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claims specialist, design professional Jobs in Atlanta

claims specialist, design professional

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closing specialist, title insurance

claims specialist design professional

<div>Job Description:
<div><div>
AXA XL is an Equal Opportunity Employer.</div><div><br>
</div></div><div><div><p>Claims Specialist &ndash; Design Professional</p><p>
Multiple Locations</p></div><p></p><div><p><br>
Our claims team sets us apart. Our experienced claims professionals use their specialized expertise to handle even the most complex claims seamlessly. How do you make a good thing better? You focus on excellence and creating a culture of continuous improvement. You create an environment that fosters collaboration, customer service, and colleague development.</p></div><div><p>
As a Claims Specialist &ndash; Design Professional, you will play a critical role in managing and resolving professional liability claims for architects and engineers. You will interact and collaborate with regional practice leaders, brokers, and insureds on assigned accounts, taking ownership of critical issues relating to claims management. Our professional liability claims handlers are tasked with proactively resolving and settling claims to achieve optimal outcomes.</p></div><p></p><div><p><br>
What you&rsquo;ll be DOING</p></div><div><p>
What will your essential responsibilities include?</p></div><div><ul><li><p>
Proactively managing Design Professional liability claims across multiple jurisdictions, including initial review, coverage evaluation, developing resolution strategies, and ensuring ongoing communication with stakeholders and claims management to achieve the best outcome for the insured and AXA XL.</p></li></ul></div><div><ul><li><p>
Using robust technical skills and subject matter expertise, handle complex and difficult claims within authority level, with focus on setting timely appropriate reserves.</p></li></ul></div><div><ul><li><p>
Partnering with defense counsel in setting and pursuing effective and cost-efficient litigation strategies consistent with AXA XL litigation management best practices.</p></li></ul></div><div><ul><li><p>
Evaluating settlement value and negotiating claims and litigated matters within authority, as well as participating in mediations and settlement conferences. Consistently employing strategic litigation management skills throughout the life of all claims.</p></li></ul></div><div><ul><li><p>
Coordinating and managing communications with internal colleagues and key external stakeholders (e.g., clients, brokers, reinsurers, vendors, etc.) ensuring the highest level of customer service.</p></li></ul></div><div><ul><li><p>
 Ensuring all documentation is present in the claim file and ensuring that Claims Handler Guidelines and protocols are followed</p></li></ul></div><div><ul><li><p>
Maintaining high-quality relationships with insureds and brokers through frequent contact and responsiveness to their needs, including promptly reviewing contracts for insurability when requested.</p></li></ul></div><div><ul><li><p>
Active participation in marketing and promotional activities with some component of public speaking.</p></li></ul></div><div><p>
You will report to the Manager of Design Professional Claims.</p></div><p></p><div><p><br>
What you will BRING</p></div><div><p>
We&rsquo;re looking for someone who has these abilities and skills:</p></div><div><p>
Education: Bachelor&rsquo;s degree required; Juris Doctor (JD) preferred</p></div></div><div><p>
Experience: Intermediate level professional liability claims-handling experience. Experience managing, negotiating, and resolving complex claims.</p></div><div><p>
Licensing: Insurance adjuster licenses for all states requiring licenses, or willingness to immediately obtain such licenses upon starting employment.</p></div><div><p>
Proactive and Results-Oriented File Handling: Ability to proactively manage assigned claims, approach tasks proactively, and anticipate needs. Proactive decision making, ability to prioritize multiple workstreams while maintaining quality.</p></div><div><p>
Analytical and Technical Skills: Robust analytical and technical skills to handle complex and difficult claims applying sound judgment skills.</p></div><div><p>
Collaboration: Ability to collaborate with claims management on large and complex losses. Capability to develop and maintain productive working relationships with insureds, brokers, claim handlers, underwriters, and legal counsel. Willingness to seek input from others as needed to achieve the best result possible for the insured and AXA XL.</p></div><div><p>
Communication: Excellent verbal and written communication, presentation and influencing skills. Ability to communicate effectively with internal and external stakeholders to make sure we provide the highest level of customer service.</p></div><div><p>
Ethics: Handle responsibilities with integrity and to the highest standards of professionalism.</p></div><div><p>
Continuous Improvement Focused: Willing to ask questions and explore new ideas. Eager to learn and ability to focus on continuously improving technical skills and AXA XL claims capabilities.</p></div><div><p>
Client-Service Oriented: Focus on value at all points in the claims experience, delivering on our promise to our clients. High dedication to client, team and vendor relations evidencing professionalism and diplomacy in all situations.</p></div><p></p><div><p><br>
Who WE are</p></div><div><p>
AXA XL, the P&amp;C and specialty risk division of AXA, is known for solving complex risks. For mid-sized companies, multinationals and even some inspirational individuals we don&rsquo;t just provide re/insurance, we reinvent it.</p></div><p></p><div><p><br>
How? By combining a comprehensive and efficient capital platform, data-driven insights, leading technology, and the best talent in an agile and inclusive workspace, empowered to deliver top client service across all our lines of business property, casualty, professional, financial lines and specialty.</p></div><p></p><div><p><br>
With an innovative and flexible approach to risk solutions, we partner with those who move the world forward.</p></div><p></p><div><p><br>
Learn more at axaxl.com</p></div><p></p><div><p><br>
What we OFFER</p></div><div><div><p>
Inclusion</p></div><div><p>
AXA XL is committed to equal employment opportunity and will consider applicants regardless of gender, sexual orientation, age, ethnicity and origins, marital status, religion, disability, or any other protected characteristic. At AXA XL, we know that an inclusive culture and enables business growth and is critical to our success. That&rsquo;s why we have made a strategic commitment to attract, develop, advance and retain the most inclusive workforce possible, and create a culture where everyone can bring their full selves to work and reach their highest potential. It&rsquo;s about helping one another &mdash; and our business &mdash; to move forward and succeed.</p></div><p></p><div><ul><li><p><br>
Five Business Resource Groups focused on gender, LGBTQ+, ethnicity and origins, disability and inclusion with 20 Chapters around the globe.</p></li></ul></div><div><ul><li><p>
Robust support for Flexible Working Arrangements</p></li></ul></div><div><ul><li><p>
Enhanced family-friendly leave benefits</p></li></ul></div><div><ul><li><p>
Named to the Diversity Best Practices Index</p></li></ul></div><div><ul><li><p>
Signatory to the UK Women in Finance Charter</p></li></ul></div><p></p><div><p><br>
Learn more at Inclusion &amp; Diversity at AXA XL | AXA XL. AXA XL is an Equal Opportunity Employer.</p></div><p></p><div><p><br>
Total Rewards</p></div><div><p>
AXA XL&rsquo;s Reward program is designed to take care of what matters most to you, covering the full picture of your health, wellbeing, lifestyle and financial security. It provides competitive compensation and personalized, inclusive benefits that evolve as you do.</p></div><p></p><div><p><br>
We&rsquo;re committed to rewarding your contribution for the long term, so you can be your best self today and look forward to the future with confidence.</p></div><p></p><div><p><br>
Sustainability</p></div><div><p>
At AXA XL, Sustainability is integral to our business strategy. In an ever-changing world, AXA XL protects what matters most for our clients and communities. We know that sustainability is at the root of a more resilient future. Our 2023-26 Sustainability strategy, called &ldquo;Roots of resilience&rdquo;, focuses on protecting natural ecosystems, addressing climate change, and embedding sustainable practices across our operations.</p></div><p></p><div><p><br>
Our Pillars:</p></div></div><div><div><ul><li><p>
Valuing nature: How we impact nature affects how nature impacts us. Resilient ecosystems - the foundation of a sustainable planet and society &ndash; are essential to our future. We&rsquo;re committed to protecting and restoring nature &ndash; from mangrove forests to the bees in our backyard &ndash; by increasing biodiversity awareness and inspiring clients and colleagues to put nature at the heart of their plans.</p></li></ul></div><div><ul><li><p>
Addressing climate change: The effects of a changing climate are far-reaching and significant. Unpredictable weather, increasing temperatures, and rising sea levels cause both social inequalities and environmental disruption. We're building a net zero strategy, developing insurance products and services, and mobilizing to advance thought leadership and investment in societal-led solutions.</p></li></ul></div><div><ul><li><p>
Integrating ESG: All companies have a role to play in building a more resilient future. Incorporating ESG considerations into our internal processes and practices builds resilience from the roots of our business. We&rsquo;re training our colleagues, engaging our external partners, and evolving our sustainability governance and reporting.</p></li></ul></div><div><ul><li><p>
AXA Hearts in Action: We have established volunteering and charitable giving programs to help colleagues support causes that matter most to them, known as AXA XL&rsquo;s &ldquo;Hearts in Action&rdquo; programs. These include our Matching Gifts program, Volunteering Leave, and our annual volunteering day &ndash; the Global Day of Giving.</p></li></ul></div><p></p><div><p><br>
For more information, please see Sustainability at AXA XL.</p></div><p></p><div><p><br>
The U.S. base salary range for this position is $88,500 to $154,900 USD.</p></div><div><p>
Actual pay will be determined based upon the individual&rsquo;s skills, experience and location. We strive for market alignment and internal equity with our colleagues&rsquo; pay.</p></div><p></p><div><p><br>
At AXA XL, we know how important physical, mental, and financial health are to our employees, which is why we are proud to offer benefits such as a competitive retirement savings plan, health and wellness programs, and many other benefits. We also believe in fostering our colleagues' development and offer a wide range of learning opportunities for colleagues to hone their professional skills and to position themselves for the next step of their careers. For more details about AXA XL&rsquo;s benefits offerings, please visit US Benefits at a Glance 2025.</p></div></div></div><p></p>

Claims Specialist, Design Professional

Allied Universal Compliance and Investigations

<div><p>SIU Investigator</p><h2 class="jobSectionHeader"><b>
Overview</b></h2><p>
Company Overview:
</p><p>Advance Your Career in Insurance Claims with Allied Universal&reg; Compliance and Investigation Services. Allied Universal&reg; Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation and excellence, making a significant impact in the insurance industry. If you're ready to grow with the best, explore a career with us and make a difference.</p><h2 class="jobSectionHeader"><b>
Job Description</b></h2><p>
Allied Universal&reg; is hiring a Special Investigations Unit (SIU) Investigator. Special Investigations Unit (SIU) Specialists investigate claims with red flags that suggest fraudulent behavior In relation to an Insurance claim. The SIU Specialist must use their extensive knowledge of Insurance policies and the components of fraud to determine If claims warrant reporting to the appropriate state agency for prosecution.</p><p><br>
</p><ul><li><b>Must possess a valid driver's license with at least one year of driving experience</b></li><li><b>
Georgia applicants must independently complete the 70-hour course necessary to receive a Private Investigator's license prior to applying.</b></li></ul><br>
<p></p>
<p><b>RESPONSIBILITIES:</b>
</p><ul><li>Independently investigate suspected fraudulent insurance claims for a variety of coverage to include workers' compensation, general liability, property and casualty and disability</li>
<li>Acquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of Insurance</li>
<li>Create and maintain detailed documentation for investigations, file reviews, audits, training tasks, consulting projects, and other assignments as directed</li>
<li>Produce professional and expert reports, memos, and letters that are clear, concise, and grammatically correct</li>
<li>Run appropriate database indices if necessary and verify the accuracy of results found</li>
<li>Independently develop a strategic plan to achieve assignment objectives, ensuring thorough documentation and effective communication with clients and their Special Investigation Unit Supervisor</li></ul><p><b>
QUALIFICATIONS (MUST HAVE):</b>
</p><ul><li>Must possess one or more of the following:</li><li><ul><li>
Bachelor's degree in Criminal Justice</li>
<li>High School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud</li></ul></li><li>
Ability to be properly licensed as a Private Investigator as required by the state where work Is completed</li>
<li>Post offer, must be able to successfully complete the Allied Universal Investigations training/orientation course</li>
<li>Minimum of five (5) years of demonstrated experience conducting complex insurance investigations or adjusting complex insurance claims</li>
<li>Proficient understanding and application of anti-fraud laws, insurance regulations, and compliance standards within their home state and designated regional area.</li>
<li>Proficient in utilizing laptop computers and cell phones.</li>
<li>Special Investigative Unit (SIU) Compliance knowledge</li>
<li>Ability to type 40+ words per minute with minimum error</li>
<li>Flexibility to work varied and irregular hours and days including weekends and holidays</li></ul><p><b>
PREFERRED QUALIFICATIONS (NICE TO HAVE):</b>
</p><ul><li>Military experience</li>
<li>Law enforcement</li>
<li>Insurance administration experience</li>
<li>Familiarity with California SIU regulations</li>
<li>One or more of the following professional industry certifications:</li><li><ul><li>
Certified Fraud Investigator (CFE)</li>
<li>Certified Insurance Fraud Investigator (CIFI)</li>
<li>Fraud Claim Law Associate (FCLA)</li>
<li>Fraud Claim Law Specialist (FCLS)</li>
<li>Certified Protection Professional (CPP)</li>
<li>Associate in Claims (AIC)</li>
<li>Chartered Property Casualty Underwriter (CPCU)</li></ul></li></ul><p><b>
BENEFITS:</b>
</p><ul><li>Medical, dental, vision, basic life, AD&amp;D, retirement plan and disability insurance</li>
<li>Seven paid holidays annually, sick days available where required by law</li>
<li>Vacation time offered at an initial accrual rate of 3.08 hours biweekly; unused vacation is only paid out where required by law</li></ul><h2 class="jobSectionHeader"><b>
Closing</b></h2><p>
Allied Universal&reg; is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, age, color, religion, sex, sexual orientation, gender identity, national origin, genetic information, disability, protected veteran status or relationship/association with a protected veteran, or any other basis or characteristic protected by law. For more information: www.aus.com
</p><p>If you have difficulty using the online system and require an alternate method to apply or require an accommodation, please contact our local Human Resources department. To find an office near you, please visit: www.aus.com/offices.</p><h2 class="jobSectionHeader"><b>
Requisition ID</b></h2><br>
2026-1580120</div>

SIU Investigator

Builders

<p></p><div><p><b>Integrity. Care. Trust. Compassion. Expertise.</b><br>
<b>Do these words resonate with you?</b><br>
These values of Builders culture create success in all we do. We strive to provide deeply supportive partnerships to our customers, agents, and each other.</p>
<p>
Builders is proud to be named among the Great Places to Work. Our award-winning culture has earned top marks in Company Direction, Employee Appreciation, Work-Life Balance, Leadership, and Compensation and Benefits. Our strong culture keeps us Built Strong in a forever-changing world, and our AM Best A Rating is evidence of our financial strength.</p><br>
<p></p>
<p><b>
Position Summary</b></p>
<p>
The Auto Claims Specialist is responsible for the investigation, evaluation and settlement of complex Commercial Auto Liability and Commercial Auto Physical Damage claims. The Specialist upholds standards of excellence in technical proficiency and consistently delivers exceptional customer service.</p><br>
<p></p>
<p><b>
Responsibilities</b></p>
<ul><li>
Manage caseload of Property and Casualty claims inclusive of commercial automobile liability and physical damage losses in multiple jurisdictions through effective claim management.</li><li>
Investigate and analyze coverage; make coverage determinations; draft coverage correspondence; effectively communicate coverage determinations to policyholders and other stakeholders with minimal supervision or oversight.</li><li>
Conduct investigation throughout all aspects of the claims process.</li><li>
Establish timely reserves within authority and re-evaluate throughout the life of the claim.</li><li>
Determine liability, evaluate exposure, and negotiate claims to resolution.</li><li>
Identify and pursue risk transfer opportunities, whether contractual indemnity, contribution or additional insured opportunities and obligations.
</li><li>Maintain accurate documentation/information in claim file.</li><li>
Proactively drive litigation toward resolution.</li><li>
Prepare timely, concise reports including Large Loss and Reinsurance Reports.</li><li>
Control costs involving vendor utilization.</li><li>
Negotiate and settle claims within authority.</li><li>
Foster a professional rapport with clients and claimants to effectively resolve issues.</li><li>
Effectively communicate and collaborate with internal and external partners.</li><li>
Meet expected quality performance guidelines.</li><li>
As required, attend mediations, pre-trial conferences, trials, etc.</li></ul><br>
<p></p>
<p><b>
Qualifications</b></p>
<ul><li>
Bachelor's degree from an accredited college or university; or equivalent education and experience in Insurance or other related fields</li><li>
Minimum of 5 years handling commercial auto liability and physical damage claims.</li><li>
Current P&amp;C adjuster License, ability to be licensed in GA, FL, SC, CO, and TX</li><li>
SCLA, CPCU or other insurance related designations a plus</li><li>
Proficient in understanding of commercial auto liability laws, principals, rules and regulations</li><li>
Proficient in both verbal and written communication with the ability and commitment to maintain confidentiality</li><li>
Skill in interpersonal interactions, with the ability to collaborate effectively with individuals at all organizational levels and with external stakeholders; skill in customer service and problem-solving</li><li>
Capacity to work autonomously while ensuring transparent communication with internal leadership</li><li>
Skill in analysis, time management, prioritization, negotiation and project management; ability to multi-task effectively while paying attention to detail</li><li>
Proficient with Microsoft Office Suite and function specific software applications</li></ul><br>
<p></p>
<p><b>
Let&rsquo;s talk benefits!</b></p>
<ul><li>
Competitive Salary</li><li>
Bonus Structure</li><li>
Profit Sharing</li><li>
Medical, Dental, Vision Insurance</li><li>
Employer Paid Short Term Disability</li><li>
Employer Paid Long Term Disability</li><li>
Employer Paid Life Insurance</li><li>
Voluntary Life Insurance</li><li>
401K with Company Match</li><li>
PTO</li></ul><br>
<p></p>
<p><b>
About Builders</b></p>
<p>
Builders is a mid-sized mutual with remarkable strengths. Rated A by AM Best, Builders has forged rock-solid financial strength and a reputation for reliability and fairness in fulfilling our promises to customers. Kind, collaborative, and customer-centric, our experienced and passionate teams foster a rewarding atmosphere of excellence, trust, and mutual respect, meriting the &ldquo;Culture Excellence&rdquo; honors from Top Workplaces. Flexible and highly personal, our experts leverage deeply supportive partnerships with knowledgeable independent agencies to drive better services and protection for policyholders.</p><br>
<p></p>
<p>
Our financial excellence, amazing people, and powerful partnerships build outstanding outcomes and peace of mind for our agents and their clients. This is what we mean by Insurance Built Strong&reg;.</p><p><br>
<b>
Builders Insurance Group is an Equal Opportunity Employer.</b> We welcome applicants from all walks of life and don't discriminate based on any protected status. Join us in creating a diverse and inclusive workplace! If, during the application process you need assistance, or an accommodation due to a disability, please contact peopleops@bldrs.com.</p></div>

Auto Claims Specialist

Reserv

<div><p><b>About Reserv</b></p><p>
Reserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. We are focused on automating highly manual tasks to tackle long-standing problems in claims and set a new standard for TPAs, insurance technology providers, and adjusters alike.</p><p>
We have ambitious (but attainable!) goals and need people who can work in an evolving environment. If building a leading TPA and the prospect of tackling the long-standing challenges of the claims role sounds exciting, we can&rsquo;t wait to meet you.</p><p></p><p><b><br>
About the role</b></p><p>
We are seeking a skilled Rideshare Bodily Injury Litigation Resolution Specialist to manage litigated files. The successful candidate will:</p><p>
Investigate all aspects related to assigned claims</p><p>
Evaluate coverage, liability and damages</p><p>
Negotiate and resolve claims</p><p>
Manage litigation related to auto accident claim disputes</p><p>
The Bodily Injury Litigation Resolution Specialist will also be responsible for maintaining electronic files, working with defense counsel's to drive performance, and regularly reporting to the Claims Manager. In addition, you will collaborate closely with our product and engineering teams to give feedback and identify technology and process improvements.</p><p></p><p><b><br>
Who you are</b></p><p>
Highly motivated and growth-oriented. You're excited by the prospect of building a tech-driven claims org.</p><p>
Passionate adjuster who cares about the customer and their experience.</p><p>
Empathetic. You exercise empathy and patience towards everyone you interact with.</p><p>
Sense of urgency - at all times. That does not mean working at all hours.</p><p>
Creative. You can find the right exit ramp (pun intended) for the resolution of the claim that is in the insured&rsquo;s best interest.</p><p>
Conflict-enjoyer. Conflict does not have to be adversarial, but it HAS to be conversational.</p><p>
Curious. You have to want to know the whole story so you can make the right decisions early and action them to a prompt resolution.</p><p>
Anti-status quo. You don&rsquo;t just wish things were done differently, you action on it.</p><p>
Communicative. (we'd love to know what this means to you)</p><p>
And did we mention, a sense of humor. Claims are hard enough as it is.</p><p></p><p><b><br>
What we need</b></p><p>
We need you to do all the things typical to the role:</p><p>
Managing all aspects of litigated cases, including evaluation of the resolution process</p><p>
Analyzing auto claims to identify areas of dispute, investigating and gathering all necessary information and documentation, evaluating liability and damages and negotiating and resolving claims with opposing parties or their insurance providers</p><p>
Managing litigation cases related to auto claims disputes, communicating regularly with clients, attorneys, vendors and other stakeholders</p><p>
Reviewing legal documents and ensuring compliance with initial suit-handling plan of action.</p><p>
Analyzing policy language and reaching appropriate coverage decisions.</p><p>
Directing and controlling the activities and costs of outside vendors including defense counsel and coverage counsel, experts and independent adjusters</p><p>
Maintaining adjuster licenses and continuing education requirements</p><p></p><p><b><br>
Requirements</b></p><p>
Bachelor's degree (lack of one should not stop you from applying if you possess all the other qualifications)</p><p>
10+ years of claim handling experience, with 5+ of those years handling a pending of &gt;60% in litigation</p><p><b>
Ride Share/TNC/Livery litigation is required</b>.</p><p>
You are not intimidated by an attorney, even if you are not one! You are the driver of the litigation strategy for any particular claim. You manage the discovery in the order and timing of events and hold attorney accountable</p><p>
Understand transportation coverages. Understand contractual risk transfer and additional insured forms</p><p>
You have strong medical causation knowledge</p><p>
You have a sense of urgency and understanding of how to manage time-sensitive demands</p><p>
Ability and willingness to communicate both on the phone and in written form in a prompt, courteous, and professional manner</p><p>
Strong analytical and negotiation skills. You will conduct your own negotiations directly with opposing counsel</p><p>
Knowledge of multiple state statutes, including good faith claim handling practices, regulations, and guidelines</p><p>
Ability to professionally collaborate with all stakeholders in a claim</p><p>
Have active adjuster license(s) and be willing to obtain all licenses within 60 days, including completing state required testing</p><p>
Attention to detail, time management, and the ability to work independently in a fast-paced, remote environment</p><p>
Curious and motivated by problem solving and questioning the status quo</p><p>
Desire to engage in learning opportunities and continuous professional development</p><p>
Willingness to travel for client and claims needs</p><p></p><p><b><br>
Benefits</b></p><p>
Generous health-insurance package with nationwide coverage, vision, &amp; dental</p><p>
401(k) retirement plan with employer matching</p><p>
Competitive PTO policy &ndash; we want our employees fresh, healthy, happy, and energized!</p><p>
Generous family leave policy after 8 months of continuous work</p><p>
Work from anywhere to facilitate your work life balance</p><p>
Apple laptop, large second monitor, and other quality-of-life equipment you may want. Technology is something that should make your life easier, not harder!</p><p></p><p><b><br>
Additionally, we will</b></p><p>
Listen to your feedback to enhance and improve upon the long-standing challenges of an adjuster and the claims role</p><p>
Work toward reducing and eliminating all the administrative work from an adjuster role</p><p>
Foster a culture of empathy, transparency, and empowerment in a remote-first environment</p><p><br>
At Reserv, we value diversity in backgrounds, perspectives, and life experiences and believe that diversity in viewpoints and critical thinking drives innovation, first-principles thinking, and success. We welcome applicants from all backgrounds and encourage those from all walks of life to apply. If you believe you are a good fit for this role, we would love to hear from you!</p></div><p></p>

Litigation Claims Examiner Rideshare

Origami Risk LLC

<div>Overview:
<div><div><div><div>
The RMIS Sales Solution Architect is a deep domain expert in risk management information systems who applies that expertise across the RMIS opportunity portfolio to shape what Origami sells and how we win. The role owns solution definition, architecture, delivery feasibility, and technical qualification, and contributes to competitive strategy, deal economics, and commercial decision-making. Engagement depth scales with deal complexity, with the most rigorous process discipline applied on strategic and enterprise deals. The SSA operates within a defined deal governance process, applies a structured deal health score that captures competitive, commercial, and delivery risk, and produces the artifacts required to align sales, solutions, and services leadership on how we win.</div></div></div></div>
Responsibilities:
<div><div><div><ul><li><div><b>
Solution Definition</b>. Define the solution Origami should propose for each opportunity, including capabilities, configuration approach, and business outcomes most relevant to the prospect. Lead scoping sessions with prospect stakeholders ranging from operational users to executive sponsors, translating business requirements and strategic objectives into a proposed solution and implementation approach. Provide Solution Engineers with the substantive inputs for demo design (prospect context, solution scope, business outcomes to emphasize) and coach on the narrative.</div></li><li><div><b>
Solution Architecture</b>. Own the technical architecture, including data model, integrations, configuration scope, and phasing. Engage specialist technical resources at defined points in the sales cycle for deep technical validation. Contribute reusable reference implementations to the team asset library.</div></li><li><div><b>
Technical Qualification and Feasibility</b>. Own the technical qualification of each opportunity, synthesizing inputs from sellers, specialist technical resources, and services to determine whether the prospect&rsquo;s environment, integration requirements, and organizational readiness support a successful engagement. Identify product gaps, timeline risks, and services capacity<br>
constraints that could jeopardize successful implementation. Flag and escalate issues before commercial commitments are made.</div></li><li><div><b>
Sales Support and Deal Health</b>. Provide technical and commercial support throughout the sales cycle, including participation in contract redline discussions, procurement engagements, and late-stage deal defense. Contribute to competitive strategy by providing the technical and business inputs sellers need to position Origami effectively. Maintain a deal health score and facilitate cross-functional pursuit reviews.</div></li><li><b>
Deal Economics Modeling</b>. Produce professional services estimates and deal profitability analyses that enable sales leadership to make informed pricing decisions. Model ARR, services effort, and margin implications of proposed commercial structures. Ensure proposed deals meet company pricing and profitability standards before they reach approval.</li><li><b>
Executive Engagement</b>. For strategic opportunities, build and facilitate ROI working sessions with prospect finance and operations stakeholders. Prepare materials for executive deal reviews when escalation is warranted.</li><li><div><b>
Handoff</b>. Own the transition to the Professional Services organization at contract signature, ensuring scope, assumptions, and risks captured in the sales cycle transfer cleanly to delivery.</div></li></ul></div></div></div>
Qualifications:
<div><b>
Required Qualifications</b></div><ul><li>
Minimum 5 years of presales or solution architecture experience in enterprise SaaS, with at least 3 years in RMIS, claims administration, or adjacent risk and insurance technology markets.</li><li>
Working knowledge of the corporate risk function, including Total Cost of Risk (TCOR) frameworks, risk financing structures (self-insured retention, large deductible, captive, guaranteed cost), claims program structure across major lines (workers&rsquo; compensation, general liability, auto, property), TPA and broker dynamics, regulatory reporting obligations, and the role of RMIS in supporting a mid-to-large corporate risk program.</li><li>
Demonstrated ability to run executive-level discovery and translate technical capability into business outcomes for CFO, Risk Manager, General Counsel, and CHRO audiences.</li><li>
Experience assessing technical qualification and delivery feasibility, producing professional services estimates, and modeling deal economics within a structured governance framework.</li><li>
Experience supporting sellers through late-stage deal dynamics including competitive displacement, procurement negotiation, and contract redlines.</li><li>
Comfort operating across a portfolio of opportunities simultaneously, scaling involvement based on deal complexity rather than engaging only on the largest pursuits.</li><li>
Strong written communication, particularly in synthesizing deal dynamics into concise pursuit briefs.</li></ul><div></div><div><b><br>
Preferred Qualifications</b></div><ul><li>
Prior experience at an RMIS vendor, TPA, broker, or carrier in a technology-facing role.</li><li>
Familiarity with RMIS integration patterns (claims feeds, policy feeds, HRIS, financial systems,<br>
OSHA reporting).
</li><li>Experience with competitive displacement sales motions.</li></ul>
Benefits:
<ul><li>Medical and Dental coverage available for employees, dependents, domestic partners, and spouses</li><li>
Paid Time Off &ndash; Flexible options plus 10 paid company holidays where available**</li><li>
All full-time positions are hybrid, with many eligible to be completely remote</li><li>
Fully Paid by Origami Risk &ndash; Vision insurance, Short &amp; Long-Term Disability Insurance, and Basic Life Insurance</li><li>
Generous family leave options&mdash;including adoption and foster care placements</li><li>
Pre-Tax Savings Accounts &ndash; Flexible Spending Account, Health Savings Account, Commuter Benefits, Dependent Care Savings Account</li><li>
Retirement Savings &ndash; 401(k) with company match up to 4%</li><li>
Employee Assistance Program (EAP) &ndash; Confidential &amp; Free support offered to colleagues facing personal or work-related complications</li><li>
Education Assistance Program &ndash; to help colleagues pursue industry/role-specific certifications</li><li>
Wellness Benefits &ndash; reimbursement program to invest in healthy habits as well as support better colleague productivity and stress management</li><li>
Additional coverages available &ndash; Pet Insurance, Critical Illness Insurance, and Voluntary Life &amp; AD&amp;D coverage</li></ul><div><i>
**Flexible PTO not available in California or the UK</i></div>
Who We Are:
<div>
Origami Risk delivers single-platform SaaS solutions that help organizations best navigate the complexities of risk, insurance, compliance, and safety management.</div><div></div><div><br>
Founded by industry veterans who recognized the need for risk management technology that was more configurable, intuitive, and scalable, Origami continues to add to its innovative product offerings for managing both insurable and uninsurable risk; facilitating compliance; improving safety; and helping insurers, MGAs, TPAs, and brokers provide enhanced services that drive results.</div><div></div><div><br>
A singular focus on client success underlies Origami&rsquo;s approach to developing, implementing, and supporting our award-winning software solutions.</div><div></div><div><i><br>
Origami Risk is proud to be an equal opportunity employer. We thrive and benefit from diversity and are committed to creating an inclusive and equitable environment for all employees. We do not discriminate against any individual based upon race, religion, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, color, sex, national origin, age, marital status, military or veteran status, disability, or any other characteristic protected by applicable law.</i></div><div></div><div><b><i><br>
Caution</i></b><i>: Be alert to recruiting scams. We have received reports of individuals impersonating Origami Risk recruiters to deceive candidates into disclosing personal information. These impostors use fake Origami Risk domain names and email addresses. Please double-check that any email address from an Origami Risk recruiter ends with </i><i>origamirisk.com</i><i> or </i><i>talent.icims.com</i><i>. And to confirm the legitimacy of any recruiting communication, feel free to email </i><i>transparencycheck@origamirisk.com</i><i>.</i></div></div>

Sales Solution Architect, RMIS

Aegis Health Services

<div>
 <p>
  <strong>
   Company Description
  </strong>
 </p>
 <p>
  Aegis Health Services is dedicated to driving better patient outcomes through population health management. The organization focuses on improving healthcare delivery by ensuring that patients receive coordinated and comprehensive care. With a strong emphasis on quality, Aegis Health Services strives to create impactful and sustainable solutions in the healthcare industry.
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   Role Description
  </strong>
 </p>
 <p>
  This is a full-time hybrid role for a Medical Billing Specialist based in Sandy Springs, GA, with the flexibility to work partially from home. We are looking for an organized and experienced medical billing specialist. The medical billing specialist will be responsible for multiple aspects of the revenue cycle and must be able to multitask, prioritize, and manage time efficiently.
 </p>
 <p>
  <br/>
 </p>
 <p>
  Duties will include but are not limited to:
 </p>
 <p>
  <br/>
 </p>
 <ul>
  <li>
   Reviewing daily charges for accuracy by verifying patient and payor information on all patients and claims.
  </li>
  <li>
   Performing insurance verification and eligibility checks.
  </li>
  <li>
   Resolving payer specific and clearinghouse claim errors and rejections.
  </li>
  <li>
   Correcting and submitting claims to insurance companies.
  </li>
  <li>
   Working aged account receivables.
  </li>
  <li>
   Analyzing insurance remittances for posting payments and denials.
  </li>
  <li>
   Submitting required documentation for reimbursement.
  </li>
 </ul>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   Qualifications
  </strong>
 </p>
 <ul>
  <li>
   3+ year of medical billing and coding
  </li>
  <li>
   Ability to verify patient benefits, analyze EOBs, determine appropriate codes for procedures performed, and post payments.
  </li>
  <li>
   Knowledge of CPT, HCPCS, and ICD-10 coding.
  </li>
  <li>
   Knowledge of Medicare, Medicaid, and other commercial health plans.
  </li>
  <li>
   Knowledge of EHR systems, spreadsheets, and word documents.
  </li>
  <li>
   Ability to work independently and manage multiple priorities.
  </li>
  <li>
   Ability to prioritize, organize, and exercise independent judgement and maintain confidentiality.
  </li>
  <li>
   Excellent analytical, verbal, and written communication skills.
  </li>
 </ul>
 <p>
  <br/>
 </p>
 <p>
  **Salary compensation is based on experience**
 </p>
 <p>
  <span>
   $24.00 - $28.00 per hour
  </span>
 </p>
</div>


Medical Billing Specialist

USAA

<div><b>Location</b> Atlanta, Georgia
<div><div><div><b>Job ID</b></div><div>
R0117127</div></div>
<div><div><b>Date posted</b></div><div>
04/27/2026</div></div>
</div><div><p><b>Why USAA?</b></p><p>
At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.</p><p></p><p>
Embrace a fulfilling career at USAA, where our core values &ndash; honesty, integrity, loyalty and service &ndash; define how we treat each other and our members. Be part of what truly makes us special and impactful.</p><p></p><p><b>
The Opportunity</b></p><p>
As a dedicated Property Adjuster Specialist, you will work within defined guidelines and framework, investigate, evaluate, negotiate, and settle complex property insurance claims. You will confirm/analyze coverage, recognize liability exposure and negotiate equitable settlement in compliance with all state regulatory requirements. Recognizes and empathizes with members&rsquo; life events, as appropriate.</p><p></p><div><div><div><div><div><div><div><div><div><p>
Property Adjuster Specialist focus on using technology and desk adjusting for a virtual first approach to inspections and claims handling. USAA also provides a company vehicle to physically inspect losses within your locally assigned territory. Field Adjusters may travel outside of their local territory to respond to claims in other regions when needed. This is an hourly, non-exempt position with paid overtime and CAT pay available.</p><p></p><p>
This is a <b>local</b><b>field-based</b> role in the <b>Atlanta, GA </b>area. Candidates who are willing and able to work in the this area are encouraged to apply.</p><p></p><p><b>
What you'll do:</b></p><ul><li><p>
Proactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability.</p></li><li><p>
Partners with vendors and internal business partners to facilitate complex claims resolution. May also involve external regulatory coordination to ensure appropriate documentation and compliance.</p></li><li><p>
Investigates claim damages by conducting research from various sources, including the insured, third parties, and external resources. May identify and resolve potential discrepancies and identifies subrogation potential resulting from unusual characteristics.</p></li><li><p>
Identifies coverage concerns, reviews prior loss history, determines and creates Special Investigation Unit (SIU) referrals, when appropriate. Determines coverage through analyzing information involving complex policy terms and contingencies.</p></li><li><p>
Determines and negotiates complex claims settlement within authority limits. Develops recommendations and collaborates with management for determining settlement amounts outside of authority limits and accurately manages claims outcomes.</p></li><li><p>
Maintains accurate, thorough, and current claim file documentation throughout the claims process.</p></li><li><p>
Advance knowledge of estimating technology platforms and virtual inspection tools. Utilizes platforms and tools to prepare claims estimates to manage complex property insurance claims.</p></li><li><p>
Supports workload surges and catastrophe (CAT) response operations as needed, including mandatory on-call dates and potential evening, weekend, and/or holiday work outside normal work hours.</p></li><li><p>
May be assigned CAT deployment travel with minimal notice during designated CATs.</p></li><li><p>
Works various types of claims, including ones of higher complexity, and may be assigned additional work outside normal duties as needed.</p></li><li><p>
Works independently solving complex problems with minimal guidance; acts as a resource for colleagues with less experience.</p></li><li><p>
Adjusts complex claims with attorney involvement.</p></li><li><p>
Recognizes and addresses jurisdictional challenges such as applicable legislation and construction considerations.</p></li><li><p>
May require travel to resolve claims, attend training, and conduct in-person inspections.</p></li><li><p>
Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.</p></li></ul><p></p><p><b>
What you have:</b></p><ul><li><p>
High School Diploma or General Equivalency Diploma.</p></li><li><p>
2 years of relevant property claims adjusting experience of moderate complexity losses that includes writing estimates, involving dwelling and structural damages.</p></li><li><p>
Advanced knowledge of estimating losses using Xactimate or similar tools and platforms.</p></li><li><p>
Proficient knowledge of residential construction.</p></li><li><p>
Proficient knowledge of property claims contracts and interpretation of case law and state laws and regulations.</p></li><li><p>
Proficient negotiation, investigation, communication, and conflict resolution skills.</p></li><li><p>
Proven investigatory, analytical, prioritizing, multi-tasking, and problem-solving skills.</p></li><li><p>
Ability to travel 50-75% of the year (local &amp; non-local) and/or work catastrophe duty when needed.</p></li><li><p>
Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts.</p></li><li><p>
Successful completion of a job-related assessment may be required.</p></li></ul><p></p><p><b>
What sets you apart:</b></p><ul><li><p>
Experience on a Property Catastrophe team handling inside or field claims (i.e. wind, hail, hurricane, flooding)</p></li><li><p>
Experience adjusting large loss complex property claims caused by catastrophic events</p></li><li><p>
Residential property adjusting experience handling DWG, APS and ALE adjustments</p></li><li><p>
Experience working directly for a standard insurance carrier handling claims from start to finish (first notice of loss, reviewing policy, making coverage decisions).</p></li><li><p>
Estimate writing skills using Xactimate, ClaimX or virtual estimating</p></li><li><p>
Xactimate level 1 and/or level 2 certification</p></li><li><p>
Insurance Industry designations such as AINS, CPCU, AIC, SCLA</p></li><li><p>
Currently hold an active P&amp;C Adjuster license</p></li><li><p>
Available to work extended hours to support CAT claims</p></li><li><p>
Currently reside in the Atlanta, GA area</p></li><li><p>
US military experience through military service or a military spouse/domestic partner</p></li></ul><p></p><p><b>
Physical Demand Requirements:</b></p><ul><li><p>
May require the ability to crouch and stoop to inspect confined spaces, to include attics and go beneath homes into crawl spaces.</p></li><li><p>
May need to meet all USAA safe driving requirements including verification of driving record through MVR &amp; possession of valid driver&rsquo;s license.</p></li><li><p>
May require the ability to lift a minimum of 35 pounds to include lifting a ladder in and out of the trunk of a car.</p></li><li><p>
May require the ability to climb ladders and traverse roofs, this includes the ability to work at heights while inspecting roofs and attics.</p></li></ul><p></p><p><b>
Compensation range: </b>The salary range for this position is: $72,080 - $129,740</p><p></p><p><b>
USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).
</b></p></div></div></div></div></div></div></div></div></div><p><b>Compensation:</b> USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.
</p><p></p><p>Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.</p><p></p><p>
The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.</p><p></p><p><b>
Benefits:</b> At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.</p><p></p><p>
For more details on our outstanding benefits, visit our benefits page on USAAjobs.com</p><p></p><p><i>
Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting.
</i></p><p></p><p><i>USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.</i></p></div></div>

Property Adjuster Specialist - Field

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