• Investigate and resolve claim rejections, denials, and payer edits identified before or after claim submission • Review claim history, payer correspondence, medical records, authorizations, and supporting documentation to determine the cause of claim issues • Correct billing, coding, demographic, authorization, and insurance-related claim errors as appropriate • Process claim corrections, adjustments, resubmissions, and reconsideration requests in accordance with payer guidelines • Perform payer research and communicate directly with insurance carriers to resolve claim processing issues • Monitor assigned work queues and ensure timely resolution of outstanding claims • Escalate complex reimbursement, coding, or compliance issues to senior team members • Partner with A/R and Denials Management teams to resolve denied and underpaid claims • Assist in preparing appeal documentation and supporting materials for denied claims • Identify recurring denial patterns and communicate findings to the Senior Claims Resolution Coordinator • Maintain accurate documentation of denial resolution activities and payer communications • Support efforts to reduce preventable denials and improve reimbursement outcomes • Work closely with the pre-billing team to identify and correct claim issues prior to submission • Review claims for completeness and compliance with payer billing requirements • Verify insurance information, authorizations, referrals, diagnosis coding, procedure coding, and modifier usage • Collaborate with coding and clinical teams to obtain information needed for claim resolution • Assist with reducing claim holds and billing delays • Participate in routine claim quality reviews and internal audit activities • Ensure claim corrections comply with payer regulations, organizational policies, and billing guidelines • Support Revenue Integrity initiatives through accurate claim review and documentation • Maintain knowledge of Medicare, Medicaid, Workers' Compensation, and Commercial payer requirements • Adhere to HIPAA, CMS, and organizational compliance standards • Maintain detailed documentation of claim investigations, resolutions, payer communications, and follow-up activities • Track assigned workloads and resolution outcomes • Assist with compiling information for denial trend reporting and operational reviews • Provide feedback regarding workflow issues contributing to claim errors or payment delays • Assumes other responsibilities as appropriate to the position and organizational needs

• Investigates, evaluates, negotiates, and resolves assigned Commercial Auto Bodily Injury Claims • Demonstrates technical proficiency for handling complex claims with minimal supervision • Establishes and maintains positive relationships with internal and external customers • Assists in building business partner relationships with agents, insureds, and Commercial Lines • Establishes and maintains proper reserving through proactive investigation • Assists other departments with investigations when required • May be assigned to handle general liability claims

Role Description Investigate and settle advanced, large loss, complex claims promptly and equitably under minimal supervision. Works within established authority on moderate-to-difficult claims. - Reviews coverages, determines liability and compensability, secures information, arranges property damage appraisals and settles claims utilizing claims best practices. - Evaluates and sets reserves using independent judgment. - Assists supervisor and company attorneys in preparing cases for litigations. - Conducts training and mentors new hires. Benefits - Competitive base pay - Bonus/Incentive Pay and other Performance-Based Rewards, if applicable. - Medical, Dental and Vision Plans - Prescription Drugs - HSA, HRA, and FSA Accounts - Paid Holidays, Vacation and Sick Leave - 401(k) Retirement Plan - Tuition Assistance - Paid Parental Leave - Supplemental Health Benefits - Enhanced Mental Health Support - Virtual Physical Therapy - Caregiving Services - Life Assistance Program - Training programs that promote continuous learning and career progression while enhancing job performance. - Sustainability programs that give back to the communities in which we live and work. - A culture of respect, collaboration, entrepreneurial spirit and inclusion. Company Description At Crawford, employees are empowered to grow, emboldened to act and inspired to innovate. Our industry-leading team pioneers new solutions for the industries and customers we serve. We hail from more than 70 countries and speak dozens of languages, reflecting the global fabric of the audience we serve. Though our reach is vast, we proudly operate as One Crawford: united in purpose, vision and values. Crawford & Company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/V.

Role Description Emory Healthcare is hosting a Med-Surg RN Virtual Interview Week and is actively seeking compassionate, skilled Registered Nurses to join our dynamic Medical-Surgical teams. This is a great opportunity to connect directly with hiring managers, learn more about our units, and explore career opportunities within one of the nation’s leading academic health systems. Position: Registered Nurse (RN) – Medical-Surgical Employment Type: Full-Time opportunities available Shifts: Night Shift Only What to Expect: - One-on-one virtual interviews with unit leadership - 30-minute interview sessions with candidates - Opportunity to discuss unit culture, patient population, and career growth - Potential for same-week hiring decisions Qualifications - Graduate of an accredited prelicensure Bachelor of Science in Nursing (BSN) with 12 months of recent nursing experience within the past five years, OR recent completion of a re-entry nursing program. - Graduate of an accredited prelicensure Associate Degree in Nursing (ADN) with a minimum of 2 years of recent nursing experience within the past five years. - Current LPNs employed within the Emory Healthcare (EHC) system who have completed an accredited RN program and obtain RN licensure are eligible to transition into this role while completing the RN Resident Program. - Emory LPNs enrolled in an Emory ADN program as of 3/30/2025 must sign an obligation agreement to complete an ADN-to-BSN program within two years of entering the RN Clinician role. - Emory Warner Robins, Perry and affiliated Physician Groups location RN Clinicians with an Associate's Degree in Nursing with less than 2 years experience as a new hire or transferring as of 3/29/2026, must sign an obligation agreement to complete an ADN-to-BSN program within two years of entering the RN Clinician role. Requirements - A valid, unencumbered Registered Nursing License approved by the Georgia Board of Nursing. - BLS certification. - ACLS may be required for certain departments, post hire. - Additional certifications may be required based on department and specialty. - If completing virtual care activities that may include multi-state practice, an active compact/multistate license (eNLC) is required within 60 days of hire. Benefits - Competitive compensation and shift differentials. - Comprehensive benefits package. - Tuition reimbursement and career advancement opportunities. - Magnet-designated environment focused on nursing excellence. - Supportive leadership and collaborative team culture. Company Description Rollins Pavilion: Acute Care Medical, General Surgery, Telemetry. If you’re seeking to be part of an acute care team that delivers uncompromising excellence across the full continuum of the patient experience, Rollins Pavilion offers a distinctly refined environment. Here, you’ll collaborate with a highly skilled multidisciplinary team, caring for a diverse, high-acuity patient population that values enhanced comfort, privacy, and personalized attention. From post-surgical recovery to complex inpatient medical management, Rollins Pavilion partners with patients who are actively engaged in their healing journey—providing thoughtful, patient-centered care in an intimate, boutique-style setting. Unit Overview: - Beds: 11 Medical-Surgical Acute Care beds - Targeted Patient Ratios: 2:1 Joining the Rollins Pavilion team means more than delivering excellent care—it means shaping a culture of distinction, elevating the patient experience, and contributing to an environment where comfort, discretion, and clinical excellence are seamlessly integrated. Be part of something exceptional.