• Investigate claims and confirm facts of loss. • Evaluate coverage, assess liability and damages, and negotiate claim resolutions. • Identify customer needs and work to meet those needs.

Role Description The Senior Credentialing Specialist oversees and leads the credentialing and privileging processes with a focus on regulatory compliance, quality assurance, and process improvement. This role not only performs credentialing tasks but also: - Develops procedures - Mentors staff - Handles complex or escalated issues - Ensures ongoing compliance with accrediting bodies - Acts as a liaison with leadership - Contributes to audits, policy development, and strategic planning Qualifications - Minimum of 3 years of credentialing or healthcare-related experience - High School diploma or equivalent is preferred Requirements - Proficiency in Microsoft Office Suite and Windows applications - Familiarity with credentialing and terminology - Strong database management skills and understanding of file structures - Excellent verbal and written communication skills - Ability to compose professional documents, including letters and meeting minutes - Strong organizational skills with attention to detail - Ability to handle multiple tasks simultaneously and work independently - Self-motivated, with strong problem-solving skills - Team-oriented with a collaborative focus - Knowledge of state and federal regulations related to hospital credentialing - Knowledge of NCQA standards - Accurate typing skills Benefits Froedtert Health offers a variety of perks & benefits to staff, depending on your role you may be eligible for the following: - Paid time off - Growth opportunity - Career Pathways & Career Tuition Assistance, CEU opportunities - Academic Partnership with the Medical College of Wisconsin - Referral bonuses - Retirement plan - 403b - Medical, Dental, Vision, Life Insurance, Short & Long Term Disability, Free Workplace Clinics - Employee Assistance Programs, Adoption Assistance, Healthy Contributions, Care@Work, Moving Assistance, Discounts on gym memberships, travel and other work-life benefits available

• The Investigative Specialist reviews complex and often unique claims to assess their validity and ensure accurate outcomes. • In this role, you will investigate and verify the facts of loss for a range of automobile claims, from basic to advanced scenarios. • Leveraging your auto claims adjusting experience, you will evaluate coverage, determine liability, and assess damages. • You will also take ownership of the claims process by making informed decisions and effectively negotiating settlements. • Every claim presents a new challenge.

• Investigate auto claims and determine coverage and liability. • Evaluate damages and work toward fair and timely claim resolutions. • Collaborate with customers, repair facilities, and business partners. • Negotiate fair claim settlements while adhering to company best practices.