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Business, Entrepreneurialism, and Management

Claims Adjusters, Examiners, and Investigators

Review settled claims to determine that payments and settlements are made in accordance with company practices and procedures.

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Business, Entrepreneurialism, and Management Field of Interest

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Salary Breakdown

Claims Adjusters, Examiners, and Investigators

Average

$59,030

ANNUAL

$28.38

HOURLY

Entry Level

$37,760

ANNUAL

$18.16

HOURLY

Mid Level

$55,350

ANNUAL

$26.61

HOURLY

Expert Level

$80,370

ANNUAL

$38.64

HOURLY


Program Recommendations

Claims Adjusters, Examiners, and Investigators

Chandler-Gilbert Community College (MCCCD)

Associate in Arts, Emphasis in Law and Policy

Education

Associate's Degree

Estrella Mountain Community College (MCCCD)

Associate in Arts, Emphasis in Law and Policy

Education

Associate's Degree

Glendale Community College (MCCCD)

Associate in Arts, Emphasis in Law and Policy

Education

Associate's Degree

GateWay Community College (MCCCD)

Associate in Arts, Emphasis in Law and Policy

Education

Associate's Degree

Paradise Valley Community College (MCCCD)

Associate in Arts, Emphasis in Law and Policy

Education

Associate's Degree

Rio Salado College (MCCCD)

Associate in Arts, Emphasis in Law and Policy

Education

Associate's Degree


Current Available & Projected Jobs

Claims Adjusters, Examiners, and Investigators

88

Current Available Jobs

15,160

Projected job openings through 2030


Top Expected Tasks

Claims Adjusters, Examiners, and Investigators


Knowledge, Skills & Abilities

Claims Adjusters, Examiners, and Investigators

Common knowledge, skills & abilities needed to get a foot in the door.

KNOWLEDGE

Customer and Personal Service

KNOWLEDGE

English Language

KNOWLEDGE

Administrative

KNOWLEDGE

Mathematics

KNOWLEDGE

Computers and Electronics

SKILL

Reading Comprehension

SKILL

Active Listening

SKILL

Critical Thinking

SKILL

Speaking

SKILL

Judgment and Decision Making

ABILITY

Written Comprehension

ABILITY

Oral Comprehension

ABILITY

Oral Expression

ABILITY

Deductive Reasoning

ABILITY

Inductive Reasoning


Job Opportunities

Claims Adjusters, Examiners, and Investigators

  • Contact Center Customer Care Specialist (SCA)
    HomeSafe Alliance    Phoenix, AZ 85067
     Posted about 3 hours    

    **Title:**

    Contact Center Customer Care Specialist (SCA)

    **_HomeSafe Alliance_** is the single global household goods movement manager of over 300,000 Military Household Goods moves per year for USTRANSCOM and the U.S. Armed Forces, Department of Defense civilians, U.S. Coast Guard, and their families.

    When you become part of our team at HomeSafe Alliance, your opportunities are endless. Through internal collaboration, and with our partners and customers, we’re defining tomorrow’s challenges, then providing the innovative solutions to overcome those challenges, always maintaining our commitment to Zero Harm and Sustainability Platform.

    Working at HomeSafe Alliance means being rewarded for your contributions. In addition to competitive benefits and professional development, our people are empowered to use all their potential, creating meaningful change for themselves and our clients. We attract the best minds in the world because our expertise thrives on creativity, resourcefulness and collaboration. That is how we supply our clients with cutting-edge solutions.

    As the needs of the world change, we’re ready to respond and guide the way forward with strategic, sustainable, and technological advancements grounded in more than a century of practical application and execution.

    The HomeSafe team is dedicated to providing fast, easy, and efficient relocation experiences. More than 300,000 military and government households are relocated every year. Coordinating these transfers is a massive undertaking—and we’re proud to say that HomeSafe is positioned to improve the customers’ moving experience. As the GHC prime contractor and household goods moving service integrator, we provide earlier visibility into upcoming moves and greater network throughput capacity—ensuring household goods shipments are picked up and delivered on time. With cutting-edge technology and proven logistics expertise, we’re transforming the moving process by continuously evaluating, refining, and improving our tools and techniques. We’re dedicated to making sure that every move is better than the last.

    **About the Role**

    **HomeSafe Alliance** is seeking Customer Care Specialist’s to support the Customer Care contact center by providing immediate support to answer customer inquiries, troubleshoot application access, and network with internal and external move partners to resolve concerns. The goal is to be readily available and responsive to meet customer needs with exceptional quality and service.

    **This is an SCA position** .

    **NOTE: Openings on various shifts to include weekend support.**

    **Responsibilities:**

    As a Customer Care Specialist, you will be responsible for all shipment activities in your workload from assignment through delivery.

    + Be the “first face” of HomeSafe via inbound calls/chat/email from customers, internal colleagues, and external partners.

    + Ensures first call resolution through problem solving and effective call/email/chat/text.

    + Counseling customers on their entitlements for their move.

    + The Customer Care Specialist role requires a patient and stable work style and consistency in dealing with repetitive routine.

    + The role demands a cooperative, agreeable, and sympathetic listener who can build good relationships with others and enjoys being helpful to them.

    + Troubleshooting with customers on how to use the HomeSafe Connect Application.

    + Provide accurate details of the status of Customer move at designated points.

    + Customer service via a multichannel contact center within a team-oriented focus is of utmost importance.

    + The pace of the role follows the customary scope of measuring a CCS productivity contact center metrics (i.e. Average Handle Time, After Call Work, Unavailable Codes).

    + Complete outbound communications to customers and business partners.

    + Readily resolve all customer, agent or military base inquiries and concerns.

    + Identify and resolve issues utilizing critical thinking skills and sound judgment.

    + Utilize strong time management, organization skills and prioritization in a fast-paced environment.

    + Utilize various systems and tools to initiate and assist customer requests.

    + Ensure a complete and accurate record of all contacts, both internally and externally, is maintained in the relevant systems.

    + Continually maintain a working knowledge of all services and requirements for processing customer orders.

    + May function as designated representative for move accounts.

    + May perform other related duties and responsibilities as assigned and/or required

    + Attend and participate in all team meetings.

    **Minimum Qualification and Skills Requirements** :

    + High School Diploma, GED or equivalent education experience is required .

    + 1+ year customer service experience, with military move experience preferred.

    + Must be a U.S. citizen due to contractual requirements.

    **Demonstrated experience:**

    + Experience working in a multi-channel (voice, chat, email, and text) contact center.

    + The role requires attention to the details of work, handling them with better-than-average accuracy and with careful attention to the quality of the work.

    + The focus is on working comfortably remotely within a stable, secure team.

    + Manage multiple priorities, with the ability to work in a fast-paced environment.

    + Ability to manage difficult customers and situations and be able to solve problems.

    + Excellent written & verbal communication skills, patience, and empathy.

    + Proficient with basic computer skills.

    **Preferred Education and Experience** :

    + Bilingual

    + Prior military move management experience.

    **Schedule flexibility:** Customer Care will operate 24 hours per day x 365 days per year; nights, weekends and holidays required.

    **Note** : This position is fully remote / work from home. HomeSafe will supply appropriate equipment, **employee provided** **high speed internet is required.**

    **Inclusion and Diversity at HomeSafe Alliance:**

    At HomeSafe, we are passionate about our people, sustainability, and our Zero Harm culture. These inform all that we do and are at the heart of our commitment to, and ongoing journey toward being a more inclusive and diverse company. That commitment is central to our team of team’s philosophy and fosters an environment of real collaboration across cultures and locations. Our individual differences and perspectives bring enhanced value to our teams and help us develop solutions for the most challenging problems. We understand that by embracing those differences and working together, we are more innovative, more resilient, and safer.

    Benefits:

    + Medical, Dental and Vision Insurance.

    + Paid time off (PTO) Three weeks of PTO for newly hired employees

    + 401(k)

    + Health and Wellness Programs

    + Disability, Life and AD&D insurance

    + Employee Support program

    + Family Support: Bright Horizons, child and elder care services

    + Teladoc Medical Experts, second opinion program

    + Travel Accident & Medical

    + TRICARE Supplement Plan

    + Voluntary Benefit Plans

    + And more!

    HomeSafe is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, disability, sex, sexual orientation, gender identity or expression, age, national origin, veteran status, genetic information, union status and/or beliefs, or any other characteristic protected by federal, state, or local law.

    **HomeSafe​ — Delivering Solutions, Changing the World.**

    HomeSafe has been established to be the premier household goods move management service provider for the U.S. Armed Forces, Department of Defense (DoD) civilians, and their families. Our team is dedicated to providing fast, easy, and efficient relocation experiences.

    More than 300,000 military and government households are relocated every year. Coordinating these transfers is a massive undertaking—and we’re proud to say that HomeSafe is positioned to improve the customers’ moving experience. As a household goods moving service integrator, we provide earlier visibility into upcoming moves and greater network throughput capacity—ensuring household goods shipments are picked up and delivered on time.

    With cutting-edge technology and proven logistics expertise, we’re transforming the moving process by continuously evaluating, refining, and improving our tools and techniques. We’re dedicated to making sure that every move is better than the last.

    We thank you for your service, and for the privilege of serving you in return.

    **A** **t HomeSafe,** **We Deliver.**

    **Fraud Alert**

    Fraud has infiltrated the job placement market via the internet, email and direct phone contact. Attempts have included unauthorized use of HomeSafe’s name and logo to solicit potential job seekers or to extend false job offers. Bad actors may mix in fake job advertisements with legitimate postings. These ads can include contact instructions and require job seekers to send sensitive personal information or money to pay for visa applications, processing fees, etc., in exchange for consideration for a high-paying position.

    HomeSafe will never ask for any sort of advance payment as part of the recruiting/hiring process. Candidate profiles are carefully managed to protect personal information.

    Benefits:

    + Medical, Dental and Vision Insurance.

    + Paid time off (PTO) Three weeks of PTO for newly hired employees

    + 401(k)

    + Health and Wellness Programs

    + Disability, Life and AD&D insurance

    + Employee Support program

    + Family Support: Bright Horizons, child and elder care services

    + Teladoc Medical Experts, second opinion program

    + Travel Accident & Medical

    + TRICARE Supplement Plan

    + Voluntary Benefit Plans

    + And more!


    Employment Type

    Full Time

  • Claims Representative - National Remote
    UnitedHealth Group    Phoenix, AZ 85067
     Posted 1 day    

    **You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.**

    **Optum** is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start **Caring. Connecting. Growing together.**

    Processing of medical claims including verification, adjudication and accuracy. Ensuring claims comply with regulatory standards, company policy, and guidelines.

    This position is full time, Monday - Friday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 8:00 am - 5:00 pm PST (can start as early as 6:00 am PST).

    We offer 2 - 3 weeks of paid training. The hours during training will be 8:00 am - 5:00 pm PST from Monday - Friday.

    _*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy._

    **Primary Responsibilities:**

    + Accurately processing of professional claims.

    + Responsible for editing and adjusting of EDI claims.

    + Analyze and adjudicate claims to ensure accurate payment

    + Interpret Fee for Service (FFS) and capitated provider contracts

    + Meet Department Quality and Accuracy Standards.

    + Interfaces with other departments to obtain necessary information required for resolution of claims.

    + Advise management of any claim issues or inappropriate and/or incorrect billing

    + Other duties assigned by management.

    You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

    **Required Qualifications:**

    + High School Diploma / GED

    + Must be 18 years of age OR older

    + 2+ years of experience as a Medical Claims Examiner

    + 1+ years of experience with professional claims processing

    + Working knowledge of Medical Terminology, ICD10, CPT4, CMS1500 forms

    + Medical Insurance Industry processing experience

    + Data Entry skills

    + Proficiency with Microsoft Office applications, to include Microsoft Word, Microsoft Excel, Microsoft Outlook, etc.

    + Experience in contract interpretation

    + Prior Medicare, HMO experience

    + Ability to work any shift between the hours of 8:00 AM - 5:00 PM PST (can start as early as 6:00 am PST)

    **Telecommuting Requirements:**

    + Ability to keep all company sensitive documents secure (if applicable)

    + Required to have a dedicated work area established that is separated from other living areas and provides information privacy

    + Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

    **California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Washington, Rhode Island, OR Washington, D.C. Residents Only:** The hourly range for this is $16.54 - $32.55 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

    **_Application Deadline: _** _This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants._

    _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission._

    _ _

    _Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law._

    _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment_ _._

    **\#RPO**


    Employment Type

    Full Time

  • Claims Adjustment Representative - National Remote
    UnitedHealth Group    Phoenix, AZ 85067
     Posted 1 day    

    **You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.**

    At **UnitedHealthcare** , we’re simplifying the health care experience, creating healthier communities, and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us and start doing **your life’s best work.** **SM**

    This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of (8:00am - 5:00pm). It may be necessary, given the business need, to work occasional overtime.

    We offer 12 weeks of paid training. The hours during training will be 7:30am to 4:30pm CST (hours subject to change), Monday - Friday. **Training will be conducted virtually from your home.**

    _*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy._

    **Primary Responsibilities:**

    + Update claim information based on research and communication from provider, Health Plans, or state compliance offices.

    + Complete necessary adjustments to claims and ensure the proper benefits are applied to each claim by using the appropriate processes and procedures (e.g. claims processing policies and procedures, grievance procedures, state mandates, CMS/Medicare/Medicaid guidelines, benefit plan documents)

    + Communicate extensively with Heath Plans & Internal Business Partners regarding adjustments to resolve claims errors/issues, using clear, simple language to ensure understanding.

    + Learn and leverage new systems and training resources to help apply claims processes/procedures

    + Ensure claim turnaround times are met and work toward metric deliverables

    This is a challenging role with serious impact. You’ll be providing a high level of support and subject matter expertise within a fast paced, intense and high volume claims operation where accuracy and quality are essential. Multitasking in this role is required to conduct data entry and rework, analyzing and identifying trends as well as completing reports daily.

    You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

    **Required Qualifications:**

    + High school diploma / GED or equivalent work experience

    + Must be 18 years of age or older

    + 6+ months of claim processing experience or medical or insurance experience

    + Knowledge of Medicare/Medicaid processes

    + Ability in using computer and Windows 365 applications, which includes the ability to learn new applications

    + Ability to work full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of (8:00am - 5:00pm). It may be necessary, given the business need, to work occasional overtime.

    **Preferred Qualifications:**

    + 1+ years of experience of Medicaid and Medicare policies and regulations

    + 2+ years of experience processing original claims or reworks

    + Claim processing experience in Facets (CSP Platform)

    + Claim experience working in Work Distribution Application

    + Intermediate experience working with Microsoft Teams

    + Intermediate experience working with Microsoft Outlook

    + Intermediate experience working with Microsoft PowerPoint

    + Intermediate experience working with Microsoft Excel (sorting data, basic formulas, v-lookup, and pivot tables)

    **Telecommuting Requirements:**

    + Ability to keep all company sensitive documents secure (if applicable)

    + Required to have a dedicated work area established that is separated from other living areas and provides information privacy.

    + Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.

    **Soft Skills:**

    + Ability to compose grammatically correct correspondence that translates medical and insurance expressions into simple terms that members can easily understand

    + Results-oriented

    + Verbal & Written Communications

    + Solution Oriented

    + Detail Oriented

    + Critical thinking

    **California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Washington, Rhode Island, OR Washington, D.C. Residents Only:** The hourly range for this is $16.54 - $32.55 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

    **_Application Deadline: _** _This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants._

    _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission._

    _Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law._

    _UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._

    **\#RPO**


    Employment Type

    Full Time

  • Customer Care Specialist
    Tucson Electric Power    Kingman, AZ 86409
     Posted 1 day    

    **Customer Care Specialist**

    Company **UniSource Energy Electric**

    Location **Kingman, AZ**

    Requisition ID **5719**

    **About Us**

    UNS Energy Corporation (http://www.uns.com) , headquartered in Tucson, Arizona, is a subsidiary ofFortis Inc. (https://www.fortisinc.com) , the largest investor-owned electric and gas distribution utility in Canada. Our public utility subsidiaries, Tucson Electric Power Company, UNS Electric, Inc. and UNS Gas, Inc., power our economy by providing electric and gas service to nearly 700,000 customers in Arizona.

    We embrace a spirit of giving, dedicated to improving quality of life in the communities we have served for generations, and in TEP’s case, since the 1890s. We’re building a cleaner, greener grid, with more wind and solar power than ever before, while maintaining safe, reliable, and affordable service.

    **Your Employer of Choice**

    Our culture is rooted inshared core values (https://www.tep.com/careers/#values) that define how we work and who we are. Our team of innovative professionals bring their authentic selves to work each day to power our vision and make a difference. Be Part of Our Story.

    We create opportunities for employees to thrive through:

    + **Continual growth:** In an industry changing faster than ever before, our commitment to professional growth and leadership development means we never stop challenging ourselves to explore new possibilities.

    + **Active Engagement:** We support a collaborative environment, with peer-to-peer learning and employee-driven groups that foster an inclusive culture.

    + **Total compensation:** UNS Energy Corporation also offers a competitive compensation and benefits package that includes a 401k plan with a generous company match, a company-sponsored pension plan, affordable individual and family health insurance plans, tuition assistance, life insurance, long-term disability insurance and much more.

    Hear from some of our employees,here (https://youtu.be/hpknvJPLuoc) andhere (https://youtu.be/7BECywu-Re4) .

    **Job Description - Customer Care Specialist**

    Position Title:

    Customer Care Specialist

    Business Reporting Unit:

    UNSE Kingman Elect Cust Svc

    FLSA Status:

    Non-Exempt

    Level:

    Non-Manager

    EEOC Category:

    Administrative Support Workers

    EEOC Job Group

    Admin Support - Classified

    Does this position involve transmission and/or marketing functions? - TRM, MKT, or N/A

    No

    CIP status -Cyber, Physical, Both or Neither (Select one)

    No

    Job Code

    KG005

    Safety Sensitive:

    No

    Last Business Review Date

    10/25/2023

    Position Description

    Responsible for retail customer billing services for all Divisions – TEP, UNS Electric and UNS Gas. Maintain established productivity and quality standards.Represent Company professionally, promote a positive attitude and a team environment.

    Position-Related Responsibilities

    · Analyze meter read edits

    · Analyze billing exceptions

    · Process usage generation estimates

    · Analyze validation queries

    · Generate / process service requests

    · Process pre / post billing adjustments

    · Monitor commercial accounts for appropriate rate

    · Perform quality assurance and records management functions

    · May assist in handling customer inquiries, including ACC Complaints and Inquiries

    · Promote team environment; lead by example, represent company professionally

    · This position may provide services to affiliates of the Company subject to the UNS Energy Code of Conduct and the related Policies and Procedures.

    Knowledge, Skills and Abilities

    · Advanced Customer Information System skills desired

    · Demonstrated software skills (i.e. MS Office Suite)

    · Demonstrated problem solving and analytical skills

    · Demonstrated conflict resolution skills

    · Knowledge of basic accounting principles desired

    · Ability to read meter registers desired

    · Thorough knowledge of ACC Rules & Regulations desired

    · Thorough knowledge of rate schedules & tariffs desired

    · Excellent communication and organizational skills

    · Strong interpersonal skills

    · Demonstrated teamwork

    · High school diploma or equivalent

    All employees are expected and required to adhere to the Company Code of Ethics and Principles of Conduct.

    Starting pay: $27.07/hr

    Closes: 08/02/2024

    **Pay Rate:** $27.07

    **All job offers are contingent on successful completion of a pre-employment drug screen and background check.**

    California Job Applicants -click here (https://www.tep.com/california-job-applicant-and-independent-contractor-privacy-notice/) to see our Job Applicant Privacy Notice.


    Employment Type

    Full Time

  • Associate Claim Representative -Auto
    The Hartford    Scottsdale, AZ 85258
     Posted 1 day    

    Associate Claim Representative - CH10DN

    We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals – and to help others accomplish theirs, too. Join our team as we help shape the future.

    As an Associate Claims Representative for auto, you’re at the front lines for our customer. Your primary role is to investigate and manage claim files to help individuals and businesses prevail after a claim. At The Hartford, we respect our employees for their unique perspectives, ideas, and solutions. We empower individuals and teams to invent faster, smarter ways of meeting customers’ need while improving our performance. Goals are important, but so is the way we reach them. Character and customer value are just as vital to our reputation as financial performance – leading to behaviors that put the customer at the center of everything we do. In recognition of successful completion of training you will be eligible for a proficiency increase at or around 6 months from your date of hire. Start Date: October 7, 2024 Training Hours: Monday - Friday 8:00am - 5:00pm Eastern Standard Time. Training will include travel for an in-person learning lab for the weeks of November 4th and November 15th. Regular Hours: Monday - Friday Core Business Hours, no weekends. Key Responsibilities:

    + Handle first and third-party Personal Lines auto claims, with a focus on financial accuracy, appropriate file disposition, and adherence to statutory guidelines.

    + Investigating Property Damage Only claims to determine liability exposures and potential subrogation.

    + Provide exceptional customer service by establishing and maintaining effective relationships with customers through adherence to The Hartford’s standards of communication.

    + Ability to make decisions with the customer at the center of everything we do.

    + Utilize critical thinking skills to gather and analyze information and data to make sound decisions.

    + Continually evaluate self against performance targets and strive to exceed expectations.

    + Contribute to a courageous culture that promotes collaboration and inclusion to maximize operational performance and employee engagement. Embrace a culture of continuous improvement.

    + Leverage contemporary technology to achieve accurate and efficient claim outcomes.

    Qualifications:

    + College degree preferred; High School Diploma required.

    + Preferred 1+ years of related customer service experience

    + Looking for a candidate that has complimentary skills and can accelerate their learning to meet the demands of the job

    + Contribute to a culture of excellence.

    + Ability to contribute and promote an inclusive culture of continuous learning that is built on teamwork, collaboration, transparency, and accountability to one another.

    + Passionate desire to help both internal and external customers.

    + Ability to embrace change and flourish with industry-changing technology and trends.

    + Critical thinking skills inclusive of investigation, decision making and conflict resolution.

    + Ability to create and maintain loyal customers by creating a service experience that differentiates us within the industry.

    + Ability to listen attentively to our customer’s needs and exhibit empathy during difficult situations.

    + Ability to produce clear and grammatically accurate correspondence.

    + Organizational Skills

    + Ability to handle competing priorities while positively impacting the quality and service we are committed to delivering.

    This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office locations (Hartford, CT, San Antonio, TX, Lake Mary, FL, Phoenix, AZ, Naperville, IL) will have the expectation of working in an office 3 days a week (Tuesday through Thursday). Candidates who do not live near an office will have a remote work arrangement, with the expectation of coming into an office as business needs arise. As a condition of your employment, you must obtain and maintain a State Adjuster's License to process Property & Casualty Insurance Claims in the states supported by your office. Continued employment with The Hartford is contingent upon the successful passage of the Licensing exam(s) within 30 business days from the completion of the licensing training. For full-time, occasional, part-time or remote positions: (1) high speed broadband internet service is required, we do not recommend or support DSL, wireless, Wi-Fi, Hotspots, Fiber without a modem and Satellite; (2) Internet provider supplied modem/router/gateway is hardwired to the Hartford issued computer with an ethernet cable; and (3) minimum upload/download speeds of 5Mbps/30Mbps will be required. To confirm whether your Internet system has sufficient speeds, please visit http://www.speedtest.net from your personal computer.

    Compensation

    The listed annualized base pay range is primarily based on analysis of similar positions in the external market. Actual base pay could vary and may be above or below the listed range based on factors including but not limited to performance, proficiency and demonstration of competencies required for the role. The base pay is just one component of The Hartford’s total compensation package for employees. Other rewards may include short-term or annual bonuses, long-term incentives, and on-the-spot recognition. The annualized base pay range for this role is:

    $45,520 - $68,280

    Equal Opportunity Employer/Females/Minorities/Veterans/Disability/Sexual Orientation/Gender Identity or Expression/Religion/Age

    About Us (https://www.thehartford.com/about-us) | Culture & Employee Insights (https://www.thehartford.com/careers/employee-stories) | Diversity, Equity and Inclusion (https://www.thehartford.com/about-us/corporate-diversity) | Benefits (https://www.thehartford.com/careers/benefits)

    Human achievement is at the heart of what we do.

    We believe that with the right encouragement and support, people are capable of achieving amazing things.

    We put our belief into action by ensuring individuals and businesses are well protected, and by going even further – making an impact in ways that go beyond an insurance policy.

    Nearly 19,000 employees use their unique talents in careers that span a variety of disciplines – from developing the latest technology to creating and promoting our products to evaluating future financial risks.

    We’re also committed to programs that drive education and support volunteerism, which put human beings first. We do it because it’s the right thing to do, and because when our customers, communities and employees succeed, we all do.

    About Us (https://www.thehartford.com/about-us)

    Culture & Employee Insights

    Diversity, Equity and Inclusion (https://www.thehartford.com/about-us/corporate-diversity)

    Benefits

    Legal Notice (https://www.thehartford.com/legal-notice)

    Accessibility StatementProducer Compensation (https://www.thehartford.com/producer-compensation) EEO

    Privacy Policy (https://www.thehartford.com/online-privacy-policy)

    California Privacy Policy

    Your California Privacy Choices (https://www.thehartford.com/data-privacy-opt-out-form)

    International Privacy Policy

    Canadian Privacy Policy (https://www.thehartford.com/canadian-privacy-policy)


    Employment Type

    Full Time

  • Claims Adjuster (SCA) HHG/Military Move
    HomeSafe Alliance    Phoenix, AZ 85067
     Posted 1 day    

    **Title:**

    Claims Adjuster (SCA) HHG/Military Move

    **_HomeSafe Alliance_** is the single global household goods movement manager of over 300,000 Military Household Goods moves per year for USTRANSCOM and the U.S. Armed Forces, Department of Defense civilians, U.S. Coast Guard, and their families.

    When you become part of our team at HomeSafe Alliance, your opportunities are endless. Through internal collaboration, and with our partners and customers, we’re defining tomorrow’s challenges, then providing the innovative solutions to overcome those challenges, always maintaining our commitment to Zero Harm and Sustainability Platform.

    Working at HomeSafe Alliance means being rewarded for your contributions. In addition to competitive benefits and professional development, our people are empowered to use all their potential, creating meaningful change for themselves and our clients. We attract the best minds in the world because our expertise thrives on creativity, resourcefulness and collaboration. That is how we supply our clients with cutting-edge solutions.

    As the needs of the world change, we’re ready to respond and guide the way forward with strategic, sustainable, and technological advancements grounded in more than a century of practical application and execution.

    The HomeSafe team is dedicated to providing fast, easy, and efficient relocation experiences. More than 300,000 military and government households are relocated every year. Coordinating these transfers is a massive undertaking—and we’re proud to say that HomeSafe is positioned to improve the customers’ moving experience. As the GHC prime contractor and household goods moving service integrator, we provide earlier visibility into upcoming moves and greater network throughput capacity—ensuring household goods shipments are picked up and delivered on time. With cutting-edge technology and proven logistics expertise, we’re transforming the moving process by continuously evaluating, refining, and improving our tools and techniques. We’re dedicated to making sure that every move is better than the last.

    We are currently seeking a highly skilled and motivated Assistant Claims Manager to assist in all aspects of claims management, to support and promote process improvement methodologies and best practices that enhance claims service.

    **About the Role**

    The Assistant Claims Manager role is a remote opportunity responsible for ensuring the claim settlements meet or exceed customer expectations and comply with regulatory and company standards. Manage large claims, catastrophic loss situations, mold, unusual occurrences, inconvenience claims, property damage claims, and MCO demands and ensure the settlement practices allow for prompt subrogation recoveries. Raising awareness of any settlement practices, trends, or areas of concern to the Director of Claims. Responds to internal and external customer disputes and inquiries according to company policies. Must be exceptionally customer service oriented, have effective listening, verbal, and written communication skills, and possess a friendly, helpful demeanor.

    **Required Education, Knowledge & Skills:**

    + Undergraduate Degree in Business or related 4-year degree preferred

    + Minimum 3-4 years personal property claims adjusting experience preferred

    + Prior experience in a Supervisor or leadership role.

    + Prior experience assessing employee productivity and identifying areas of improvement to provide constructive feedback and coaching as needed

    + Must be a U.S. citizen due to contractual requirements.

    + Excellent oral and written communication skills

    + Proficient computer skills – MS Office: Outlook, Word, Excel, PowerPoint)

    + Detail-oriented with superior organizational and strong time management with the ability to prioritize and complete assignments on schedule

    **Job Functions:**

    + Perform and monitor claim adjudication and subrogation's to ensure claim timelines are met and repayment of claim payments are recovered quickly.

    + Address and file claims with any agent, insurance company, or military office with information and documentation as needed to ensure prompt recovery of claim expenses.

    + Work with the Director of Claims and Claims Managers to ensure any concerns or issues are addressed.

    + Perform training of new hires as necessary.

    + Monitor workflows and identify any improvements necessary.

    + Review claim settlement and subrogation's when disputes escalate to ensure proper settlement and chargeback practices are followed.

    + Work with service providers and other liable parties to resolve disputes on claim settlement.

    + Analyze, process, and settle incoming Military Claim Office demands. Reviewing that proper settlement practices were followed.

    + Addressing with Claims Adjuster on any areas of improvement and involving the Claims Manager and Director of Claims when necessary.

    + Manage and monitor large loss and catastrophic situations ensuring all urgent matters have attention.

    + Approval of Claim payables and receivables as necessary.

    + Analyze, process, and settle any claims assigned in accordance with company policies, within assigned time limits, and per DoD regulations.

    + Performs other job-related duties as needed.

    **Note** : This position is fully remote / work from home. HomeSafe will supply appropriate equipment, employee provided **high speed internet is required.**

    **Inclusion and Diversity at HomeSafe Alliance:**

    At HomeSafe, we are passionate about our people, sustainability, and our Zero Harm culture. These inform all that we do and are at the heart of our commitment to, and ongoing journey toward being a more inclusive and diverse company. That commitment is central to our team of team’s philosophy and fosters an environment of real collaboration across cultures and locations. Our individual differences and perspectives bring enhanced value to our teams and help us develop solutions for the most challenging problems. We understand that by embracing those differences and working together, we are more innovative, more resilient, and safer.

    Benefits:

    + Medical, Dental and Vision Insurance.

    + Paid time off (PTO) Three weeks of PTO for newly hired employees

    + 401(k)

    + Health and Wellness Programs

    + Disability, Life and AD&D insurance

    + Employee Support program

    + Family Support: Bright Horizons, child and elder care services

    + Teladoc Medical Experts, second opinion program

    + Travel Accident & Medical

    + TRICARE Supplement Plan

    + Voluntary Benefit Plans

    + And more!

    HomeSafe is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, disability, sex, sexual orientation, gender identity or expression, age, national origin, veteran status, genetic information, union status and/or beliefs, or any other characteristic protected by federal, state, or local law.

    **HomeSafe​ — Delivering Solutions, Changing the World.**

    HomeSafe has been established to be the premier household goods move management service provider for the U.S. Armed Forces, Department of Defense (DoD) civilians, and their families. Our team is dedicated to providing fast, easy, and efficient relocation experiences.

    More than 300,000 military and government households are relocated every year. Coordinating these transfers is a massive undertaking—and we’re proud to say that HomeSafe is positioned to improve the customers’ moving experience. As a household goods moving service integrator, we provide earlier visibility into upcoming moves and greater network throughput capacity—ensuring household goods shipments are picked up and delivered on time.

    With cutting-edge technology and proven logistics expertise, we’re transforming the moving process by continuously evaluating, refining, and improving our tools and techniques. We’re dedicated to making sure that every move is better than the last.

    We thank you for your service, and for the privilege of serving you in return.

    **A** **t HomeSafe,** **We Deliver.**

    **Fraud Alert**

    Fraud has infiltrated the job placement market via the internet, email and direct phone contact. Attempts have included unauthorized use of HomeSafe’s name and logo to solicit potential job seekers or to extend false job offers. Bad actors may mix in fake job advertisements with legitimate postings. These ads can include contact instructions and require job seekers to send sensitive personal information or money to pay for visa applications, processing fees, etc., in exchange for consideration for a high-paying position.

    HomeSafe will never ask for any sort of advance payment as part of the recruiting/hiring process. Candidate profiles are carefully managed to protect personal information.

    Benefits:

    + Medical, Dental and Vision Insurance.

    + Paid time off (PTO) Three weeks of PTO for newly hired employees

    + 401(k)

    + Health and Wellness Programs

    + Disability, Life and AD&D insurance

    + Employee Support program

    + Family Support: Bright Horizons, child and elder care services

    + Teladoc Medical Experts, second opinion program

    + Travel Accident & Medical

    + TRICARE Supplement Plan

    + Voluntary Benefit Plans

    + And more!


    Employment Type

    Full Time

  • Medical Director--Claims Management
    Humana    Phoenix, AZ 85067
     Posted 2 days    

    **Become a part of our caring community and help us put health first**

    The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized at the Inpatient level. All work occurs within a context of regulatory compliance, and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to operationalize this knowledge in their daily work.

    The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization of daily work, communication of decisions to internal associates, and possible participation in care management. The clinical scenarios predominantly arise from inpatient or post-acute care environments. Has discussions with external physicians by phone to gather additional clinical information or discuss determinations regularly, and in some instances these may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient services and equipment, within their scope.

    The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value based care, population health, or disease or care management. Medical Directors support Humana values, and Humana's Bold Goal mission, throughout all activities.

    **Use your skills to make an impact**

    **Required Qualifications**

    + MD or DO degree

    + 5+ years of direct clinical patient care experience post residency or fellowship, which preferably includes some experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65 years of age).

    + Board Certified in an approved ABMS Medical Specialty with continued certification throughout employment.

    + A current and unrestricted license in at least one jurisdiction and willing to obtain additional license(s), if required.

    + No current sanction from Federal or State Governmental organizations, and able to pass credentialing requirements.

    + Excellent verbal and written communication skills.

    + Evidence of analytic and interpretation skills, with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post-acute services (such as inpatient rehabilitation) **Preferred Qualifications**

    + **Understands Medicare Inpatient Guidelines**

    + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management.

    + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance.

    + Experience with national guidelines such as MCG® or InterQual

    + Internal Medicine, Family Practice, Geriatrics, Hospitalist, Emergency Medicine clinical specialization

    + Advanced degree such as an MBA, MHA, or MPH

    + Exposure to Public Health principles, Population Health, analytics, and use of business metrics.

    + Experience working with Case managers or Care managers on complex case management, including familiarity with social determinants of health.

    + The curiosity to learn, the flexibility to adapt and the courage to innovate

    + **Additional Information** Typically reports to a Director of Health Services, Lead, or Corporate Medical Director, depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an assigned market, member population, or condition type. May also engage in grievance and appeals reviews. Some medical directors may join a centralized team for several months after training, until positions become available for specific markets. May participate on project teams or organizational committees. **Work at Home Guidance** To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:

    + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested

    + Satellite, cellular and microwave connection can be used only if approved by leadership

    + Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.

    + Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.

    + Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

    + This is a remote position\#LI-Remote

    **Scheduled Weekly Hours**

    40

    **Pay Range**

    The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$199,400 - $274,400 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

    **Description of Benefits**

    Humana, Inc. and its affiliated subsidiaries (collectively, 'Humana') offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

    **About us**

    Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

    **Equal Opportunity Employer**

    It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

    Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.


    Employment Type

    Full Time

  • Call Center and Claims Representative
    Humana    Phoenix, AZ 85067
     Posted 2 days    

    **Become a part of our caring community and help us put health first**

    Humana/iCare is seeking a Call Center and Claims Representative to meet the needs of members, potential enrollees and providers by providing a resource by phone to answer inquiries related to benefits, eligibility, claims, and perform other duties as assigned.

    The Call Center and Claims Representative works in a call center setting and provides program, benefit, eligibility, and claims information and describes Humana/iCare services to existing, potential and new members via telephone and in writing. This role will also provide responses to provider claim inquiries within the designated timeframes, including claims status, denials, reconsiderations, and explanation of payments.

    **Essential Duties and Responsibilities**

    + Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer (member or provider) requests and questions are handled appropriately and in a timely manner.

    + Provides support, guidance, direction & limited education to providers on member eligibility, authorizations, Humana/iCare guidelines and provider portal.

    + Provides limited authorization information of referrals to providers and members.

    + Researches issues and uses judgment for obtaining relevant information.

    + Documents member information, including demographics and contacts made with customers within the Trizetto Call Tracking system.

    + Consistently meets individual performance and quality goals.

    + Adheres to Company policy guidelines.

    + Actively participates in department/company meetings.

    + Manages complaints/grievances/appeals and route appropriately for research and resolution.

    **Use your skills to make an impact**

    **Required Qualifications**

    + One (1) year of demonstrated customer service experience in a call center setting with knowledge of appropriate telephone etiquette.

    + One (1) year of experience in health insurance.

    + Experienced with Microsoft Office Products.

    **Preferred Qualifications**

    + Previous experience in Medicaid and/or Medicare customer service and/or claims processing.

    + Bi-lingual English/Spanish.

    + Ability to type at least 40 WPM. (Test your typing speed for free online)

    + Experience working in a managed health care setting.

    **Additional Information**

    + **Workstyle:** Home. Home workstyle is defined as remote but will use Humana office space on an as needed basis for collaboration and other face-to-face needs.

    + **Typical Work Days/Hours:** must be available Monday through Friday; 8:00am - 5:00 pm (CST)

    **WAH Internet Statement**

    To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

    + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.

    + Satellite, cellular and microwave connection can be used only if approved by leadership.

    + Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.

    + Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.

    + Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

    **Benefits**

    Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security-both today and in the future, including:

    + Health benefits effective day 1

    + Paid time off, holidays, volunteer time and jury duty pay

    + Recognition pay

    + 401(k) retirement savings plan with employer match

    + Tuition assistance

    + Scholarships for eligible dependents

    + Parental and caregiver leave

    + Employee charity matching program

    + Network Resource Groups (NRGs)

    + Career development opportunities

    **HireVue**

    As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

    Nationwide Remote - This is a remote nationwide position.

    **Scheduled Weekly Hours**

    40

    **Pay Range**

    The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$31,900 - $43,900 per year

    **Description of Benefits**

    Humana, Inc. and its affiliated subsidiaries (collectively, 'Humana') offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

    **About us**

    Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

    **Equal Opportunity Employer**

    It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

    Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.


    Employment Type

    Full Time

  • Assistant Claims Manager (Military Move)
    HomeSafe Alliance    Phoenix, AZ 85067
     Posted 2 days    

    **Title:**

    Assistant Claims Manager (Military Move)

    **_HomeSafe Alliance_** is the single global household goods movement manager of over 300,000 Military Household Goods moves per year for USTRANSCOM and the U.S. Armed Forces, Department of Defense civilians, U.S. Coast Guard, and their families.

    When you become part of our team at HomeSafe Alliance, your opportunities are endless. Through internal collaboration, and with our partners and customers, we’re defining tomorrow’s challenges, then providing the innovative solutions to overcome those challenges, always maintaining our commitment to Zero Harm and Sustainability Platform.

    Working at HomeSafe Alliance means being rewarded for your contributions. In addition to competitive benefits and professional development, our people are empowered to use all their potential, creating meaningful change for themselves and our clients. We attract the best minds in the world because our expertise thrives on creativity, resourcefulness and collaboration. That is how we supply our clients with cutting-edge solutions.

    As the needs of the world change, we’re ready to respond and guide the way forward with strategic, sustainable, and technological advancements grounded in more than a century of practical application and execution.

    The HomeSafe team is dedicated to providing fast, easy, and efficient relocation experiences. More than 300,000 military and government households are relocated every year. Coordinating these transfers is a massive undertaking—and we’re proud to say that HomeSafe is positioned to improve the customers’ moving experience. As the GHC prime contractor and household goods moving service integrator, we provide earlier visibility into upcoming moves and greater network throughput capacity—ensuring household goods shipments are picked up and delivered on time. With cutting-edge technology and proven logistics expertise, we’re transforming the moving process by continuously evaluating, refining, and improving our tools and techniques. We’re dedicated to making sure that every move is better than the last.

    We are currently seeking a highly skilled and motivated Assistant Claims Manager to assist in all aspects of claims management, to support and promote process improvement methodologies and best practices that enhance claims service.

    **About the Role**

    The Assistant Claims Manager role is a remote opportunity responsible for ensuring the claim settlements meet or exceed customer expectations and comply with regulatory and company standards. Manage large claims, catastrophic loss situations, mold, unusual occurrences, inconvenience claims, property damage claims, and MCO demands and ensure the settlement practices allow for prompt subrogation recoveries. Raising awareness of any settlement practices, trends, or areas of concern to the Director of Claims. Responds to internal and external customer disputes and inquiries according to company policies. Must be exceptionally customer service oriented, have effective listening, verbal, and written communication skills, and possess a friendly, helpful demeanor.

    **Required Education, Knowledge & Skills:**

    + Undergraduate Degree in Business or related 4-year degree preferred

    + Minimum 3-4 years personal property claims adjusting experience preferred

    + Prior experience in a Supervisor or leadership role.

    + Prior experience assessing employee productivity and identifying areas of improvement to provide constructive feedback and coaching as needed

    + Must be a U.S. citizen due to contractual requirements.

    + Excellent oral and written communication skills

    + Proficient computer skills – MS Office: Outlook, Word, Excel, PowerPoint)

    + Detail-oriented with superior organizational and strong time management with the ability to prioritize and complete assignments on schedule

    **Job Functions:**

    + Perform and monitor claim adjudication and subrogation's to ensure claim timelines are met and repayment of claim payments are recovered quickly.

    + Address and file claims with any agent, insurance company, or military office with information and documentation as needed to ensure prompt recovery of claim expenses.

    + Work with the Director of Claims and Claims Managers to ensure any concerns or issues are addressed.

    + Perform training of new hires as necessary.

    + Monitor workflows and identify any improvements necessary.

    + Review claim settlement and subrogation's when disputes escalate to ensure proper settlement and chargeback practices are followed.

    + Work with service providers and other liable parties to resolve disputes on claim settlement.

    + Analyze, process, and settle incoming Military Claim Office demands. Reviewing that proper settlement practices were followed.

    + Addressing with Claims Adjuster on any areas of improvement and involving the Claims Manager and Director of Claims when necessary.

    + Manage and monitor large loss and catastrophic situations ensuring all urgent matters have attention.

    + Approval of Claim payables and receivables as necessary.

    + Analyze, process, and settle any claims assigned in accordance with company policies, within assigned time limits, and per DoD regulations.

    + Performs other job-related duties as needed.

    **Note** : This position is fully remote / work from home. HomeSafe will supply appropriate equipment, employee provided **high speed internet is required.**

    **Inclusion and Diversity at HomeSafe Alliance:**

    At HomeSafe, we are passionate about our people, sustainability, and our Zero Harm culture. These inform all that we do and are at the heart of our commitment to, and ongoing journey toward being a more inclusive and diverse company. That commitment is central to our team of team’s philosophy and fosters an environment of real collaboration across cultures and locations. Our individual differences and perspectives bring enhanced value to our teams and help us develop solutions for the most challenging problems. We understand that by embracing those differences and working together, we are more innovative, more resilient, and safer.

    \#LI-SH

    Benefits:

    + Medical, Dental and Vision Insurance.

    + Paid time off (PTO) Three weeks of PTO for newly hired employees

    + 401(k)

    + Health and Wellness Programs

    + Disability, Life and AD&D insurance

    + Employee Support program

    + Family Support: Bright Horizons, child and elder care services

    + Teladoc Medical Experts, second opinion program

    + Travel Accident & Medical

    + TRICARE Supplement Plan

    + Voluntary Benefit Plans

    + And more!

    HomeSafe is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, disability, sex, sexual orientation, gender identity or expression, age, national origin, veteran status, genetic information, union status and/or beliefs, or any other characteristic protected by federal, state, or local law.

    **HomeSafe​ — Delivering Solutions, Changing the World.**

    HomeSafe has been established to be the premier household goods move management service provider for the U.S. Armed Forces, Department of Defense (DoD) civilians, and their families. Our team is dedicated to providing fast, easy, and efficient relocation experiences.

    More than 300,000 military and government households are relocated every year. Coordinating these transfers is a massive undertaking—and we’re proud to say that HomeSafe is positioned to improve the customers’ moving experience. As a household goods moving service integrator, we provide earlier visibility into upcoming moves and greater network throughput capacity—ensuring household goods shipments are picked up and delivered on time.

    With cutting-edge technology and proven logistics expertise, we’re transforming the moving process by continuously evaluating, refining, and improving our tools and techniques. We’re dedicated to making sure that every move is better than the last.

    We thank you for your service, and for the privilege of serving you in return.

    **A** **t HomeSafe,** **We Deliver.**

    **Fraud Alert**

    Fraud has infiltrated the job placement market via the internet, email and direct phone contact. Attempts have included unauthorized use of HomeSafe’s name and logo to solicit potential job seekers or to extend false job offers. Bad actors may mix in fake job advertisements with legitimate postings. These ads can include contact instructions and require job seekers to send sensitive personal information or money to pay for visa applications, processing fees, etc., in exchange for consideration for a high-paying position.

    HomeSafe will never ask for any sort of advance payment as part of the recruiting/hiring process. Candidate profiles are carefully managed to protect personal information.

    Benefits:

    + Medical, Dental and Vision Insurance.

    + Paid time off (PTO) Three weeks of PTO for newly hired employees

    + 401(k)

    + Health and Wellness Programs

    + Disability, Life and AD&D insurance

    + Employee Support program

    + Family Support: Bright Horizons, child and elder care services

    + Teladoc Medical Experts, second opinion program

    + Travel Accident & Medical

    + TRICARE Supplement Plan

    + Voluntary Benefit Plans

    + And more!


    Employment Type

    Full Time

  • Claims Adjuster (SCA) HHG/Military Move
    HomeSafe Alliance    Phoenix, AZ 85067
     Posted 2 days    

    **Title:**

    Claims Adjuster (SCA) HHG/Military Move

    **_HomeSafe Alliance_** is the single global household goods movement manager of over 300,000 Military Household Goods moves per year for USTRANSCOM and the U.S. Armed Forces, Department of Defense civilians, U.S. Coast Guard, and their families.

    When you become part of our team at HomeSafe Alliance, your opportunities are endless. Through internal collaboration, and with our partners and customers, we’re defining tomorrow’s challenges, then providing the innovative solutions to overcome those challenges, always maintaining our commitment to Zero Harm and Sustainability Platform.

    Working at HomeSafe Alliance means being rewarded for your contributions. In addition to competitive benefits and professional development, our people are empowered to use all their potential, creating meaningful change for themselves and our clients. We attract the best minds in the world because our expertise thrives on creativity, resourcefulness and collaboration. That is how we supply our clients with cutting-edge solutions.

    As the needs of the world change, we’re ready to respond and guide the way forward with strategic, sustainable, and technological advancements grounded in more than a century of practical application and execution.

    The HomeSafe team is dedicated to providing fast, easy, and efficient relocation experiences. More than 300,000 military and government households are relocated every year. Coordinating these transfers is a massive undertaking—and we’re proud to say that HomeSafe is positioned to improve the customers’ moving experience. As the GHC prime contractor and household goods moving service integrator, we provide earlier visibility into upcoming moves and greater network throughput capacity—ensuring household goods shipments are picked up and delivered on time. With cutting-edge technology and proven logistics expertise, we’re transforming the moving process by continuously evaluating, refining, and improving our tools and techniques. We’re dedicated to making sure that every move is better than the last.

    We are currently seeking a highly skilled and motivated Assistant Claims Manager to assist in all aspects of claims management, to support and promote process improvement methodologies and best practices that enhance claims service.

    **This is an SCA position** .

    **Position Summary** :

    **HomeSafe Alliance** is seeking experienced Claims Adjustors with experience in HHG/Military Move to process and settle claims according to DOD regulations and/or account requirements within the required company timeframe. Adjust claims and make payments and chargeback assessments for cargo, property damage, inconvenience claims, and MCO Demand settlement according to company policies. The claims adjuster responds to internal and external customer disputes and inquiries according to company policies. Must be exceptionally customer service oriented, have effective listening, verbal, and written communication skills, and possess a friendly, helpful demeanor.

    **Required Education, Knowledge & Skills:**

    + High school diploma, some college-related courses or Associates Degree desired

    + Previous claims adjusting experience preferred in personal property or cargo claims

    + Must be a U.S. citizen due to contractual requirements.

    + Excellent oral and written communication skills

    + Proficient computer skills – MS Office: Outlook, Word, Excel, PowerPoint)

    + Detail-oriented with superior organizational and time management skills

    + Positive interpersonal and problem-resolution skills

    **Job Functions:**

    + Analyze, process, and settle incoming DOD claims in accordance with company policies and within assigned time limits (and per DOD regulations if applicable), assuring that an average claims settlement quota per week is met. This includes cargo, property, and inconvenience claims as assigned.

    + Assess claims liability and chargebacks in accordance with contracts and policies, including providing advance notice of chargeback to agents.

    + Respond to internal and external customer disputes and inquiries, assuring timely response per company policy whether the dispute is in writing or by phone.

    + Utilize the internet as a source for dollar amount comparisons

    + Pay routine repair invoices

    + Answer and direct incoming calls

    + Provide excellent customer service using sound judgment and decision making

    + Strong time management and organization skills with the ability to prioritize and complete assignments on schedule

    + Professional, friendly customer-centered demeanor

    + Ensure claims files are properly documented and claims coding is accurate

    + Typing, filing, scanning, copying, and general office clerical duties

    + Ability to interpret procedures and ensure understanding of compliance

    + Performs other job-related duties as needed

    **Note** : This position is fully remote / work from home. HomeSafe will supply appropriate equipment, employee provided **high speed internet is required.**

    **Inclusion and Diversity at HomeSafe Alliance:**

    At HomeSafe, we are passionate about our people, sustainability, and our Zero Harm culture. These inform all that we do and are at the heart of our commitment to, and ongoing journey toward being a more inclusive and diverse company. That commitment is central to our team of team’s philosophy and fosters an environment of real collaboration across cultures and locations. Our individual differences and perspectives bring enhanced value to our teams and help us develop solutions for the most challenging problems. We understand that by embracing those differences and working together, we are more innovative, more resilient, and safer.

    Benefits:

    + Medical, Dental and Vision Insurance.

    + Paid time off (PTO) Three weeks of PTO for newly hired employees

    + 401(k)

    + Health and Wellness Programs

    + Disability, Life and AD&D insurance

    + Employee Support program

    + Family Support: Bright Horizons, child and elder care services

    + Teladoc Medical Experts, second opinion program

    + Travel Accident & Medical

    + TRICARE Supplement Plan

    + Voluntary Benefit Plans

    + And more!

    HomeSafe is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, disability, sex, sexual orientation, gender identity or expression, age, national origin, veteran status, genetic information, union status and/or beliefs, or any other characteristic protected by federal, state, or local law.

    **HomeSafe​ — Delivering Solutions, Changing the World.**

    HomeSafe has been established to be the premier household goods move management service provider for the U.S. Armed Forces, Department of Defense (DoD) civilians, and their families. Our team is dedicated to providing fast, easy, and efficient relocation experiences.

    More than 300,000 military and government households are relocated every year. Coordinating these transfers is a massive undertaking—and we’re proud to say that HomeSafe is positioned to improve the customers’ moving experience. As a household goods moving service integrator, we provide earlier visibility into upcoming moves and greater network throughput capacity—ensuring household goods shipments are picked up and delivered on time.

    With cutting-edge technology and proven logistics expertise, we’re transforming the moving process by continuously evaluating, refining, and improving our tools and techniques. We’re dedicated to making sure that every move is better than the last.

    We thank you for your service, and for the privilege of serving you in return.

    **A** **t HomeSafe,** **We Deliver.**

    **Fraud Alert**

    Fraud has infiltrated the job placement market via the internet, email and direct phone contact. Attempts have included unauthorized use of HomeSafe’s name and logo to solicit potential job seekers or to extend false job offers. Bad actors may mix in fake job advertisements with legitimate postings. These ads can include contact instructions and require job seekers to send sensitive personal information or money to pay for visa applications, processing fees, etc., in exchange for consideration for a high-paying position.

    HomeSafe will never ask for any sort of advance payment as part of the recruiting/hiring process. Candidate profiles are carefully managed to protect personal information.

    Benefits:

    + Medical, Dental and Vision Insurance.

    + Paid time off (PTO) Three weeks of PTO for newly hired employees

    + 401(k)

    + Health and Wellness Programs

    + Disability, Life and AD&D insurance

    + Employee Support program

    + Family Support: Bright Horizons, child and elder care services

    + Teladoc Medical Experts, second opinion program

    + Travel Accident & Medical

    + TRICARE Supplement Plan

    + Voluntary Benefit Plans

    + And more!


    Employment Type

    Full Time


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