Claims Adjusters, Examiners, and Investigators

Job Description:

Class Start Date: 05/05/2025

Work Schedule: Monday - Friday (8:00 AM to 5:00 PM)

At Bank of America, we are guided by a common purpose to help make financial lives better through the power of every connection. We do this by driving Responsible Growth and delivering for our clients, teammates, communities and shareholders every day.

Being a Great Place to Work is core to how we drive Responsible Growth. This includes our commitment to being a diverse and inclusive workplace, attracting and developing exceptional talent, supporting our teammates’ physical, emotional, and financial wellness, recognizing and rewarding performance, and how we make an impact in the communities we serve.

At Bank of America, you can build a successful career with opportunities to learn, grow, and make an impact. Join us!

Job Description:
This job is responsible for resolving the day-to-day complex claims and escalations including in-depth analysis for fraud and non-fraud claims, handling complex decisions based on analytical research, established policies and procedures, and judgment. Key responsibilities include following all applicable regulatory guidelines and establishing procedures while utilizing multiple systems and tools. Job expectations include interacting with multiple business partners and clients in order to educate, set appropriate expectations, or deny the claim.

Responsibilities:

Interacts with multiple business partners to appropriately investigate and decision claim
Follows up with clients either verbally or through written communication
Educates and communicates claim decisions to clients
Records data captured during client interactions accurately

Required Skills: "Must" have these skills to be minimally qualified.

Experience in a Customer Service or Client Facing Environment
Must display excellent customer service skills with the ability to diffuse difficult customer interactions
Must possess excellent problem solving and analytical skills
Customer-centric approach to problem resolution
Must work well in a team environment, as well as independently
Strong personal ownership and follow through skills
Must have a strong and positive work ethic and display Bank of America's Values
Must be flexible and adapt quickly to change
Ability to multi-task and meet defined performance goals
Must be a meets in performance results
Proficient PC skills in a Windows based environment
Excellent written and oral communication skills

Desired Skills:

Prior experience in a Fraud or Non-Fraud Claims back office investigations or Call Center role
Experience in claim investigations/systems

Skills:

Attention to Detail
Decision Making
Due Diligence
Research
Active Listening
Adaptability
Issue Management
Problem Solving
Business Acumen
Collaboration
Oral Communications
Written Communications
LOB Specific Information:

This role will be supporting the Research function within Debit Fraud Claims.

Shift:
1st shift (United States of America)

Hours Per Week:
40

Location:

2721 N Central Ave, Phoenix, Arizona 85036 United States of America

Repwest Insurance is looking for a Claims Service Representative in our Claims Reporting Unit. The function of the Claims Reporting Unit is to set up new claims for U-Haul Storage, U-Haul Equipment, Commercial Policy Holders and Managing General Agencies. In addition, the CRU provides other support functions for the Repwest's Field Claims Offices, the Commercial Claims Unit, the subrogation Unit and the Equipment Damage Unit. Duties include answering inbound calls and entering information into a PC based program.

This is an onsite position located at our corporate campus in Phoenix, AZ.

This is a fast paced environment; hours vary from 5:00am to 6:00pm. Candidates must be able to work evenings and weekends.

+ Customer service background

+ HS Diploma; able to type 30+ wpm a plus

+ General clerical experience; able to use Microsoft Office

+ Good communication skills

+ Claims or insurance experience is a plus

Requirements:

+ Must be available evenings and weekends

+ This is not available for remote work

+ This is a fast-paced, multi-tasking environment; hours vary from 6:00am to 5:00pm. Candidates must be willing to accommodate fluctuating schedules, weekends, and the occasional holiday

Work Status:

+ Full-Time

Here are just some of the programs U-Haul/Repwest has available:

+ Full Medical coverage

+ Prescription plans

+ Dental & Vision Plans

+ New indoor fitness gym

+ Gym Reimbursement Program

+ Registered Dietitian Program

+ Weight Watchers

+ Onsite medical clinic for you and your family

+ Career stability

+ Opportunities for advancement

+ Valuable on-the-job training

+ Tuition reimbursement program

+ Free online courses for personal and professional development at U-Haul University®

+ Business and travel insurance

+ You Matter Employee Assistance Program

+ Paid holidays, vacation, and sick days

+ Employee Stock Ownership Plan (ESOP)

+ 401(k) Savings Plan

+ Life insurance

+ Critical Illness/Group Accident

+ 24-hour physician available for kids

+ MetLaw Legal program

+ MetLife auto and home insurance

+ Mindset App Program

+ Discounts on cell phone plans, hotels, and more

+ LifeLock Identity Theft

+ Savvy consumer wellness programs - from health care tips to financial wellness

+ Dave Ramsey’s SmartDollar Program

+ U-Haul Federal Credit Union

+ Wellness Program

U-Haul Holding Company, and its family of companies including U-Haul International, Inc. (“U-Haul”), continually strives to create a culture of health and wellness. Consistent with applicable state law, U-Haul will not hire or re-hire individuals who use nicotine products. The states in which U-Haul will decline to hire nicotine users are: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Pennsylvania, Texas, Utah, Vermont, Virginia, and Washington. U-Haul has observed this hiring practice since February 1, 2020 as part of our commitment to a healthy work environment for our team.

U-Haul is an equal opportunity employer. All applicants for employment will be considered without regard to race, color, religion, sex, national origin, physical or mental disability, veteran status, or any other basis protected by applicable federal, provincial, state or local law. Individual accommodations are available on requests for applicants taking part in all aspects of the selection process. Information obtained during this process will only be shared on a need to know basis.

Job Description

In this Customer CARE Specialist 1 role, you will be the voice of Nordstrom and/or Nordstrom Rack, fielding real-time calls in a virtual, call center environment from customers across the country during peak/scaled events. The ideal Customer CARE Specialist 1 is caring and compassionate, enthusiastic, solutions-oriented and committed to providing outstanding service to all our customers.

This role is a fully remote, work from home position. Candidate location restrictions apply. Nordstrom is able to offer remote employment of this position in: Arizona

Shifts:

Full-time. Shift times will vary upon business need. Schedule flexibility, including nights, weekends, and holidays, is required.

Paid! Training:

Start dates as soon as 4/21/25!

Training: Monday - Friday for 4 weeks 7:00AM – 4:00PM PST ( Attendance at training is required)

Work from Home Subsidy! $50/month

A day in the life…

+ Act as a Brand Ambassador for the Nordstrom company, providing world-class service to all Customers

+ Successfully troubleshoot and resolve all customer service inquiries or issues via incoming phone contacts

+ Provide Customers with critical service and product information, ensuring customer satisfaction via incoming phone contacts

+ Process orders and enter data into order entry system via incoming phone contacts

+ Track customer packages

+ Other duties as assigned

You own this if you have…

+ 6+ months experience within a customer service-focused environment, such as contact center, retail, hospitality, or food and beverage (preferred)

+ The ability to meet the Nordstrom and Nordstrom Customer CARE Work from Home Guidelines and expectations

+ Excellent communication skills

+ The ability to work in a fast-paced environment and demonstrate a high sense of urgency

+ Understanding of computer systems and troubleshooting issues with minimal assistance

+ Ability to work a set schedule (scheduled start, stop, breaks and lunches), including nights, weekends, and holidays, with required overtime as business needs; flexibility required during peak times

+ A quiet, distraction free, secure home workspace

+ The ability to work your entire shift using a computer while stationed at a desk, wearing a headset, and turn on the camera when requested by leadership

Wired, high-speed Internet, Modem or Router w/ Ethernet Port – Thin client must connect directly ( No Satellite Internet or Wi-Fi)

We’ve got you covered…

Our employees are our most important asset and that’s reflected in our benefits. Nordstrom is proud to offer a variety of benefits to support employees and their families, including:

+ Medical/Vision, Dental, Retirement and Paid Time Away

+ Life Insurance and Disability

+ Merchandise Discount and EAP Resources

A few more important points...

The job posting highlights the most critical responsibilities and requirements of the job. It’s not all-inclusive. There may be additional duties, responsibilities and qualifications for this job.

Nordstrom conducts background checks and considers qualified applicants with criminal histories in a manner consistent with all legal requirements.

Applicants with disabilities who require assistance or accommodation should contact the nearest Nordstrom location, which can be identified at www.nordstrom.com .

Please be mindful that there may be legal notices and requirements related to this job posting that are specific to your state. Review the Career Site FAQ’s (https://careers.nordstrom.com/#/contact-us/faq) for relevant information and guidelines.

© 2022 Nordstrom, Inc

Current Nordstrom employees: To apply, log into Workday, click the Careers button and then click Find Jobs.

About Us

We’re a fast-moving fashion company that started as a shoe store in 1901. This heritage of service is the foundation we’re building on as we provide convenience and true connection for our customers. We empower our people to be innovative, creative and focused on providing the best service to our customers. Through it all, we remain committed to leaving the world better than we found it.

Whether you’re a genius engineer, a phenomenal salesperson or a supply chain pro, we invite you to bring your unique talents and join our team. We reward great work, promote from within and celebrate diversity.

CUSTOMER OBSESSEDWe strive to know our customers better than anyone else. We listen, anticipate, build trust and move with speed to deliver on their needs.

OWNERS AT HEARTWe treat every interaction as an opportunity to make an impact and deliver excellence.

CURIOUS AND EVER CHANGINGWe approach problems with curiosity and create solutions. We unlock potential to be bold, think big and inspire innovation.

HERE TO WINWe’re committed to delivering results, both today and tomorrow. We win as a team by supporting and challenging one another to be better every day.

WE EXTEND OURSELVESWe treat each other with respect and kindness. We do the small things that make a big difference. We create a welcoming environment, helping people feel connected, valued and part of one community.

Come on! Join us!

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work.

Great Place to Work®

Most Loved Workplace®

Forbes Best-in-State Employer

Environmental Claims Specialist

**Job Description Summary**

To analyze complex or technically difficult environmental claims; to provide resolution of highly complex nature and/or severe injury claims; to coordinate case management within company standards, industry best practices and specific client service requirements; and to manage the total claim costs while providing high levels of customer service.

**ESSENTIAL FUNCTIONS and RESPONSIBILITIES**

+ Analyzes and processes complex or technically difficult environmental liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.

+ Conducts or assigns full investigation to include complete coverage review and provides report of investigation pertaining to new events, claims and legal actions.

+ Analyzes applicable complex liability insurance coverage and policies

+ Negotiates claim settlement up to designated authority level.

+ Calculates and assigns timely and appropriate reserves to claims; monitors reserve adequacy throughout claim life.

+ Recommends settlement strategies; brings structured settlement proposals as necessary to maximize settlement.

+ Coordinates legal defense by assigning attorney, coordinating support for investigation, and reviewing attorney invoices; monitors counsel for compliance with client guidelines.

+ Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall claim cost for our clients.

+ Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case management opportunities to reduce total claim cost.

+ Represents Company in depositions, mediations, and trial monitoring as needed.

+ Communicates claim activity and processing with the client; maintains professional client relationships.

+ Ensures claim files are properly documented and claims coding is correct.

+ Refers cases as appropriate to supervisor and management.

+ Delegates work and mentors assigned staff.

**ADDITIONAL FUNCTIONS and RESPONSIBILITIES**

+ Performs other duties as assigned.

+ Supports the organization's quality program(s).

**QUALIFICATIONS**

**Education & Licensing**

Bachelor's degree from an accredited college or university preferred. Licenses are required. Professional certification as applicable to line of business preferred.

**Experience**

Ten (10) years of claims management experience or equivalent combination of education and experience required.

**Skills & Knowledge**

+ In-depth knowledge of appropriate environmental liability insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim duration, cost containment principles application procedures as applicable to line-of-business. In the absence of experience with environmental claims, consideration will be given to candidates with equivalent experience with professional liability, complex coverage and litigation/DJ claims, products liability, marine, class action and multi-district litigation (MDL) claims, asbestos and silica, and other high-exposure claims handling of a complex nature.

+ Excellent oral and written communication, including presentation skills

+ PC literate, including Microsoft Office products

+ Analytical and interpretive skills

+ Strong organizational skills

+ Excellent negotiation skills

+ Good interpersonal skills

+ Ability to work in a team environment

+ Ability to meet or exceed Performance Competencies

**WORK ENVIRONMENT**

When applicable and appropriate, consideration will be given to reasonable accommodations.

**Mental** **:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

**Physical** **:** Computer keyboarding, travel as required

**Auditory/Visual** **:** Hearing, vision and talking

**NOTE** **:** Credit security clearance, confirmed via a background credit check, is required for this position.

_As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is_ **_$110,000- $120,000_** _. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits._

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

\#LI-LT1

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

**If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.**

**Taking care of people is at the heart of everything we do. Caring counts**

Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing – one where caring counts. Watch this video to learn more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work.

Great Place to Work®

Most Loved Workplace®

Forbes Best-in-State Employer

Environmental Claims Specialist

**Job Description Summary**

To analyze complex or technically difficult environmental claims; to provide resolution of highly complex nature and/or severe injury claims; to coordinate case management within company standards, industry best practices and specific client service requirements; and to manage the total claim costs while providing high levels of customer service.

**ESSENTIAL FUNCTIONS and RESPONSIBILITIES**

+ Analyzes and processes complex or technically difficult environmental liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.

+ Conducts or assigns full investigation to include complete coverage review and provides report of investigation pertaining to new events, claims and legal actions.

+ Analyzes applicable complex liability insurance coverage and policies

+ Negotiates claim settlement up to designated authority level.

+ Calculates and assigns timely and appropriate reserves to claims; monitors reserve adequacy throughout claim life.

+ Recommends settlement strategies; brings structured settlement proposals as necessary to maximize settlement.

+ Coordinates legal defense by assigning attorney, coordinating support for investigation, and reviewing attorney invoices; monitors counsel for compliance with client guidelines.

+ Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall claim cost for our clients.

+ Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case management opportunities to reduce total claim cost.

+ Represents Company in depositions, mediations, and trial monitoring as needed.

+ Communicates claim activity and processing with the client; maintains professional client relationships.

+ Ensures claim files are properly documented and claims coding is correct.

+ Refers cases as appropriate to supervisor and management.

+ Delegates work and mentors assigned staff.

**ADDITIONAL FUNCTIONS and RESPONSIBILITIES**

+ Performs other duties as assigned.

+ Supports the organization's quality program(s).

**QUALIFICATIONS**

**Education & Licensing**

Bachelor's degree from an accredited college or university preferred. Licenses are required. Professional certification as applicable to line of business preferred.

**Experience**

Ten (10) years of claims management experience or equivalent combination of education and experience required.

**Skills & Knowledge**

+ In-depth knowledge of appropriate environmental liability insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim duration, cost containment principles application procedures as applicable to line-of-business. In the absence of experience with environmental claims, consideration will be given to candidates with equivalent experience with professional liability, complex coverage and litigation/DJ claims, products liability, marine, class action and multi-district litigation (MDL) claims, asbestos and silica, and other high-exposure claims handling of a complex nature.

+ Excellent oral and written communication, including presentation skills

+ PC literate, including Microsoft Office products

+ Analytical and interpretive skills

+ Strong organizational skills

+ Excellent negotiation skills

+ Good interpersonal skills

+ Ability to work in a team environment

+ Ability to meet or exceed Performance Competencies

**WORK ENVIRONMENT**

When applicable and appropriate, consideration will be given to reasonable accommodations.

**Mental** **:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

**Physical** **:** Computer keyboarding, travel as required

**Auditory/Visual** **:** Hearing, vision and talking

**NOTE** **:** Credit security clearance, confirmed via a background credit check, is required for this position.

_As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is_ **_$110,000- $120,000_** _. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits._

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

\#LI-LT1

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

**If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.**

**Taking care of people is at the heart of everything we do. Caring counts**

Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing – one where caring counts. Watch this video to learn more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work.

Great Place to Work®

Most Loved Workplace®

Forbes Best-in-State Employer

Environmental Claims Specialist

**Job Description Summary**

To analyze complex or technically difficult environmental claims; to provide resolution of highly complex nature and/or severe injury claims; to coordinate case management within company standards, industry best practices and specific client service requirements; and to manage the total claim costs while providing high levels of customer service.

**ESSENTIAL FUNCTIONS and RESPONSIBILITIES**

+ Analyzes and processes complex or technically difficult environmental liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.

+ Conducts or assigns full investigation to include complete coverage review and provides report of investigation pertaining to new events, claims and legal actions.

+ Analyzes applicable complex liability insurance coverage and policies

+ Negotiates claim settlement up to designated authority level.

+ Calculates and assigns timely and appropriate reserves to claims; monitors reserve adequacy throughout claim life.

+ Recommends settlement strategies; brings structured settlement proposals as necessary to maximize settlement.

+ Coordinates legal defense by assigning attorney, coordinating support for investigation, and reviewing attorney invoices; monitors counsel for compliance with client guidelines.

+ Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall claim cost for our clients.

+ Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case management opportunities to reduce total claim cost.

+ Represents Company in depositions, mediations, and trial monitoring as needed.

+ Communicates claim activity and processing with the client; maintains professional client relationships.

+ Ensures claim files are properly documented and claims coding is correct.

+ Refers cases as appropriate to supervisor and management.

+ Delegates work and mentors assigned staff.

**ADDITIONAL FUNCTIONS and RESPONSIBILITIES**

+ Performs other duties as assigned.

+ Supports the organization's quality program(s).

**QUALIFICATIONS**

**Education & Licensing**

Bachelor's degree from an accredited college or university preferred. Licenses are required. Professional certification as applicable to line of business preferred.

**Experience**

Ten (10) years of claims management experience or equivalent combination of education and experience required.

**Skills & Knowledge**

+ In-depth knowledge of appropriate environmental liability insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim duration, cost containment principles application procedures as applicable to line-of-business. In the absence of experience with environmental claims, consideration will be given to candidates with equivalent experience with professional liability, complex coverage and litigation/DJ claims, products liability, marine, class action and multi-district litigation (MDL) claims, asbestos and silica, and other high-exposure claims handling of a complex nature.

+ Excellent oral and written communication, including presentation skills

+ PC literate, including Microsoft Office products

+ Analytical and interpretive skills

+ Strong organizational skills

+ Excellent negotiation skills

+ Good interpersonal skills

+ Ability to work in a team environment

+ Ability to meet or exceed Performance Competencies

**WORK ENVIRONMENT**

When applicable and appropriate, consideration will be given to reasonable accommodations.

**Mental** **:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

**Physical** **:** Computer keyboarding, travel as required

**Auditory/Visual** **:** Hearing, vision and talking

**NOTE** **:** Credit security clearance, confirmed via a background credit check, is required for this position.

_As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is_ **_$110,000- $120,000_** _. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits._

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

\#LI-LT1

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

**If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.**

**Taking care of people is at the heart of everything we do. Caring counts**

Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing – one where caring counts. Watch this video to learn more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)

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

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

We offer 3-4 weeks of paid training. The hours during training will be 8:00 am to 5:00 pm, Monday - Friday. Training will be conducted virtually from your home.

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

**Primary Responsibilities:**

+ Applies knowledge/skills to activities that often vary from day to day.

+ Demonstrates a moderate level of knowledge and skills in own function.

+ Requires little assistance with standard and non-standard requests.

+ Solves routine problems on own.

+ Works with supervisor to solve more complex problems.

+ Prioritizes and organizes own work to meet agreed upon deadlines.

+ Works with others as part of a team.

+ Claims Processing Systems/Resources

+ Use appropriate systems/platforms/applications to process claims .

+ Navigate systems tools and screens efficiently and effectively (e.g., keyboard skills, macros, shortcuts)

+ Use appropriate documentation, reference materials and/or websites to ensure that claims are processed accurately and efficiently. (e.g., policy/procedure manuals, knowledge libraries, bulletins, training materials, databases, SharePoint sites, data warehouses)

+ Learn and use new systems/applications/resources as needed.

+ Claims Processes and procedures:

+ Apply appropriate processes and procedures to process claims (e.g., claims processing policies and procedures, grievance procedures, state mandates, CMS/Medicare guidelines, benefit plan documents/certificates)

+ Leverage training resources to help apply claims processes/procedures appropriately (e.g., UI-earn courses, coaches/mentors)

+ Apply knowledge of applicable laws, regulations and compliance requirements to ensure that claims are processed properly (e.g., HIPAA, PPACA/Health Care Reform, state-specific regulations/grievance procedures, TAT

+ Demonstrate Knowledge Of Products and Services

+ Demonstrate knowledge of applicable product/service offerings, and the value they provide to members and providers.

+ Keep current on new product/service offerings and the value they provide.

+ Demonstrate knowledge of benefit plan provisions (e.g., plan language, coverages, limitations, exclusions) and keep current on changes as they occur.

+ Apply knowledge of products and services to process claims appropriately

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

**Required Qualifications:**

+ High School diploma / GED OR equivalent years of work experience

+ Must be 18 years or older

+ Proficiency with Windows PC applications, which includes the ability to navigate multiple programs and learn new and complex computer system applications

+ Microsoft Office Suite experience (Microsoft Outlook, Microsoft Excel, Microsoft Word)

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

**Preferred Qualifications:**

+ Experience processing medical, dental, prescription or mental health claims

**Telecommuting Requirements:**

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

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

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

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

The hourly range for this role is $16.00 to $28.85 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

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

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

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

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

\#RPO

Sr Claims Analyst (Debit Fraud Claims)

Phoenix, Arizona

**Job Description:**

**Class Start Date: 05/05/2025**

**Work Schedule: Monday - Friday (8:00 AM to 5:00 PM)**

At Bank of America, we are guided by a common purpose to help make financial lives better through the power of every connection. We do this by driving Responsible Growth and delivering for our clients, teammates, communities and shareholders every day.

Being a Great Place to Work is core to how we drive Responsible Growth. This includes our commitment to being a diverse and inclusive workplace, attracting and developing exceptional talent, supporting our teammates’ physical, emotional, and financial wellness, recognizing and rewarding performance, and how we make an impact in the communities we serve.

At Bank of America, you can build a successful career with opportunities to learn, grow, and make an impact. Join us!

**Job Description:**

This job is responsible for resolving the day-to-day complex claims and escalations including in-depth analysis for fraud and non-fraud claims, handling complex decisions based on analytical research, established policies and procedures, and judgment. Key responsibilities include following all applicable regulatory guidelines and establishing procedures while utilizing multiple systems and tools. Job expectations include interacting with multiple business partners and clients in order to educate, set appropriate expectations, or deny the claim.

**Responsibilities:**

+ Interacts with multiple business partners to appropriately investigate and decision claim

+ Follows up with clients either verbally or through written communication

+ Educates and communicates claim decisions to clients

+ Records data captured during client interactions accurately

**Required Skills: "Must" have these skills to be minimally qualified.**

+ Experience in a Customer Service or Client Facing Environment

+ Must display excellent customer service skills with the ability to diffuse difficult customer interactions

+ Must possess excellent problem solving and analytical skills

+ Customer-centric approach to problem resolution

+ Must work well in a team environment, as well as independently

+ Strong personal ownership and follow through skills

+ Must have a strong and positive work ethic and display Bank of America's Values

+ Must be flexible and adapt quickly to change

+ Ability to multi-task and meet defined performance goals

+ Must be a meets in performance results

+ Proficient PC skills in a Windows based environment

+ Excellent written and oral communication skills

**Desired Skills:**

+ Prior experience in a Fraud or Non-Fraud Claims back office investigations or Call Center role

+ Experience in claiminvestigations/systems

**Skills:**

+ Attention to Detail

+ Decision Making

+ Due Diligence

+ Research

+ Active Listening

+ Adaptability

+ Issue Management

+ Problem Solving

+ Business Acumen

+ Collaboration

+ Oral Communications

+ Written Communications

**LOB Specific Information:**

This role will be supporting the _Research_ function within Debit Fraud Claims.

**Shift:**

1st shift (United States of America)

**Hours Per Week:**

40

Bank of America and its affiliates consider for employment and hire qualified candidates without regard to race, religious creed, religion, color, sex, sexual orientation, genetic information, gender, gender identity, gender expression, age, national origin, ancestry, citizenship, protected veteran or disability status or any factor prohibited by law, and as such affirms in policy and practice to support and promote the concept of equal employment opportunity and affirmative action, in accordance with all applicable federal, state, provincial and municipal laws. The company also prohibits discrimination on other bases such as medical condition, marital status or any other factor that is irrelevant to the performance of our teammates.

To view the "Know your Rights" poster, CLICK HERE (https://u.go/0As7EN) .

View the LA County Fair Chance Ordinance (https://dcba.lacounty.gov/wp-content/uploads/2024/08/FCOE-Official-Notice-Eng-Final-8.30.2024.pdf) .

Bank of America aims to create a workplace free from the dangers and resulting consequences of illegal and illicit drug use and alcohol abuse. Our Drug-Free Workplace and Alcohol Policy (“Policy”) establishes requirements to prevent the presence or use of illegal or illicit drugs or unauthorized alcohol on Bank of America premises and to provide a safe work environment.

To view Bank of America’s Drug-free Workplace and Alcohol Policy, CLICK HERE .

This communication provides information about certain Bank of America benefits. Receipt of this document does not automatically entitle you to benefits offered by Bank of America. Every effort has been made to ensure the accuracy of this communication. However, if there are discrepancies between this communication and the official plan documents, the plan documents will always govern. Bank of America retains the discretion to interpret the terms or language used in any of its communications according to the provisions contained in the plan documents. Bank of America also reserves the right to amend or terminate any benefit plan in its sole discretion at any time for any reason.

**About this role:**

Wells Fargo is seeking a Senior Business Execution Consultant on the Workforce Management team within Consumer and Small Business Banking Operations (CSBBO). This execution consultant will develop analysis and models to optimize workforce staff in large telephony and back-office operations organizations. To be successful in this role, the individual will possess a strong understanding of back-office workforce management, capacity planning/forecast modeling for operations, contact center and business utility functions. The workforce management team works to support staffing strategies to include tactical forecasting and scheduling, real-time capacity monitoring, capacity planning, and back-office workload support for CSBBO contact centers and delivery teams. Learn more about our career areas and lines of business at wellsfargojobs.com.

**In this role, you will:**

+ Review and research moderately complex business, operational, and technical challenges that require an in-depth evaluation of variable factors.

+ Manage all activities related to their staffing models including what-if and trend analysis, requirement gathering, cost/benefit analysis, process analysis and mapping/improvement projects. Will also serve as the subject matter expert for their assigned area of responsibility.

+ Perform solution-based strategic thinking to enable the business to operate as leanly as possible without sacrificing quality or risking metric results.

+ Monitor and publish results to plan, identify gaps and lead remediation strategy with operations leadership.

+ Be responsible for the development and ongoing administration of the long-term capacity planning models (which forecast volume, productivity, shrinkage and headcount needs to meet required business objectives)

+ Partner with various departments to ensure a thorough understanding of operational strategies while ensuring that the Capacity Plans accurately reflect those strategies.

+ Identify strategic recommendations on how to optimize our workforce.

+ Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures

+ Communicate and coordinate with various departments including Operations, Finance, Workforce Management Support, and other partners.

+ Work both independently and in partnership with global leadership developing strong relationships with remote partners through the creation and communication of polished analysis and PowerPoint presentations built to inform and recommend strategies to Sr. Leadership

+ Manage or participate in large cross group projects and mentor less experienced staff.

**As a successful candidate, you will have:**

+ The ability to think creatively to build out advanced Excel spreadsheets from scratch.

+ Excellent capabilities with Microsoft Excel Pivot Tables/Data Analysis/Database knowledge

+ The ability to analyze, review, forecast, and trend complex data – creating “what if” models, identifying viable options to enable data-driven decisions that supports business objectives.

+ Strategic planning, problem solving, analytical skills and the ability to balance multiple tasks simultaneously.

+ The ability to plan, prioritize, organize, and complete work to meet established objectives.

+ Strong written and verbal communication skills that convey the ability to synthesize complex concepts into easy to digest formats for senior leaders.

+ The ability to maintain composure in critical situations and communicate effectively.

+ A high level of professionalism, integrity, and maturity

+ Excellent interpersonal and collaboration skills with a global team

+ Strong technical skills including Microsoft Office Suite and Teams

**Required Qualifications:**

+ 4+ years of Analytics experience, or equivalent demonstrated through one or a combination of the following: work experience, training, military experience, education.

**Desired Qualifications:**

+ 4+ years' workforce management and/or workforce optimization experience

+ 4+ years of performing telephony and/or back-office forecasting to assess volume and FTE need.

+ Ability to gather and analyze data and synthesize models to optimize workforce staffing.

+ Experience with call center workforce management tools (Aspect, Verint, IEX, Nice, etc)

+ 3+ years of experience using advanced level of proficiency in MS Excel working with large data sets, including ability to utilize VLOOKUPs, create pivot tables and graphs, and incorporate standard formulas and functions.

+ Ability to influence across all organizational levels, particularly senior management.

+ Ability to quickly establish credibility to build and maintain effective working relationships.

+ Ability to effectively communicate, verbally and written, with executive level presence with the ability to translate complex analysis and insights into relevant business discussions with diverse groups of leaders and organizations.

**Job Expectations:**

+ Ability to travel up to 10% of the time

+ This position is not eligible for Visa sponsorship.

**Posting End Date:**

10 Mar 2025

**_*Job posting may come down early due to volume of applicants._**

**We Value Diversity**

At Wells Fargo, we believe in diversity, equity and inclusion in the workplace; accordingly, we welcome applications for employment from all qualified candidates, regardless of race, color, gender, national origin, religion, age, sexual orientation, gender identity, gender expression, genetic information, individuals with disabilities, pregnancy, marital status, status as a protected veteran or any other status protected by applicable law.

Employees support our focus on building strong customer relationships balanced with a strong risk mitigating and compliance-driven culture which firmly establishes those disciplines as critical to the success of our customers and company. They are accountable for execution of all applicable risk programs (Credit, Market, Financial Crimes, Operational, Regulatory Compliance), which includes effectively following and adhering to applicable Wells Fargo policies and procedures, appropriately fulfilling risk and compliance obligations, timely and effective escalation and remediation of issues, and making sound risk decisions. There is emphasis on proactive monitoring, governance, risk identification and escalation, as well as making sound risk decisions commensurate with the business unit’s risk appetite and all risk and compliance program requirements.

Candidates applying to job openings posted in US: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other legally protected characteristic.

Candidates applying to job openings posted in Canada: Applications for employment are encouraged from all qualified candidates, including women, persons with disabilities, aboriginal peoples and visible minorities. Accommodation for applicants with disabilities is available upon request in connection with the recruitment process.

**Applicants with Disabilities**

To request a medical accommodation during the application or interview process, visit Disability Inclusion at Wells Fargo (https://www.wellsfargojobs.com/en/diversity/disability-inclusion/) .

**Drug and Alcohol Policy**

Wells Fargo maintains a drug free workplace. Please see our Drug and Alcohol Policy (https://www.wellsfargojobs.com/en/wells-fargo-drug-and-alcohol-policy) to learn more.

**Wells Fargo Recruitment and Hiring Requirements:**

a. Third-Party recordings are prohibited unless authorized by Wells Fargo.

b. Wells Fargo requires you to directly represent your own experiences during the recruiting and hiring process.

**Req Number:** R-440024

**About this role:**

Wells Fargo is seeking a Senior Business Execution Consultant on the Workforce Management team within Consumer and Small Business Banking Operations (CSBBO). This execution consultant will develop analysis and models to optimize workforce staff in large telephony and back-office operations organizations. To be successful in this role, the individual will possess a strong understanding of back-office workforce management, capacity planning/forecast modeling for operations, contact center and business utility functions. The workforce management team works to support staffing strategies to include tactical forecasting and scheduling, real-time capacity monitoring, capacity planning, and back-office workload support for CSBBO contact centers and delivery teams. Learn more about our career areas and lines of business at wellsfargojobs.com.

**In this role, you will:**

+ Review and research moderately complex business, operational, and technical challenges that require an in-depth evaluation of variable factors.

+ Manage all activities related to their staffing models including what-if and trend analysis, requirement gathering, cost/benefit analysis, process analysis and mapping/improvement projects. Will also serve as the subject matter expert for their assigned area of responsibility.

+ Perform solution-based strategic thinking to enable the business to operate as leanly as possible without sacrificing quality or risking metric results.

+ Monitor and publish results to plan, identify gaps and lead remediation strategy with operations leadership.

+ Be responsible for the development and ongoing administration of the long-term capacity planning models (which forecast volume, productivity, shrinkage and headcount needs to meet required business objectives)

+ Partner with various departments to ensure a thorough understanding of operational strategies while ensuring that the Capacity Plans accurately reflect those strategies.

+ Identify strategic recommendations on how to optimize our workforce.

+ Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures

+ Communicate and coordinate with various departments including Operations, Finance, Workforce Management Support, and other partners.

+ Work both independently and in partnership with global leadership developing strong relationships with remote partners through the creation and communication of polished analysis and PowerPoint presentations built to inform and recommend strategies to Sr. Leadership

+ Manage or participate in large cross group projects and mentor less experienced staff.

**As a successful candidate, you will have:**

+ The ability to think creatively to build out advanced Excel spreadsheets from scratch.

+ Excellent capabilities with Microsoft Excel Pivot Tables/Data Analysis/Database knowledge

+ The ability to analyze, review, forecast, and trend complex data – creating “what if” models, identifying viable options to enable data-driven decisions that supports business objectives.

+ Strategic planning, problem solving, analytical skills and the ability to balance multiple tasks simultaneously.

+ The ability to plan, prioritize, organize, and complete work to meet established objectives.

+ Strong written and verbal communication skills that convey the ability to synthesize complex concepts into easy to digest formats for senior leaders.

+ The ability to maintain composure in critical situations and communicate effectively.

+ A high level of professionalism, integrity, and maturity

+ Excellent interpersonal and collaboration skills with a global team

+ Strong technical skills including Microsoft Office Suite and Teams

**Required Qualifications:**

+ 4+ years of Analytics experience, or equivalent demonstrated through one or a combination of the following: work experience, training, military experience, education.

**Desired Qualifications:**

+ 4+ years' workforce management and/or workforce optimization experience

+ 4+ years of performing telephony and/or back-office forecasting to assess volume and FTE need.

+ Ability to gather and analyze data and synthesize models to optimize workforce staffing.

+ Experience with call center workforce management tools (Aspect, Verint, IEX, Nice, etc)

+ 3+ years of experience using advanced level of proficiency in MS Excel working with large data sets, including ability to utilize VLOOKUPs, create pivot tables and graphs, and incorporate standard formulas and functions.

+ Ability to influence across all organizational levels, particularly senior management.

+ Ability to quickly establish credibility to build and maintain effective working relationships.

+ Ability to effectively communicate, verbally and written, with executive level presence with the ability to translate complex analysis and insights into relevant business discussions with diverse groups of leaders and organizations.

**Job Expectations:**

+ Ability to travel up to 10% of the time

+ This position is not eligible for Visa sponsorship.

**Posting End Date:**

10 Mar 2025

**_*Job posting may come down early due to volume of applicants._**

**We Value Diversity**

At Wells Fargo, we believe in diversity, equity and inclusion in the workplace; accordingly, we welcome applications for employment from all qualified candidates, regardless of race, color, gender, national origin, religion, age, sexual orientation, gender identity, gender expression, genetic information, individuals with disabilities, pregnancy, marital status, status as a protected veteran or any other status protected by applicable law.

Employees support our focus on building strong customer relationships balanced with a strong risk mitigating and compliance-driven culture which firmly establishes those disciplines as critical to the success of our customers and company. They are accountable for execution of all applicable risk programs (Credit, Market, Financial Crimes, Operational, Regulatory Compliance), which includes effectively following and adhering to applicable Wells Fargo policies and procedures, appropriately fulfilling risk and compliance obligations, timely and effective escalation and remediation of issues, and making sound risk decisions. There is emphasis on proactive monitoring, governance, risk identification and escalation, as well as making sound risk decisions commensurate with the business unit’s risk appetite and all risk and compliance program requirements.

Candidates applying to job openings posted in US: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other legally protected characteristic.

Candidates applying to job openings posted in Canada: Applications for employment are encouraged from all qualified candidates, including women, persons with disabilities, aboriginal peoples and visible minorities. Accommodation for applicants with disabilities is available upon request in connection with the recruitment process.

**Applicants with Disabilities**

To request a medical accommodation during the application or interview process, visit Disability Inclusion at Wells Fargo (https://www.wellsfargojobs.com/en/diversity/disability-inclusion/) .

**Drug and Alcohol Policy**

Wells Fargo maintains a drug free workplace. Please see our Drug and Alcohol Policy (https://www.wellsfargojobs.com/en/wells-fargo-drug-and-alcohol-policy) to learn more.

**Wells Fargo Recruitment and Hiring Requirements:**

a. Third-Party recordings are prohibited unless authorized by Wells Fargo.

b. Wells Fargo requires you to directly represent your own experiences during the recruiting and hiring process.

**Req Number:** R-440024