insurance law specialist

FIRST ACCEPTANCE INSURANCE

<div><p>SUMMARY
<br>
This Auto Liability Specialist position reports into either Tampa, FL, or Nashville, TN, with the potential to work remotely full time. As an Auto Liability Specialist I, you are responsible for reviewing, evaluating, investigating, and settling claims over the phone and through written correspondence. The primary responsibility of this level of claims adjuster will be to manage first and third-party claims with low complexity coverage and legal liability issues.</p>
<div>
RESPONSIBILITIES<br>
<ul><li>Evaluate and investigate policy coverage, liability, and damages promptly following a set of general claims and statutory guidelines.</li><li>Assists internal and external customers with problems or questions regarding claims by phone or through written correspondence while providing a high level of customer service.</li><li>Establish and maintain appropriate diary of open claims following company guidelines.</li><li>Conduct thorough investigations, which can include obtaining necessary documents and forms from claimants and insureds and conducting recorded statements.</li><li>Ensure timely review of appraisals and partner with appraisers to determine accident-related damages.</li><li>Open and process correspondence related to assigned claims.</li><li>Recognize recovery opportunities regarding subrogation.</li><li>May perform other duties as assigned.</li></ul></div>
<div>
JOB REQUIREMENTS<br>
<ul><li>6 months - 1 year of property claims handling experience.</li><li>Proficient PC and Windows skills.</li><li>Effective verbal and written communication, time management, negotiation, organization and investigative skills.
</li><li>Possesses strong organizational and time management skills.
</li><li>Customer service orientation.
</li><li>Ability to perform basic math calculations (addition, subtraction, multiplication, and division) as well as the calculation of averages and percentages.
</li><li>Must have or secure and maintain appropriate state adjuster license(s) and continuing education credits.</li><li>High School Diploma or equivalent required.</li><li>Associate&rsquo;s degree in the business field or equivalent experience preferred.</li><li>INS or other insurance-related courses preferred.</li></ul></div>
<p>
PHYSICAL DEMANDS:<br>
The physical demands described here are representative of those that must be met by an employee to perform the essential functions of this job successfully. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.<br>
While performing the duties of this job, the employee is regularly required to do manual tasks, which may include the use of hands to finger and handle controls. Tasks may also require the ability to talk or hear. The employee will frequently sit, bend, and reach with hands and arms and is occasionally required to stand and walk. The employee may occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus. Other abilities include possessing the capacity to learn, concentrate, think, and read. Oftentimes the employee will be communicating and interacting with others while working.</p>
<p><b><i>
To perform this job successfully, an individual must be able to satisfactorily perform each essential duty. The requirements listed represent the required knowledge, skill, and/or ability. Reasonable accommodation may be made to enable individuals with disabilities to perform essential functions.</i></b></p>
<p><b><i>
This job description in no way states or implies that these are the only duties to be performed by the employee(s) incumbent in this position. Employee(s) will be required to follow any other job-related instructions and perform any other job-related duties requested by anyone authorized to give instructions or assignments.</i></b></p>
<p>
#LI-REMOTE</p><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>

Auto Liability Specialist I

Commonwealth of Pennsylvania

<div>JOB As a Third Party Liability Specialist in the Department of Human Services, you will take on meaningful work that helps recover funds and uphold accountability. This position gives you the chance to review complex information and collaborate with partners across the state. You will join a team that values initiative, accuracy, and thoughtful decision making. Bring your skills to a role that makes a real difference in protecting public programs!<br>
<br>
EXAMPLE OF DUTIES
<p>
This position focuses on evaluating potential claims, identifying responsible parties, and supporting the recovery of medical assistance funds. As a Third Party Liability Specialist, you will perform the following duties:</p><ul><li><b>
Claim Review: </b>Analyze referrals and determine whether benefits were issued incorrectly</li><li><b>
Case Investigation: </b>Collect information from attorneys, insurers, providers, and other parties to support claim decisions</li><li><b>
Regulation Research: </b>Interpret state and federal laws to guide claim analysis and determine responsible parties</li><li><b>
Settlement Negotiation: </b>Discuss cases with interested parties and recommend fair settlement amounts</li><li><b>
Record Maintenance: </b>Maintain accurate case files and document important updates for future reference</li><li><b>
Data System Use: </b>Access and interpret information in electronic systems to support claim assessments</li></ul><br>
Interested in learning more? Additional details regarding this position can be found in the position description.<div></div><div><b><br>
Work Schedule and Additional Information:</b></div><ul><li>
Full-time employment, 37.5 hours per week</li><li>
Work hours are 8:00 AM to 4:00 PM, Monday - Friday, with a 30-minute lunch.</li><li><b>
Telework: </b>You may have the opportunity to work from home (telework) part-time up to 3 days per week. In order to telework, you must have a securely configured high-speed internet connection and work from an approved location inside Pennsylvania. If you are unable to telework, you will have the option to report to the headquarters office in Harrisburg. The ability to telework is subject to change at any time. Additional details may be provided during the interview.</li><li><b>
Salary:</b><b><i> </i></b>In some cases, the starting salary may be non-negotiable.</li><li>
FREE parking!</li><li>
You will receive further communication regarding this position via email. Check your email, including spam/junk folders, for these notices.</li></ul>
SUPPLEMENTAL INFORMATION
<ul><li>Completing the application, including all supplemental questions, serves as your exam for this position. No additional exam is required at a test center (also referred to as a written exam).</li><li>
Your score is based on the detailed information you provide on your application and in response to the supplemental questions.</li><li>
Your score is valid for this specific posting only.</li><li>
You must provide complete and accurate information or:<ul><li>
your score may be lower than deserved.</li><li>
you may be disqualified.</li></ul></li><li>
You may only apply/test <b>once</b> for this posting.</li><li>
Your results will be provided via email.</li></ul></div>

Third Party Liability Specialist

Allied Universal Compliance and Investigations

<div><p>SIU Investigator</p><h2 class="jobSectionHeader"><b>
Overview</b></h2><div><br>
Company Overview:
</div><div>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&rsquo;re ready to grow with the best, explore a career with us and make a difference.</div><h2 class="jobSectionHeader"><b><br>
Job Description</b></h2><div><br>
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.</div><div>
</div><ul><li><b>Must</b><b> </b><b>possess</b><b> </b><b>a valid driver's license with at least one year of driving experience</b>
</li><li><b>Candidate must</b><b> </b><b>reside</b><b> </b><b>in state listed in job posting</b>
</li><li><b>Pay Rate: $27 - $32 /</b><b> </b><b>hr</b>
</li></ul><div></div><div><b>RESPONSIBILITIES:</b></div><ul><li>
Independently investigate suspected fraudulent insurance claims for a variety of coverage to include workers&rsquo; 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><div><b>
QUALIFICATIONS (MUST HAVE):</b></div><ul><li>
Must possess one or more of the following:</li><li><ul><li>
Bachelor&rsquo;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><div><b>
PREFERRED QUALIFICATIONS (NICE TO HAVE):</b></div><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><div><b>
BENEFITS:</b></div><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><br>
Closing</b></h2><div><br>
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
</div><div>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.</div><h2 class="jobSectionHeader"><b><br>
Requisition ID</b></h2><br>
2026-1609926</div>

SIU Investigator

CareMed Specialty Pharmacy

<div>
 <strong>
  Pharmacy Prior Authorization Specialist &ndash; CareMed Specialty Pharmacy
  <br/>
  <br/>
 </strong>
 <em>
  Houston, TX
 </em>
 |
 <em>
  Full-Time
 </em>
 |
 <em>
  Starting at $23.00/hr and up
  <br/>
  <br/>
 </em>
 <strong>
  Sign-On Bonus:
 </strong>
 $5,000 for employees starting before July 31, 2026.
 <br/>
 <br/>
 <strong>
  Join a mission-driven team making a difference in the lives of cancer patients.
  <br/>
  <br/>
 </strong>
 CareMed Specialty Pharmacy is seeking a
 <strong>
  Pharmacy Prior Authorization Specialist
 </strong>
 to join our dedicated team in Houston, TX. This is a full-time position ideal for candidates local to the area.
 <strong>
  Remote work possible after initial on-site training.
  <br/>
  <br/>
 </strong>
 <strong>
  Company Benefits
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Medical; Dental; Vision
  </li>
  <li>
   401k with a match
  </li>
  <li>
   Paid Time Off and Paid Holidays
  </li>
  <li>
   Tuition Reimbursement
  </li>
  <li>
   Quarterly Incentive Bonus
  </li>
  <li>
   Paid Volunteer Day
  </li>
  <li>
   Referral Incentive Program
  </li>
  <li>
   Company Paid Life Insurance; and Short/Long-Term Disability
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Why Join Us?
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   A career with purpose: Help patients access life-saving medications.
  </li>
  <li>
   Supportive culture: We value teamwork, respect, integrity, and passion.
  </li>
  <li>
   Growth opportunities: We invest in your professional and personal development.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  What You&rsquo;ll Do
  <br/>
  <br/>
 </strong>
 The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations from insurance carriers by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party authorization requests.
 <br/>
 <br/>
 <strong>
  How You&rsquo;ll Do This
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Manage prior authorization requests and appeals with insurance carriers.
  </li>
  <li>
   Collaborate with physicians, pharmacists, and other departments.
  </li>
  <li>
   Ensure HIPAA compliance while handling sensitive patient information.
  </li>
  <li>
   Maintain accurate documentation of authorization details.
  </li>
  <li>
   Proactively monitor and renew expiring authorizations.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Required
  <br/>
  <br/>
 </strong>
 <strong>
  What You Bring
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   High School Diploma or GED
  </li>
  <li>
   1+ years of pharmacy or prior authorization experience
  </li>
  <li>
   Registration with Board of Pharmacy (as required by state law)
  </li>
  <li>
   Strong communication, organizational, and customer service skills
  </li>
  <li>
   Self-motivated, organized, detail-oriented, and adaptable to changing priorities
  </li>
  <li>
   Knowledge of pharmacy terminology, pharmacy insurance claims, Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, experience with CoverMyMeds
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Preferred
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Associate degree or Certified Pharmacy Technician (PTCB)
  </li>
  <li>
   3+ years of experience in pharmacy or prior authorizations
  </li>
  <li>
   Specialty pharmacy experience
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Ready to make a meaningful impact? Apply today and help us better the lives of those battling cancer.
  <br/>
  <br/>
 </strong>
 <strong>
  Company Values: Teamwork, Respect, Integrity, Passion
 </strong>
</div>


Prior Authorization Specialist

<div><div><div><b>Pharmacy Prior Authorization Specialist &ndash; CareMed Specialty Pharmacy</b><br>
<i>Waltham, MA</i> | <i>Full-Time</i> | <i>Starting at $23.00/hr and up</i></div>
<div></div><div><b>Sign-On Bonus: </b>$5,000 for employees starting before July 31, 2026.</div>
<div></div><div><b>Join a mission-driven team making a difference in the lives of cancer and rare disease patients.</b></div>
<div></div><div>CareMed Specialty Pharmacy is seeking a <b>Pharmacy Prior Authorization Specialist</b> to join our dedicated team in Waltham, MA. This is a full-time position ideal for candidates local to the area. Remote work possible after initial on-site training.</div>
<div></div><div><b>Company Benefits</b></div>
<ul><li>Medical; Dental; Vision</li>
<li>401k with a match</li>
<li>Paid Time Off and Paid Holidays</li>
<li>Tuition Reimbursement</li>
<li>Quarterly Incentive Bonus</li>
<li>Paid Volunteer Day</li>
<li>Referral Incentive Program</li>
<li>Company Paid Life Insurance; and Short/Long-Term Disability</li>
</ul> <p></p><div><b>Why Join Us?</b></div>
<ul><li>A career with purpose: Help patients access life-saving medications.</li>
<li>Supportive culture: We value <b>teamwork, respect, integrity, and passion</b>.</li>
<li>Growth opportunities: We invest in your professional and personal development.</li>
</ul><p></p><div><b>What You&rsquo;ll Do</b></div>
<div>The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations from insurance carriers by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party authorization requests.</div>
<div></div><div><b>How You&rsquo;ll Do This</b></div>
<ul><li>Manage prior authorization requests and appeals with insurance carriers.</li>
<li>Collaborate with physicians, pharmacists, and other departments.</li>
<li>Ensure HIPAA compliance while handling sensitive patient information.</li>
<li>Maintain accurate documentation of authorization details.</li>
<li>Proactively monitor and renew expiring authorizations.</li>
</ul> <p></p><div><b>What You Bring</b></div>
<div><b>Required:</b></div>
<ul><li>High School Diploma or GED</li>
<li>1+ years of pharmacy or prior authorization experience</li>
<li>Registration with Board of Pharmacy (as required by state law)</li>
<li>Strong communication, organizational, and customer service skills</li>
<li>Self-motivated, organized, detail-oriented, and adaptable to changing priorities</li>
<li>Knowledge of pharmacy terminology, pharmacy insurance claims, Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, experience with CoverMyMeds</li>
</ul><div><b>Preferred:</b></div>
<ul><li>Associate degree or Certified Pharmacy Technician (PTCB)</li>
<li>3+ years of experience in pharmacy or prior authorizations</li>
<li>Specialty pharmacy experience</li>
</ul><p></p><div><b>Ready to make a meaningful impact? Apply today and help us better the lives of those battling cancer.</b></div></div></div>

LinguaTech Academy

<p>We Are Hiring</p><p>HR Personnel Specialist</p><p>Work Location: Ain Sokhna</p><p>Applicants must be residents of Suez Governorate</p><p>Job Responsibilities:</p><p>- Handling employees&rsquo; files and hiring documents</p><p>- Managing attendance, leave, and daily personnel tasks</p><p>- Dealing with social insurance and labor office procedures</p><p>- Preparing contracts and maintaining employees&rsquo; records</p><p>Requirements:</p><p>- Minimum 2 years of experience in Personnel</p><p>- Ambitious and eager for career growth and development</p><p>- Good knowledge of Egyptian labor law and social insurance</p><p>- Good command of Microsoft Excel</p><p>- Military status must be clear</p><p>Benefits:</p><p>Attractive Salary</p><p>Social Insurance and medical</p><p>Stable Work Environment</p><p>Pay: E&pound;13,000.00 - E&pound;15,000.00 per day</p><p>Location:</p><ul><li>Suez (Required)</li></ul><p>Work Location: In person</p>

HR Personnel Specialist

Clark Hill PLC

<div><div><div><b>About the Role</b></div>
<div>Clark Hill PLC is seeking a is seeking a Marketing Specialist for its Chicago, Detroit, or Pittsburgh office. Candidates must have a minimum of three (3) years of Marketing experience, preferably for a law firm or professional services organization. The Marketing Specialist supports the firm&rsquo;s profile-raising efforts by executing and optimizing strategic initiatives that enhance brand visibility, support attorney practices, and drive engagement across digital and traditional channels. This role combines hands-on execution with analytical insight, and requires the ability to independently execute projects, recommend improvements, and collaborate with stakeholders across the firm. This role is also responsible for applying AI tools and optimization techniques to improve content quality, workflow efficiency, and digital discoverability, while exercising sound judgment and adhering to professional responsibility standards. This is a hybrid position, requiring the Marketing Specialist to be in the office at least 3 days per week.</div>
<div></div><div><b>Required Skills and Experience</b></div>
<ul><li>Creating and updating marketing materials, including brochures, digital ads, and presentations;</li>
<li>Planning and executing multimedia marketing initiatives, including short-form videos, attorney interviews, webinars, podcasts, and photography;</li>
<li>Planning, drafting, and publishing social media content and monitoring related performance;</li>
<li>Evaluating and incorporating AI tools to accelerate content development, edit, refine and ensure accuracy, consistency of voice, and compliance with firm standards;</li>
<li>Supporting branding consistency across all materials and campaigns;</li>
<li>Recommending enhancements to improve effectiveness, clarity, and brand alignment; and</li>
<li>A track record of excellent communication skills and a commitment to providing the highest quality client service.</li>
</ul><div><b>Preferred Skills</b></div>
<ul><li>Proficiency with CMS platforms (<i>e.g.</i>, WordPress), social media tools, and basic analytics;</li>
<li>Familiarity with design tools (<i>e.g.</i>, Adobe Creative Suite, Canva);</li>
<li>Experience with video editing and multimedia content creation; and</li>
<li>Practical experience using AI-powered marketing tools for content development, optimization, analytics, and workflow efficiency.</li>
</ul><div><b>Qualifications</b></div>
<ul><li>Bachelor&rsquo;s degree in marketing, communications, journalism, or a related field;</li>
<li>Excellent attention to detail with superb proofreading skills;</li>
<li>Ability to prioritize and manage a high-volume and diverse workload; and</li>
<li>Must have sound professional judgment and discretion when interacting with clients, potential clients, guests, coworkers, and others.</li>
</ul><div><b>Pay Range and Compensation Package</b></div>
<div></div><div>The salary range at the time of posting is $70,000 - $85,000 annually, based upon a full-time work schedule. Actual compensation will be influenced by various factors, including but not limited to employee qualifications, relevant experience, skill sets, training, internal equity, and market data. This position is eligible for an annual discretionary bonus. In addition, Clark Hill offers employees the ability to participate in health insurance with optional HSA/FSA, short term disability, long term disability, dental insurance, vision care, life insurance, 401K, vacation, sick time, parking/public transportation allowance, and an employee assistance program.</div>
<div></div><div><b>About the Company</b></div>
<div></div><div>Clark Hill is an AmLaw 200 law firm with 30 offices across the United States, Ireland, and Mexico. With 700+ attorneys, our value proposition is simple. We offer our clients an exceptional team, dedicated to the delivery of outstanding service. We recruit and develop talented individuals and empower them to contribute to our rich diversity of legal and industry experience. We work in agile, collaborative teams, partnering with our clients to help them reach and exceed their business goals.</div>
<div>Clark Hill is committed to an aggressive growth strategy through the hiring of team members who fit our culture, embrace the goals of our strategic plan, and bring the skills and experience to our firm that are critical to serving the needs of our clients. Successful Clark Hill employees have a track record of solid academic credentials, along with strong interpersonal and communication skills. Clark Hill is a collaborative environment which provides for both a professional and personally rewarding career.</div>
<div></div><div><b>Equal Opportunity Statement</b></div>
<div></div><div>Clark Hill is committed to sustaining a culturally and ethnically diverse working environment and to principles that promote inclusive practices.</div></div></div><div></div>

Marketing Specialist

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Auto Liability Specialist I

Third Party Liability Specialist

SIU Investigator

Prior Authorization Specialist

Prior Authorization Specialist

HR Personnel Specialist

Marketing Specialist