Role Description As a Credentialing Professional, you will be responsible for coordinating the credentialing, re-credentialing, and payer enrollment process for providers in accordance with delegated credentialing agreements, policies and procedures, industry best practices, and regulatory requirements. Every day you will manage daily credentialing operations, including resolution of non-responsive providers. You will also work collaboratively with various clinic managers and the hospital medical staff office to ensure the successful and timely completion of the delegated credentialing and re-credentialing process. To be successful in this role, you will demonstrate a comprehensive understanding of credentialing regulations and processes, possess strong organizational and communication skills, and effectively manage complex administrative tasks to ensure provider compliance and efficient operational flow. - Manage the process of sending initial and/or reappointment applications and monitoring their return with required documents. - Responsible for processing appointment/reappointment applications in an accurate, thorough, and timely manner; clearly and succinctly communicate reappointment status to applicant in writing. - File appointment/reappointment applications and other communication as needed. - Prepare files and other documents, as requested, for review and evaluation of the clinical Service Chief and Credentials Committee in an accurate, consistent, professional, and organized manner. - Perform 3rd party verifications of submitted material as required by department policy, medical staff policy, and the Bylaws of the Medical Staff. - Document receipt of application materials and verifications in the credentialing system (ECHO) (e.g. Texas Medical License, Malpractice Insurance, DEA, Board Certification, DPS, etc.). File copy in physician's file. Qualifications - High School Graduate General Studies, upon hire or - High School GED General Studies, upon hire - None, upon hire Company Description St. Joseph Health has been caring for the communities in and surrounding the Brazos Valley since 1936 (Bryan/College Station, Navasota, Caldwell, Madisonville (TX)). St. Joseph has a Level III Trauma Center, the first Joint Commission certified Primary Stroke Center and the first accredited Chest Pain Center in the Brazos Valley. - Leader in critical care and the largest provider of cardiovascular care in the region. - Integrated healthcare system with a comprehensive network of over 100 employed providers including primary care physicians, specialists, and advanced practice clinicians. - Network includes more than 30 ambulatory clinics featuring Primary Care, Express Clinics, and Imaging and Diagnostic Services.

Title: Claims Advisor Job Description: Job Identification; 1000876 Locations; Newcastle, NSW, Australia Job Type; Maximum or Fixed Term - Full Time Job Function; Claims Management Job Description Help customers navigate challenging moments and make a positive impact every day! At Suncorp, we know that a workplace injury can have a significant impact on a person's life. That's why we're looking for compassionate, resilient, and customer-focused individuals to join our Workers Compensation team in Newcastle. This role sits at the front end of the claims journey, where you'll support customers through the early stages of their claim and recovery. You'll be speaking with people every day, building trust, answering questions, managing expectations, and helping customers access the support they need. If you're someone who enjoys helping others, thrives in a fast-paced environment, and can confidently manage difficult conversations with empathy and professionalism, we'd love to hear from you. This role is a 12-month contract. What you'll be doing - Supporting customers through the initial stages of their Workers Compensation claim and recovery journey. - Managing a high volume of customer interactions across phone and digital channels. - Building strong relationships with injured workers, employers, treatment providers, and other stakeholders. - Providing clear guidance and education about the claims process, available support, and next steps. - Making timely decisions and taking action to progress claims and customer outcomes. - Managing sensitive conversations with empathy while balancing customer needs and business requirements. - Identifying barriers to recovery and working with stakeholders to achieve positive outcomes. - Maintaining accurate records and ensuring compliance with legislative and operational requirements. What we're looking for - Experience in workers' compensation and personal injury claims, allied health, medical reception, and workplace health and safety. - Confidence managing a high volume of work while maintaining a strong customer focus. - Strong verbal and written communication skills with the ability to adapt your approach to different situations. - The resilience to navigate challenging conversations and emotionally complex circumstances. - Sound judgement, problem-solving skills, and the ability to make decisions within established guidelines. - A collaborative mindset and willingness to work as part of a supportive team environment. Here’s what we offer: - Competitive Salary + Performance Incentives - Hybrid Working: Enjoy flexibility with a mix of office and work-from-home days - Work-Life Balance: Prioritise your wellbeing with supportive policies and a culture that values balance - Reward & Recognition: Celebrate your achievements through our reward programs - Career Development: Ongoing training, coaching, and clear pathways to grow your career - Community Engagement: Take part in charitable initiatives such as Spirit to Cure Chase the sun, apply online today At Suncorp we believe we are our best when our workforce is as diverse, talented and passionate as the communities in which we live and operate, and where our people feel included, valued and connected. We are passionate about inspiring our people by creating a diverse, accessible, and inclusive culture, offering flexible work, career development and internal mobility, and building connected relationships amongst our team members and with our customers If you require more information or any support and adjustments to participate equitably in our recruitment process or in the workplace.

• Investigates, evaluates, negotiates, and resolves assigned claims • Handles the most complex claims with minimal manager oversight • Establishes and maintains positive relationships with customers • Assists in building business relationships with agents, insureds and partners • Develops and mentors other associates • Assists leadership in training and resources development • Maintains proper reserving through proactive investigation • Assists other departments with investigations as required

• Conduct both virtual and on-site investigations by visiting policyholders’ residences to assess property damage, determine liability, evaluate the extent of loss, and negotiate fair settlements. • Use claims handling software, a company car, and a laptop to determine claims-related damage and write estimates in a paperless environment. • Evaluate and report on potential subrogation opportunities. • Report incidents involving theft, fraud, or arson to appropriate state and industry agencies. • Perform duties independently, with work directly impacting management outcomes. • Act as a company representative in public interactions, maintaining a professional demeanor consistent with management standards. • Engage regularly with a variety of stakeholders, including policyholders, claimants, agents, witnesses, contractors, law enforcement, fraud and arson investigators, attorneys, medical professionals, and other relevant parties. • Use strong customer service skills to negotiate with policyholders to settle the claim. • Perform additional duties as assigned. • Promote safety at all times and comply with safety/ergonomic standards as outlined in relevant company published manuals. • Employees assigned to the Catastrophe team will be required to travel away from their residence for a specified period of time, usually consisting of 2-3 days. Although this is not a CAT-specific role, hires will be expected to commit to 1–3 CAT deployments per year.