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. How you'll make an impact: - Apply claims management experience to execute decision-making to analyze claims exposure, plan the proper course of action, and appropriately resolve claims. - Interact extensively with various parties involved in the claim process to ensure effective communication and resolution. - Provide exceptional customer service to our claimants on behalf of our clients exhibiting empathy through each step of the claims process. - Handle claims consistent with clients' and corporate policies, procedures, and standard methodologies in accordance with statutory, regulatory, and ethics requirements. - Document and communicate claim activity timely and efficiently, supporting the outcome of the claim file. Qualifications - Claims Background: Commercial General Liability Bodily Injury and Litigation Management - Jurisdictional Experience: Any - Active Adjusters' licenses: TX, FL, NY preferred Requirements - High School Diploma. - Minimum of 5 years related claims experience. - Appropriately licensed and/or certified in all states in which claims are being handled. - Knowledge of accepted industry standards and practices. - Computer experience with related claims and business software. 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 The primary role of this position is to assist physicians and support the Credentialing team with preparing and submitting credentialing, enrollment, recredentialing applications and follow up on the status of applications for Physicians and Payers and keep a detailed log of all tasks. The Credentialing Specialist will be responsible for supporting all aspects of credentialing and recredentialing and any other administration duties assigned by management. Credentialing Specialist I: - Supports the TeleMed2U Provider Network’s credentialing process for all TeleMed2U clinical providers, in accordance with NCQA, URAC, Joint Commission and CMS accreditation standards, Federal and State laws, and TeleMed2U’s policies. - Assists with the management of TeleMed2U Provider Network’s credentialing applications, to ensure distribution, receipt, processing, and timely management through our credentialing process. - Ensures all credentialing and enrollment applications accuracy prior to submission. - Monitors provider enrollment application status, follow up with the payors. - Manage CAQH profiles for TeleMed2U’s Provider Network. - Prepare and submit rosters to health insurance plans to ensure provider participation. - Update various databases to ensure proper tracking of payor enrollments, credentialing and update requests. - Maintain necessary records of outstanding enrollment applications and requests. - Coordinate all managed care credentialing activities to ensure provider participation status. - Credentialing activities require substantial contact with outside agencies. - Maintain Credentialing database. - Follow-up with managed care companies to ensure expedient credentialing. - Remains current on policies affecting provider enrollment credentials & delegated clients/payers. Credentialing Specialist II: - All Credentialing Specialist I responsibilities. - Serve as a liaison for training new team members. - Identify conflicting or questionable information while processing applications and highlight sensitive information for committee members. Credentialing Specialist III: - All Credentialing Specialist I and II responsibilities. - Acts as a mentor to other Credentialing Specialists. - Provides support and assistance within the department. - Leads with minimal supervision. - Prepare specialized reports as requested, including analysis and presentation findings. - Other duties as assigned. Qualifications - Credentialing experience. - High School Diploma or equivalent. - 3 years of experience in credentialing (for Credentialing Specialist II). - 1 year minimum healthcare experience (for Credentialing Specialist II). - Credentialing Specialist II with TeleMed2U minimum 1 year (for Credentialing Specialist III). - 4 years experience minimum in Credentialing and/or Licensing (for Credentialing Specialist III). - Top performer at current level, who has demonstrated proficiency in all areas of Credentialing. - Excellent verbal and written communication skills. - Ability to multitask and work independently. - Excellent attention to detail. - Experience with state licensure application submission process for multiple states. - High school diploma required/GED. Preferred - Medicare and Medicaid enrollment experience preferred. - Bachelor’s degree preferred. - 1-3 years of experience in licensing, payor enrollment and credentialing preferred. Physical Requirements - Prolonged periods of desk work and computer use. - Ability to lift 15 lbs.

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.