrogation opportunities and maximize recoveries across multiple lines of business. Consistently support the execution of organizational strategy by demonstrating a proactive and positive approach. Exhibit a can-do attitude, take initiative to overcome challenges, actively seek solutions and collaborate effectively with colleagues to achieve strategic success. - Oversee a caseload of subrogation claims - Evaluate new claim assignments daily to identify subrogation potential - Prepare and send letters, demands, and backup documentation to applicable parties - Document all actions taken on assigned claims - Establish effective diaries for each claim - Understand the application of various state statutes and case law - Negotiate with attorneys and carriers to maximize recovery - Maintain professional and respectful communication with internal and external customers Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Qualifications - Minimum one year of claims or subrogation experience - Multiple insurance lines of business experience - Excellent oral and written communication - Technical proficiency, including Microsoft Office products - Strong organizational skills - Efficient time management skills - Ability to work in a team environment - Meet or exceed Performance Competencies - Ability to multi-task in various systems and/or programs Requirements This is a full-time position, 37.5 hours per week. A typical schedule is 7.5 hours per day, Monday through Friday. Evening and weekend work may be required as job duties demand. Avalon’s hours of operation are 7am to 8pm EST. Flexible work schedules are available. Occasional travel throughout the U.S. to attend mediations, conferences and/or company meetings will be expected. This position is fully remote. Benefits At Acrisure, we’re building more than a business, we’re building a community where people can grow, thrive, and make an impact. Our benefits are designed to support every dimension of your life, from your health and finances to your family and future. - Physical Wellness: - Comprehensive medical insurance, dental insurance, and vision insurance - Life and disability insurance - Fertility benefits - Wellness resources - Paid sick time - Mental Wellness: - Generous paid time off and holidays - Employee Assistance Program (EAP) - Complimentary Calm app subscription - Financial Wellness: - Immediate vesting in a 401(k) plan - Health Savings Account (HSA) and Flexible Spending Account (FSA) options - Commuter benefits - Employee discount programs - Family Care: - Paid maternity leave and paid paternity leave (including for adoptive parents) - Legal plan options - Pet insurance coverage - … and so much more! This list is not exhaustive of all available benefits. Eligibility and waiting periods may apply to certain offerings. Benefits may vary based on subsidiary entity and geographic location.