This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Are you someone with a background in claims processing, medical billing or coding looking to advance your career? Medical Associates Health Plans is hiring a detail-oriented Configuration Analyst to join their team! This position will configure and maintain claims adjudication subsystems as necessary to maximize accuracy and efficiency of claims payment along with maintenance of non-core business systems (HIPAA, EDI web portal, etc.) Schedule: - General business hours Monday-Friday with flexibility. - This position has the opportunity to work remote after training! Qualifications - Three years to five years of similar or related experience. - Analytical experience required. - Claims experience preferred. - Equivalent to a high school education. Requirements - Research and implement process to improve information subsystems to ensure maximum efficiency of the Health Plan core business system (claims system) and non-core business systems (HIPAA EDI and web tools). - Responsible for configuration, testing and maintenance of subsystems; with proficiency in three or more subsystems. - Guide, train and advise business users and team members along with assistance in problem resolution. - Perform simple and complex analytical duties for claims, EDI and web tools upon request. - Prepare documentation for assigned area of responsibility. - Complete all other assigned projects and duties. Benefits - Single or Family Health Insurance with discounted premium rates for wellness program participation. - 401k with immediate matching (50% on the dollar up to 7% of pay) + additional annual Profit Sharing. - Flexible Paid Time Off Program (24 days off/year). - Medical and Dependent Care Flex Spending Accounts. - Life insurance, Long Term Disability Coverage, Short Term Disability Coverage, Dental Insurance, etc. Company Description

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description This role involves providing financial counsel that drives sustainable and profitable growth for the organization, specifically supporting the Personal Lines Claims Services organization and the Legal Division. - Lead monthly close process through reporting and analytics of Personal Lines Claims department and Legal Division operating expenses and loss adjustment expenses (LAE). - Lead quarterly forecasting and 3-year planning process, partnering with leadership to build financial plans and forecasts. - Lead management reporting and complex analysis of PL Claims department and Legal Division initiatives. - Own the PL Claims staffing model and lead staffing discussions, providing strategic recommendations. - Support FP&A transformation initiatives to improve efficiency and effectiveness. Qualifications - 6+ years of financial planning experience, preferably within an Insurance company. - Bachelor’s degree in a related field or equivalent combination of education. - Understanding of claims processes and costs, and their relationship with the Legal Division workload. - Demonstrated understanding of operational expense reporting and budgeting. - Ability to collaborate with senior leaders and influence strategic decision making. - Proven ability to explain financial results through visuals and simple explanations. - Proven ability to operate with planning and reporting software (preferably Oracle cloud-based planning and Smartview). Requirements - Ability to support business partners with a sense of urgency and proactively provide recommendations. - Willingness to travel as needed for role, including divisional/team meetings. - Ability to fulfill business needs, including investing extra time and helping other teams. Benefits - Total compensation package, including annual bonus eligibility for most roles. - 401(k) with a company match. - Flexible workplace culture with remote work options. - Growth opportunities through mentorship and development programs. - Commitment to inclusion and belonging in the workplace. - Initiatives focused on sustainability and reducing environmental impact.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The position will be responsible for accurately and efficiently managing property losses of moderate complexity and severity with the highest levels of customer satisfaction. The right candidate will have prior experience investigating and settling all aspects of property insurance claims. - Oversees 1st party property claims. - Ensure thorough and timely investigations. - Coordinate appropriate vendor inspections to confirm cause of loss. - Effectively evaluate policy language to ensure accurate coverage and settlement decisions. - Accurately evaluate and negotiate settlements. - Recognize and identify potential fraud. - Performs other related duties as assigned. Qualifications - 4 years of experience in property claims with related experience in coverage investigation and assessment, assessment and evaluation of dwelling relating damages, personal property related damages, temporary living related claims and investigation of potential fraud related claims. - Strong communication and presentation skills. - Successfully acquire and/or maintain California adjusters license within 90 days of employment. Requirements - Exceptional verbal and written communication skills. - Strong time management skills. - Proactive problem-solving skills. - Proven ability to work in a collaborative work environment. Preferred Requirements - College degree in a related field. - Hands-on field experience. - Experience with direct handling of fraud investigation. Physical Requirements - Prolonged periods of sitting at a desk and working on a computer. Salary Starting at $75,000 annually. Candidate's skills, experience and abilities will be taken into consideration for final offer. Equal Employment Opportunity Bamboo is committed to the principles of equal employment. We are committed to complying with all federal, state, and local laws providing equal employment opportunities, and all other employment laws and regulations.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands? - Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. - Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations. - Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. - Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights. - Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career. - Enjoy flexibility and autonomy in your daily work, your location, and your career path. - Access diverse and comprehensive benefits to take care of your mental, physical, financial, and professional needs. PRIMARY PURPOSE OF THE ROLE: - To process low level Auto Property Damage claims to determine benefits due. - To ensure ongoing adjudication of claims within company standards and industry best practices. - To identify subrogation of claims and negotiate settlements with general supervision. ESSENTIAL RESPONSIBILITIES MAY INCLUDE: - Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim. - Negotiating settlement of claims within designated authority. - Communicating claim activity and processing with the claimant and the client. - Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner. Qualifications - 3 years of claims management experience or equivalent combination of education and experience required. - High School Diploma or GED required. - Bachelor's degree from an accredited college or university preferred. - Professional certification as applicable to line of business preferred. - Jurisdiction Knowledge: Nationwide Licensing: required. Benefits - Flexible work schedule. - Referral incentive program. - Career development and promotional growth opportunities. - A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. - A comprehensive benefits package including medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.