claim analyst

Principal Financial Group

<div>What You'll Do:
<div>
As a <b>Claim Analyst 2 </b>on our Specialty Product Team, you'll have the opportunity to review, analyze, and make appropriate and accurate decisions on Critical Illness and Hospital Indemnity claims in accordance with the policy and state/federal laws and regulations. This is a fast-paced environment where every day offers change all while assisting our customers who may be facing major changes in life.</div><br>
<div></div><ul><li>
Analyze and adjudicate Specialty Product claims after determining and obtaining all appropriate claim requirements. Analyze enrollment, medical, and vocational information to make effective and timely claim decisions. Maintain fully documented claim file providing a clear and understandable audit trail required for compliance and legal purposes.
</li><li>Identify and refer claims with recommendations for appropriate action to other resources (senior claims personnel, Medical, Law, etc.).</li><li>
Communicate with claimants, employers, and medical providers regarding claim decisions, status, and all other aspects of the claim process in writing or verbally.</li><li>
Prepare claim payments based on appropriate interpretation and administration of multiple different contracts and contract provisions.</li><li>
Perform other job-related duties and special projects as required.</li></ul>
Who You Are:
<ul><li>4+ years of claims or customer service experience or equivalent demonstrated through one or a combination of the following: work experience, training, military experience, education.</li><li>
Medical and/or legal terminology and/or prior Specialty Product claims experience preferred.</li><li>
Ability to maintain a high degree of accuracy and pay strict attention to detail.</li><li>
Must be able to work in a team environment.</li><li>
Good analytical, organizational, problem solving and decision-making skills.</li><li>
Ability to maintain confidentiality.</li><li>
Good verbal and written communication skills (must be able to communicate with individuals experiencing illnesses, financial losses, or deaths of loved ones as well as legal and/or medical professionals).</li><li>
Good math skills.</li><li>
Ability to maintain good public relations with customers (employers, employees).</li></ul>
Salary Range Information: Salary ranges below reflect targeted base salaries. Non-sales positions have the opportunity to participate in a bonus program. Sales positions are eligible for sales incentives, and in some instances a bonus plan, whereby total compensation may far exceed base salary depending on individual performance. Actual compensation for all roles will be based upon geographic location, work experience, education, licensure requirements and/or skill level and will be finalized at the time of offer. Salary Range: $20.34 - $36.35 / hour Salary Details:
<p>
The following locations are examples of market-specific salary ranges across different geographies.</p><ul><li>
Wichita, KS: $20.34 - $27.26 / hour</li><li>
Des Moines, IA: $21.47 - $28.77 / hour</li><li>
Charlotte, NC: $22.60 - $30.29 / hour</li><li>
Chicago/Minneapolis: $24.86 - $33.32 / hour</li><li>
Los Angeles/New York City: $27.12 - $36.35 / hour</li></ul>
Time Off Program: Personal Time Off (PTO) is provided to hourly (non-exempt) employees and provides a set amount of accrued time earned each pay period. Employees can use their PTO for vacation, personal or short-term illness. Pension Eligible: Yes Additional Information:
<div><b>
Work Environments</b></div><div>
This role offers in-office, hybrid (blending at least three office days in a typical workweek), and remote work arrangements. You&rsquo;ll work with your leader to figure out which option may align best based on several factors.</div><div></div><p><b><br>
Work Authorization/Sponsorship
</b></p><p>At this time, we're not considering candidates that need any type of immigration sponsorship now or in the future or those needing work authorization for this role. (This includes, but is not limited to students on F1-OPT, F1-CPT, J-1, etc.) For additional information around work authorization needs please use the following links: Nonimmigrant Workers and Green Card for Employment-Based Immigrants</p><p></p><p><b><br>
Investment Code of Ethics
</b></p><p>For Principal Global Investors positions, you&rsquo;ll need to follow an Investment Code of Ethics related to personal and business conduct as well as personal trading activities for you and members of your household. These same requirements may also apply to other positions across the organization.</p><p></p><div><b><br>
Experience Principal</b></div><div></div><div><br>
At Principal, we value connecting on both a personal and professional level. Together, we&rsquo;re imagining a more purpose-led future for financial services &ndash; and that starts with you. Our success depends on the unique experiences, backgrounds, and talents of our employees. And we support our employees the same way we support our customers: with comprehensive, competitive benefit offerings crafted to protect their physical, financial, and social well-being. Check out our careers site to learn more about our purpose, values and benefits.</div><div></div><p><b><br>
Principal is an Equal Opportunity Employer
</b></p><p>All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.</p>
Posting Window: We will accept applications for 3 full days following the Original Posting Date, after which the posting may remain open or be removed based upon applications received. If we choose to post the job again, we will accept additional applications for at least 1 full day following the Most Recently Posted Date. Please submit applications in a timely manner as there is no guarantee the posting will be available beyond the applicable deadline. Date First Posted (TTF): 6/9/2026 Latest Post Date: Careers - US: 6/9/2026
<p>LinkedIn Remote Hashtag</p>
: #LI-Remote</div>

Claim Analyst 2 - Specialty Products

Deloitte

<div>
 Epic Hospital Billing Analyst
 <br/>
 <br/>
 <strong>
  Position Summary
  <br/>
  <br/>
 </strong>
 Join Deloitte's AI &amp; Engineering practice to support hospital billing operations in a role focused on claim accuracy, timely reimbursement, and revenue cycle performance. As an Epic Hospital Billing Analyst , you will help review and submit hospital claims, resolve billing issues, and work across teams to reduce avoidable denials. This is a primarily remote role supporting an enterprise Epic implementation, with minimal travel and scheduled onsite time as needed.
 <br/>
 <br/>
 Recruiting for this role ends on 08/01/2026.
 <br/>
 <br/>
 <strong>
  Work you'll do
  <br/>
  <br/>
 </strong>
 As an Epic Hospital Billing Analyst e on the AI &amp; Engineering team, you will be responsible for supporting hospital billing activities that improve claim accuracy, reduce denials, and help clients optimize revenue cycle performance.
 <br/>
 <br/>
 <ul>
  <li>
   Review patient accounts, charge details, coding inputs, and supporting documentation for billing accuracy and completeness
  </li>
  <li>
   Prepare and submit hospital claims to commercial, government, and other third-party payers in accordance with payer requirements
  </li>
  <li>
   Validate claim data for demographics, insurance coverage, authorizations, provider information, modifiers, and coding-related elements; identify and correct claim edits, rejections, and billing errors before submission or rebilling
  </li>
  <li>
   Work with coding, registration, authorization, clinical, and accounts receivable teams to resolve billing issues, prevent avoidable denials, and submit supporting documentation required by payer guidelines
  </li>
  <li>
   Adhere to defined standard operating procedures and workflows while working in Epic Resolute Hospital Billing, claims clearinghouse systems, payer portals, and related tools; monitor work queues and reports, support complex claim resolution, and meet productivity and quality standards
   <br/>
   <br/>
  </li>
 </ul>
 A successful candidate would possess these skills:
 <br/>
 <br/>
 <ul>
  <li>
   Ability to work independently and collaborate as part of a team
  </li>
  <li>
   Effective written and verbal communication skills
  </li>
  <li>
   Meticulous attention to detail and quality of work product
  </li>
  <li>
   Ability to build and sustain professional relationships
  </li>
  <li>
   Ability to lead projects or workstreams
  </li>
  <li>
   Ability to manage and prioritize multiple tasks in a fast-paced and dynamic environment
  </li>
  <li>
   Strong interpersonal skills and professional demeanor
  </li>
  <li>
   Ability to meet deadlines
  </li>
  <li>
   Ability to provide clear guidance to others
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  The team
  <br/>
  <br/>
 </strong>
 AI &amp; Engineering leverages cutting-edge engineering capabilities to build, deploy, and operate integrated/verticalized sector solutions in software, data, AI, network, and hybrid cloud infrastructure. These solutions are powered by engineering for business advantage, transforming mission-critical operations. We enable clients to stay ahead with the latest advancements by transforming engineering teams and modernizing technology &amp; data platforms. Our delivery models are tailored to meet each client's unique requirements.
 <br/>
 <br/>
 Our Industry Solutions offering provides verticalized solutions that transform how clients sell products, deliver services, generate growth, and execute mission-critical operations. We deliver integrated business expertise with scalable, repeatable technology solutions specifically engineered for each sector.
 <br/>
 <br/>
 <strong>
  Qualifications
  <br/>
  <br/>
 </strong>
 Required:
 <br/>
 <br/>
 <ul>
  <li>
   Bachelor's degree in information technology, business, healthcare, or a related field; or equivalent experience
  </li>
  <li>
   2+ years of experience in hospital billing operations
  </li>
  <li>
   Experience using Epic Resolute Hospital Billing
  </li>
  <li>
   Experience working in claims clearinghouse systems
  </li>
  <li>
   Experience using Epic Analytics and Reporting applications
  </li>
  <li>
   Ability to travel 10%, on average, based on the work you do and the clients and industries/sectors you serve.
  </li>
  <li>
   Limited immigration sponsorship may be available.
   <br/>
   <br/>
  </li>
 </ul>
 Preferred:
 <br/>
 <br/>
 <ul>
  <li>
   Experience using Microsoft Word, Excel, and PowerPoint
  </li>
  <li>
   Experience supporting clinical or healthcare business operations
  </li>
  <li>
   Experience managing multiple projects or workstreams
  </li>
  <li>
   Experience preparing and delivering technical demonstrations
  </li>
  <li>
   Experience analyzing billing workflows, claim issues, or operational data
   <br/>
   <br/>
  </li>
 </ul>
 For individuals assigned and/or hired to work in a remote role, Deloitte is required by law to include a reasonable estimate of the compensation range for this role. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. At Deloitte, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $70,000 to $90,000.
 <br/>
 <br/>
 You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance.
</div>


Hospital Billing Analyst

Sprouts Farmers Market

<div>Overview:
<div>
We are seeking a highly motivated Workers&rsquo; Compensation Analyst II to join the Claims Team in a dynamic and growing company. This role supports the management of workers&rsquo; compensation claims across the full lifecycle&mdash;from initial report of injury through resolution, including coordination on litigated matters when applicable.</div><div></div><div><br>
The Analyst II serves as a key liaison between injured Team Members, internal stakeholders, and third‑party administrators (TPAs), ensuring claims are handled efficiently, compliantly, and with a focus on timely resolution, cost containment, and positive Team Member outcomes. The role requires multi‑jurisdictional awareness and the ability to leverage data and tools to enhance claim performance.</div><div></div><div><br>
Position reports into our Store Support Office in Phoenix, AZ. Hybrid schedule, in office Tuesday-Thursday. #LI-MS1</div>
Essential Functions:
<ul><li>Support the end‑to‑end lifecycle of workers&rsquo; compensation claims, including investigation support, compensability analysis, medical and indemnity monitoring, coordination on litigated claims, and claim closure</li><li>
Partner closely with TPAs and adjusters to support claim strategy, timely handling, appropriate reserving, and effective resolution; escalate issues as needed</li><li>
Review claim activity and recommend claim closures, reserve changes, and settlements in accordance with delegated authority and escalation guidelines</li><li>
Serve as a primary point of contact for injured Team Members, providing clear communication regarding benefits, recovery expectations, and stay-at‑work processes</li><li>
Act as a liaison across internal and external stakeholders including Operations, HR, Safety, Legal, Risk Management, Leave of Absence, TPAs, insurance brokers, medical providers, and outside counsel</li><li>
Coordinate with legal counsel on litigated claims by tracking status, summarizing exposure, and supporting documentation and reporting needs</li><li>
Maintain accurate records and reporting to support compliance with applicable state and federal regulations across multiple jurisdictions</li><li>
Analyze claim data to identify trends, risks, and opportunities to improve outcomes, duration, and cost</li><li>
Prepare regular reporting and summaries on claim performance, trends, and observations</li><li>
Support stay‑at‑work efforts by coordinating transitional duty options with internal partners</li><li>
Participate in audits to support quality claim handling and adherence to internal standards and best practices</li><li>
Contribute to continuous improvement of claims processes, procedures, and program effectiveness</li><li>
Utilize claims management systems and reporting tools; apply automation or advanced analytics where appropriate to improve efficiency and decision‑making</li><li>
Perform other duties as assigned</li></ul>
Knowledge, Skills, Abilities and Physical Requirements:
<ul><li>Bachelor&rsquo;s degree or equivalent work experience</li><li>
2&ndash;4 years of experience in workers&rsquo; compensation, claims analysis, or a related field</li><li>
Working knowledge of workers&rsquo; compensation laws and practices across multiple jurisdictions</li><li>
Strong analytical skills with the ability to interpret data and support actionable recommendations</li><li>
Experience working with TPAs and collaborating to influence timely and quality claim handling</li><li>
Proficiency in claims management systems and reporting tools</li><li>
Strong written and verbal communication skills</li><li>
Detail‑oriented with the ability to manage competing priorities</li><li>
Demonstrates empathy, sound judgment, and the ability to build effective working relationships across all levels</li><li>
Professional certification (e.g., CWCP) a plus</li></ul>
Benefits:
<ul><li>Employee Assistance Program (EAP)</li><li>
401(K) Retirement savings plan with a generous company match</li><li>
Company paid life insurance</li><li>
Contests and appreciation events throughout the year full of prizes, food and fun!</li><li>
Eligibility requirements may apply for the following benefits:<ul><li>
Bonus based on company and/or individual performance</li><li>
Affordable benefit coverage, including medical, dental and vision</li><li>
Health Savings Account with company match</li><li>
Pre-tax Flexible Spending Accounts for healthcare and dependent care</li><li>
Company paid short-term disability coverage</li><li>
Paid parental leave for both mothers and fathers</li><li>
Paid holidays</li></ul></li><li><b>
Get Paid Every Day!</b></li></ul><div>
Sprouts Farmers Market offers DailyPay - if you&rsquo;re hired as an eligible employee, you&rsquo;ll be able to <b>transfer the money you&rsquo;ve already earned at no extra cost, and get it the next business day, for free</b>. We offer DailyPay so you don&rsquo;t have to wait for payday to access the money you&rsquo;ve already worked for. With DailyPay, you can see how much you&rsquo;ve made every day and you can transfer your money any time before payday.</div><div></div><div><br>
 You can learn more by visiting <b>https://www.dailypay.com/partners/sprouts-farmers-market/</b><b>.</b></div>
Why Sprouts:
<div><b>
Grow with us!</b></div><div>
If you have a passion for inspiring people and a flair for fresh food, consider applying for a job at Sprouts! With a focus on customer service, our neighborhood grocery stores offer high-quality, farm fresh produce, natural meats, plenty of scoop-your-own bulk goods and much more in a fun, friendly, old-fashioned farmer&rsquo;s market setting. Come grow your career in healthy living with a fast-paced, rapidly growing company and teams that pride themselves on empowering others along their journey.</div><div></div><div><br>
The above statements are intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties, responsibilities, and requirements. Sprouts&rsquo; management reserves the right to amend and change duties, responsibilities, and requirements to meet business and organizational needs as necessary.</div><div></div><div><br>
Sprouts will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the Fair Chance in Hiring Ordinance.</div><div></div><div><br>
California Residents: We collect information in accordance with California law, please see here for more information.</div></div><div></div>

Claims Analyst II

City of Columbus, OH

<div><div><div><h2 class="jobSectionHeader"><b>Definition</b></h2></div>
<p></p><div><div>Under direction, is responsible for serving as a subject matter specialist for the City&rsquo;s employee benefits programs; performs related duties as required.<br>
<br>
<b>This is a temporary position and will be limited to 480 hours</b><b>.</b></div><div><b><br>
Preferred Qualifications</b></div><ul><li><div>
Knowledge of medical, pharmacy, dental, vision, life insurance, and disability programs.</div></li><li><div>
Knowledge of applicable laws and regulations including COBRA, HIPAA, ACA, Section 125, and ERISA.</div></li><li><div>
Advanced proficiency in MS Office and Excel.</div></li><li><div>
Advanced proficiency in data analysis and reporting.</div></li><li><div>
Ability to explain complex benefit concepts to employees and stakeholders.</div></li><li><div>
Strong organizational skills with the ability to manage multiple projects and deadlines simultaneously.</div></li></ul></div><p></p>
<div><h2 class="jobSectionHeader"><b>Examples of Work</b></h2></div>
<p></p><div><p>Monitor the Employee Benefits and Wellness inbox and route inquiries to appropriate analyst for resolution; transcribe voice messages and return phone calls, as needed; monitor life events to ensure enrollments are submitted correctly.</p><p>
Retrieve unemployment claim notifications from portal and forward notifications to appropriate department; monitor responses from departments and update information in portal, as needed.</p><p>
Conduct dependent verification reporting and track verification documents; assist with short term disability reporting validation.</p><p>
Assist with system testing for vendor implementation, plan design changes, and open enrollment; may assist with special projects; may perform other duties, as assigned.</p></div><p></p>
<div><h2 class="jobSectionHeader"><b>Minimum Qualifications</b></h2></div>
<p></p><div><div>Possession of a bachelor's degree AND two (2) years of experience in the administration of employee benefits, insurance risk management programs, worker&rsquo;s compensation, claims processing and dispute resolution, or contract interpretation and compliance.</div><div></div><div><br>
OR</div><div></div><div><br>
Possession of an associate&rsquo;s degree and four (4) years of experience in the administration of employee benefits, insurance risk management programs, worker&rsquo;s compensation, claims processing and dispute resolution, or contract interpretation and compliance.</div></div><p></p>
<div><h2 class="jobSectionHeader"><b>Test/Job Contact Information</b></h2></div>
<p></p><div><div>Recruitment #: 26-0825-V1</div><div>
Employment Type: Part-Time Temporary (480) Limitation</div><div></div><div><br>
Should you have questions regarding this vacancy, please contact:</div><div></div><div><br>
Tammy Bethea</div><div>
Department of Human Resources</div><div>
77 North Front Street</div><div>
Columbus, Ohio 43215</div><div>
P: (614) 645-0792</div><div>
E: tmbethea@columbus.gov</div><div></div><div><b><i><br>
The City of Columbus is an Equal Opportunity Employer</i></b></div></div></div></div><p></p>

Employee Benefits Analyst II (TEMPORARY) (Vacancies)

Pella

<div><p><b>SUMMARY
</b></p><p>The Safety Coordinator provides administrative and operational support for the organization's safety, workers' compensation, and vehicle collision management programs. This position serves as the primary liaison between employees, supervisors, insurance carriers, Third-Party Administrators (TPAs), medical providers, and other stakeholders to ensure timely reporting, documentation, and resolution of claims.
</p><p>The Safety Coordinator is responsible for maintaining claim records, tracking case progress, supporting return-to-work efforts, coordinating training records, assisting with safety initiatives, and ensuring accurate reporting and documentation. This position works closely with the Safety Manager to support compliance efforts, reduce organizational risk, and promote a safe work environment.
</p><p><b>ESSENTIAL DUTIES AND RESPONSIBILITIES
</b></p><p>Coordinate and administer workers' compensation and vehicle collision claims from initial report through closure.
</p><p>Serve as the primary point of contact between employees, supervisors, insurance carriers, Third-Party Administrators (TPAs), medical providers, attorneys, and other parties involved in claim management.
</p><p>Collect, maintain, and distribute claim-related documentation and ensure accurate and timely reporting of incidents.
</p><p>Monitor claim status and communicate updates to appropriate stakeholders.
</p><p>Assist with incident investigations and gather information necessary for claim administration and corrective action development.
</p><p>Coordinate temporary work restrictions and return-to-work accommodations with managers and employees.
</p><p>Maintain workers' compensation, vehicle collision, and related safety records within company systems.
</p><p>Assist with OSHA recordkeeping, reporting requirements, and maintenance of injury and illness records.
</p><p>Track, maintain, and report safety training completion and compliance metrics.
</p><p>Prepare reports and analyze claim and incident data to identify trends and opportunities for improvement.
</p><p>Support the development, implementation, and administration of injury and vehicle collision prevention initiatives.
</p><p>Assist the Safety Manager with safety programs, compliance activities, audits, inspections, and special projects.
</p><p>Update and maintain employee incident, leave of absence, and claim-related records, ensuring accuracy and data integrity.
</p><p>Protect company assets by maintaining confidentiality and ensuring accurate documentation and adherence to established procedures.
</p><p>Provide occasional support outside normal business hours when necessary to assist with incident response or claim-related matters</p></div>

Safety Coordinator/Admin- El Mirage

One Inc

<div><h5 class="jobSectionHeader"><b>Position Title: </b><b>Senior Pricing Analyst</b><br>
<b>Department: </b><b>Payment Operations</b><br>
<b>Reports To: </b><b>Pricing Manager</b></h5>
<p>Overview: The Senior Pricing Analyst is responsible for providing timely analysis and information in support of product development efforts and customer pricing and deal decisions. Responsibilities include providing deeper understanding of margins and profitability by product and by client and to enhance decision-making, transaction routing and spend analysis. Providing deal-by-deal full-cost pricing analyses for prospective and existing clients and monitoring current client margins. You will work closely with the Pricing Manager, VP of Payment Operations, Finance, Settlement, Product, Analytics and Sales teams. The right candidate for this role must be detail oriented and possess strong analytical skills.</p><br>
<p></p>
<p>
Key Responsibilities:</p>
<ul>
<li>Assess overarching transaction routing functionality within One Inc gateway products. Work with Product and Engineering teams to identify and implement strategies to reduce costs and maximize revenue opportunities.</li>
<li>Assess new product initiatives, work with Product team to analyze and assess ROI and monetization opportunities making recommendations for company investment.</li>
<li>Conduct statement analyses for pricing of new prospects. Make recommendations to ensure maximized profitability.</li>
<li>Provide cost/revenue analyses and recommendations for repricing existing accounts.</li>
<li>Audit current client profitability measuring hard and soft costs against revenue.</li>
<li>Provide Pricing Manager and Sales with suggestions for pricing adjustments to improve margins/revenue for existing accounts and drive a deeper understanding of profitability by client and product.</li>
<li>Work in team environments that span functional and geographic boundaries.</li>
<li>Provide cross functional support to the Pricing team ensuring redundancy and cross functional knowledge sharing.</li></ul><br>
<p></p>
<p>
Skills &amp; Abilities:</p>
<ul>
<li>Proficiency in Microsoft Office Applications is required.
<ul><li>Expert level Excel skills are highly desired.</li>
</ul></li><li>Demonstrated ability to prioritize and multitask in a deadline driven, high pressure environment</li>
<li>Understanding of the payments and banking industry (credit cards, ACH, chargebacks, returns, etc.)</li>
<li>Excellent attention to detail, strong investigative skills and exceptional analytical skills</li>
<li>Exceptional time-management skills</li>
<li>Excellent written and verbal skills</li>
<li>Must be team oriented with the ability to work independently</li>
<li>Strong interpersonal skills and the ability to adapt in a complex and changing environment</li>
<li>Windows / MS Office Suite</li>
<li>Familiar with conferencing technologies such as: Zoom, GoTo Meeting and Video conferencing.</li>
<li>Ability to be flexible and to function efficiently when urgent situations arise.</li>
<li>Ability to communicate professionally.</li>
<li>Ability to maintain strong organization skills with high volumes of projects. Ability to efficiently multi-task and prioritize.</li></ul><br>
<p></p>
<p>
Education &amp; Experience:</p>
<ul>
<li> Bachelor&rsquo;s Degree in business or related degree, or relevant experience</li>
<li> 3+ Years Financial Services or Pricing fields.
</li><li>1+ Years Payments Industry experience focused on interchange, pricing and merchant profitability.</li><br>
</ul>
<p></p><p>Desired Traits:</p>
<ul>
<li>Growth Mindset, Problem Solver, Detail-Oriented, Demonstrates Ethical Behavior, Leverages Resources, Strong Drive, True Team Player, Supportive &amp; Adaptable to Change, Commitment to Personal &amp; Professional Development</li></ul><br>
<p></p>
<p>
Physical Demands:</p>
<p><i>
The conditions herein are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions.</i></p><br>
<p>
</p><div><div><div><div><p>Environment:</p></div><div><br>
<p>
Standard indoor office setting; exposure to computer screens</p>
<p><b>
Remote Work Expected</b></p></div></div><div><br>
<div>
<p>Physical:</p></div><div><br>
<p>
Requires repetitive motion. Substantial movements/motions of the wrists, hands, and/or fingers. Sufficient mobility to work in an office setting; stand or sit for prolonged periods of time; operate office equipment including use of a computer keyboard, mouse, scanner and other tools as needed</p></div></div><div><br>
<div>
<p>Vision:</p></div><div><br>
<p>
See in the normal vision range with or without correction; vision sufficient to read computer screens and printed documents</p></div></div><div><br>
<div>
<p>Hearing:</p></div><div><br>
<p>
Ability to hear in the normal audio range with or without corrections</p></div><br>
</div><br>
</div></div><p><br>
Company Profile: At One Inc, we empower insurers to meet policyholder expectations with choice, control, convenience, and continuity. Our mission is simple: to make every payment a promise kept.</p>
<p>
The One Inc Insurance Payments Network seamlessly integrates multi-channel digital communications with inbound payment processing and outbound disbursement, delivering a frictionless experience for both premiums and claim payments. With over $120 billion in annual payments volume, we are proud to serve more than 300 insurance carriers, helping them honor their commitments instantly and securely.</p>
<p>
Headquartered in Folsom, CA, One Inc offers competitive salaries, comprehensive benefits &mdash; including medical, dental, and vision insurance &mdash; a 401(k) plan, and a strong commitment to work-life balance. We believe in growing from within, promoting opportunities for career advancement across our team of 1,200+ dedicated &quot;Onesters.&quot;</p>
<p>
Join us in building the infrastructure that fulfills the promise of insurance.</p><br>
<p></p>
<p><i>
One Inc is an equal opportunity employer and complies with all EEOC legislation in each jurisdiction it operates in.</i></p><br>
<p>
</p><h4 class="jobSectionHeader"><b>Education</b></h4>
Preferred<ul><li>
Bachelors or better</li></ul><p>
Equal Opportunity Employer<br>
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.</p></div>

Senior Pricing Analyst

CCMSI

<div><h2 class="jobSectionHeader"><b>Overview
</b></h2><div><div><div><div><b>Multi-Line Claim Representative I (Auto/Property) &ndash; National Accounts</b></div><div></div><div><div><b><br>
Location:</b> Remote<br>
<b>Schedule:</b> Full-Time<br>
<b>Salary Range:</b> $60,000 - $65,000</div><h3 class="jobSectionHeader"><b>
Build Your Career With Purpose at CCMSI</b></h3><div>
At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success.</div><div></div><div><br>
We don&rsquo;t just process claims&mdash;we support people. As the largest privately-owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work&reg;, and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day.</div><div></div><h3 class="jobSectionHeader"><b><br>
Job Summary</b></h3><div>
The <b>Multi-Line Claim Representative I</b> is responsible for the investigation and adjustment of assigned <b>commercial auto and property claims</b> within a <b>national accounts environment</b>. This role manages claims from assignment through resolution (cradle to grave) while adhering to CCMSI claim handling standards, client-specific instructions, and applicable state regulations.</div><div></div><div><br>
This position is designed for early-career adjusters with <b>1&ndash;2 years of claim handling experience</b> who possess a foundational understanding of coverage and liability investigation. The ideal candidate demonstrates accountability, attention to detail, and a strong desire to grow within a multi-line claims environment.</div><div></div><div><br>
This is not a high-volume, quick-resolution claim environment. Adjusters are expected to take ownership of their files, maintain consistent communication, and deliver quality outcomes through strong follow-through and sound judgment.</div></div><br>
<div></div>
</div></div></div><h2 class="jobSectionHeader"><b>Responsibilities<br>
</b></h2>
<div></div><div><div><div><ul><li>Investigate, evaluate, and adjust commercial auto and property claims in accordance with corporate standards, client guidelines, and jurisdictional requirements</li></ul><ul><li>
Apply knowledge of <b>commercial auto policies</b> and coverage to determine compensability and exposure</li></ul><ul><li>
Conduct thorough <b>liability investigations</b>, including fact gathering, analysis, and documentation</li></ul><ul><li>
Apply principles of <b>comparative/contributory negligence</b> in claim evaluation and decision-making</li></ul><ul><li>
Establish and maintain appropriate reserves within authority guidelines</li></ul><ul><li>
Review damage estimates, invoices, and related documentation for accuracy and claim relevance</li></ul><ul><li>
Negotiate settlements within authority limits and in alignment with client expectations</li></ul><ul><li>
Issue claim payments in accordance with CCMSI procedures and industry standards</li></ul><ul><li>
Maintain accurate and timely claim documentation, diary management, and file updates</li></ul><ul><li>
Communicate effectively with clients, claimants, and vendors, ensuring responsiveness and clarity</li></ul><ul><li>
Identify and pursue subrogation opportunities where applicable</li></ul><ul><li>
Manage claims across <b>multiple accounts</b> within a national account structure</li></ul><ul><li>
Ensure compliance with all service commitments and corporate claim handling standards</li></ul><br>
<div></div>
</div></div></div><h2 class="jobSectionHeader"><b>Qualifications<br>
</b></h2>
<div></div><div><div><div><div><h3 class="jobSectionHeader"><b>Required Qualifications</b></h3><ul><li><b>
1&ndash;2 years of claim handling experience</b> (commercial auto and/or property)</li><li>
Foundational understanding of <b>commercial auto coverage</b></li><li>
Experience or training in <b>liability investigations and negligence evaluation</b></li><li>
Strong verbal and written communication skills</li><li>
Ability to manage multiple priorities and maintain organization in a fast-paced environment</li><li>
Self-starter with strong follow-through and accountability</li><li>
Proficiency in Microsoft Office applications</li><li>
Reliable, predictable attendance during assigned client service hours</li><li><b>
Current adjuster license in home state</b></li></ul><h3 class="jobSectionHeader"><b>
Nice to Have</b></h3><ul><li>
Experience handling <b>multiple accounts</b> in a national or carrier environment</li><li>
Prior <b>TPA experience</b></li><li>
Additional state adjuster licenses are a plus</li><li>
Exposure to general liability claims</li><li><b>
Bilingual (Spanish) proficiency preferred</b></li></ul><h3 class="jobSectionHeader"><b>
Why You&rsquo;ll Love Working Here</b></h3><ul><li>
4 weeks (Paid time off that accrues throughout the year in accordance with company policy) + 10 paid holidays in your first year</li><li>
Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance</li><li>
Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP)</li><li>
Career growth: Structured development into multi-line and advanced claim roles</li><li>
Culture: A supportive, team-based work environment</li></ul><div></div><h3 class="jobSectionHeader"><b><br>
How We Measure Success</b></h3><div>
At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by:</div><ul><li>
Quality claim handling &ndash; thorough investigations and strong documentation</li><li>
Timeliness &amp; responsiveness &ndash; proactive communication and dependable follow-through</li><li>
Compliance &ndash; adherence to client and jurisdictional standards</li><li>
Client satisfaction &ndash; consistent and reliable service delivery</li><li>
Professional growth &ndash; development of technical knowledge and claim expertise</li></ul><h3 class="jobSectionHeader"><b>
Compensation &amp; Compliance</b></h3><div>
The posted salary reflects CCMSI&rsquo;s good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay.</div><div></div><div><br>
CCMSI offers comprehensive benefits including medical, dental, vision, life, and disability insurance. Paid time off accrues throughout the year in accordance with company policy, with paid holidays and eligibility for retirement programs in accordance with plan documents.</div><div></div><div><br>
Visa Sponsorship: CCMSI does not provide visa sponsorship for this position.</div><div>
ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process.</div><div>
Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations.</div><div></div><div><br>
Background checks, if required for the role, are conducted only after a conditional offer and in accordance with applicable fair chance hiring laws.</div><div></div><h3 class="jobSectionHeader"><b><br>
Our Core Values</b></h3><div>
At CCMSI, we believe in doing what&rsquo;s right&mdash;for our clients, our coworkers, and ourselves. We look for team members who:</div><ul><li>
Lead with transparency We build trust by being open and listening intently in every interaction.</li><li>
Perform with integrity We choose the right path, even when it is hard.</li><li>
Chase excellence We set the bar high and measure our success. What gets measured gets done.</li><li>
Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own.</li><li>
Win together Our greatest victories come when our clients succeed.</li></ul><div></div><div><b><br>
We don&rsquo;t just work together&mdash;we grow together. If that sounds like your kind of workplace, we&rsquo;d love to meet you.</b></div><div></div><div><br>
#CCMSICareers #EmployeeOwned #GreatPlaceToWorkCertified #ESOP #TPA #ClaimsCareers #CommercialAutoClaims #PropertyClaims #EntryLevelClaims #RemoteJobs #IND123 #LI-Remote</div></div></div></div></div></div><div></div>

Multi-Line Claim Adjuster I (Auto/Property)

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