87 Results for

Claims Jobs in Westbrook, ME

Jobs

Portland, ME11 days ago

Remote

AI Assistance - Our HIPAA-compliant AI tools expedite session preparation by providing a summary of key details from previous sessions and accelerate session documentation by drafting progress notes after each completed session. All therapists & counselors who join Talkspace must possess and provide proof of: Independent, state-board-approved clinical license (e.g., LPC, LMHC, LCSW, LMFT).

South Portland, ME30+ days ago

$54,000–$57,500 Per Year

You must reside within a commutable distance of Progressive's South Portland, Maine OR Bedford, NH Claims office at 600 Sable Oaks Dr., South Portland, ME 04106 or 43 Constitution Dr, Bedford, NH 03110. For ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/.

Telecommuter, ME25 days ago

$70,000–$80,000 Per Year

PRIMARY PURPOSE OF THE ROLE: To analyze mid to high level Workers Compensation Lost-Time claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.

South Portland, ME30+ days ago

$63,100–$81,600 Per Year

An ideal candidate will have experience managing an inventory independently, experience assessing and evaluating liability, coverage, and damages, as well as working independently and directly with attorneys to negotiate and settle claims. Candidates should reside within a commutable distance to either our South Portland, Maine, Bedford,NH, Colchester, VT, Canton, MA, Woburn, MA or Westborough, MA claims office to support our Work Location Strategy.

ME17 days ago

$41.44–$48.79 Per Hour

Boston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C. Essential Responsibilities: Working under technical direction and within significant limits and authority, adjudicate workers' compensation claims of higher technical complexity, with a direct impact on departmental results.

ME17 days ago

$37.66–$44.33 Per Hour

ME11 days ago

$18.61–$27.79 Per Hour

Business Communications, Claims Processing, Clerical Skills, Data Entry, Detail-Oriented, Documentations, Insurance Claims, Investigative Thinking, Invoice Processing, Invoices, Large Loss Claims, Large Scale Data Processing, Microsoft Excel, Microsoft Office, Office Administration, Organizing, Outbound Calls, Police Reports, Timeliness. In this role, you will handle a variety of administrative tasks, including ordering police reports, submitting claims to other carriers, completing social media and trace report requests, and processing invoices.

Home Teleworkers, ME18 days ago

Remote

$74,295–$82,550 Per Year

Alabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, California - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker {+ 21 more}. Partners cross-functionally with Claims Operations Support, TPA relationship managers, business leadership, Legal/Compliance teams, and operational partners to identify risks, evaluate performance trends, and develop solutions that support operational excellence and regulatory compliance.

Portland, ME30+ days ago

$76,200–$114,300 Per Year

Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program.

Portland, ME30+ days ago

$68,200–$102,300 Per Year

Portland, ME30+ days ago

$22.12–$24.04 Per Hour

Whether you're directly supporting a growing family, or developing online tools to help navigate a difficult loss, customers are counting on the combined talents of our entire team. When you apply, you''ll be considered for positions such as Integrated Paid Leave Specialist, STD Benefits Specialist Trainee, Associate Leave Specialist, Eligibility Specialist and Associate Life Event Specialist.

South Portland, ME11 days ago

Preferred Skills, Capabilities and Experiences: Good oral and written communication skills, previous experience using PC, database system, and related software (word processing, spreadsheets, etc.) strongly preferred. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

Portland, Maine12 days ago

We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. Good oral and written communication skills, previous experience using PC, database system, and related software (word processing, spreadsheets, etc.) strongly preferred.

Portland, ME30+ days ago

Remote

$61,700–$101,900 Per Year

The Long-Term Disability (LTD) Senior Disability Claims Examiner is responsible for providing excellent customer service while managing an assigned block of around 95 to 100 Long-Term Disability claims. Document objective, clear and technical rationale for all claim determinations and demonstrate the ability to effectively communicate claim decisions to our customers via oral and written communication.

Portland, ME30+ days ago

$103,000–$154,500 Per Year

Portland, ME30+ days ago

$72,500–$108,800 Per Year

The Senior Manager, Life & Disability Claims is part of the Claims Management Team and is responsible for the successful management of the day-to-day operations of our Long Term Disability claims team, as well as fostering client relations and ensuring the accurate risk management of disability claims. What you will do: Leads, manages, hires, trains, retains and motivates a team of claims professionals capable of and committed to providing exceptional service to clients, claimants and internal DRMS partners.

Westbrook, ME19 days ago

Berkley Corporation (NYSE: WRB), one of the largest property casualty insurance holding companies in the United States, our financial strength and integrity are two of the main reasons why Independent Agents place business with us. Under general direction, handles the most complex cases and those involving the most complex questions of coverage, compensability, legal liability and damages.

ME30+ days ago

$75,000–$82,000 Per Year

Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | MA, ME,NH, RI, DE, VT Jurisdictions | License Required (Evergreen) Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands? To analyze Workers Compensation Lost-Time claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.

ME30+ days ago

$53,300–$88,000 Per Year

You will manage a caseload of Short-Term Disability and Absence claims, applying sound judgment, analytical expertise, and empathy to deliver timely, accurate, and fair claim decisions. Work/Life Resources to help support topics such as parenting, housing, senior care, finances, pets, legal matters, education, emotional and mental health, and career development.

ME30+ days ago

Remote

$76,208–$125,756 Per Year

The Claims Specialist directs the management of claims including claims investigation, coverage analysis, monitoring of defense counsel activities, control of legal expenses, reserving, and providing technical expertise throughout the life of the claim file. For that reason, we partner with The Predictive Index (PI) - an organization equally committed to improving the working lives of people, to help us hire the best talent by providing additional insight about one's work style.

Portland, ME13 days ago

Remote

Acts as business owner for claims processing and edit vendors, ensuring oversight of vendor, including day-to-day management, roadmap reviews and joint operating committee management. Oversees the research, development, implementation, ongoing operational maintenance and administration of provider payment methodologies and fee schedules for all provider types in support of provider contractual arrangements.

Portland, Maine30+ days ago

Expert-level, proactive communication skills using a variety of pathways including telephone, email, letters, Teams messaging, group Teams calls, and one-on-one video calls to deliver exceptional, white-glove service to the customer. With exposure to multiple products, including Short Term Disability, Statutory Leaves, Absence, Long Term Disability, and Life Waiver of Premium, the Senior Claim Manager will deliver world-class service that ensures a more effortless experience for the employee.

Westbrook, Maine30+ days ago

Home Teleworkers, ME13 days ago

Remote

$129,825–$144,250 Per Year

Alabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, California - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker {+ 21 more}. Operating as a senior individual contributor, the position manages key TPA and client relationships, supports strategic program initiatives, and helps ensure operational alignment, transparency, and strong partner experiences across multiple stakeholders and programs.

Telecommuter, ME12 days ago

Remote

$80,000–$85,000 Per Year

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. To analyze Lost-Time Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.

ME30+ days ago

Remote

$70,000–$80,000 Per Year

To analyze Medical Only & Lost-Times Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. PRIMARY PURPOSE OF THE ROLE: We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

New!

Portland, Maine5 days ago

The Senior Manager, Life & Disability Claims is part of the Claims Management Team and is responsible for the successful management of the day-to-day operations of our Long Term Disability claims team, as well as fostering client relations and ensuring the accurate risk management of disability claims. · Leads, manages, hires, trains, retains and motivates a team of claims professionals capable of and committed to providing exceptional service to clients, claimants and internal DRMS partners.

ME30+ days ago

Epic Application Analysts 2-4 require current Epic training status (certification, accreditation, and/or proficiency) in primary application required, with a combination of current Epic training statuses in additional area(s) in application maintenance and development required in upper levels. Ideal candidates will possess strong experience as analyst with expert knowledge and experience in leading system analysis with special emphasis on system methodologies, projects management and business process reengineering related to information systems required.

ME30+ days ago

Remote

$63,404–$88,765 Per Year

To analyze GL Litigated, Premise, Auto, Bodily Injury & Product claims on behalf of our valued dedicated client to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. PRIMARY PURPOSE OF THE ROLE: We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

Work At Home, ME11 days ago

$18.50–$42.35 Per Hour

Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Review and adjust SF (self-funded), FI (fully insured), Reinsurance, and/or RX claims; adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines.

Portland, ME30+ days ago

$54,100–$81,200 Per Year

Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. This requires applying the appropriate contractual provisions; plan specifications of the underlying plan document; professional case management resources; and claims practices, procedures and protocols to the medical facts of each claim to decide on reimbursement or denial of a claim.

Work At Home, ME19 days ago

$17–$28.46 Per Hour

Analyzes claims data and generate reports to identify trends, patterns, or areas for improvement to help inform process enhancements, policy changes, or training needs within the claims processing department. Performs claim documentation review, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing.

ME30+ days ago

$66,330–$145,860 Per Year

Directs work flow to ensure the efficient and accurate processing of medical claims by establishing and monitoring productivity and quality metrics, managing and developing a team of claims support individuals, implementing process improvement initiatives, and fostering collaboration with internal and external stakeholders to optimize claim processing, minimize errors, and enhance overall operational effectiveness and customer satisfaction. Assists with the development of the claim processing budget by monitoring expenses, tracking budget variances, and identifying cost-saving opportunities while maintaining operational effectiveness and service quality.

ME30+ days ago

$56,000–$82,500 Per Year

Automobile Accidents, Case Management, Casualty Insurance, Claims Administration, Claims Litigation, Claims Resolution, Claims Review, Commercial General Liability Insurance, Commercial Liability, Complex Claims, Fractures, General Liability Claims, General Liability Insurance, Homeowners Claims, Homeowners Insurance, Homeowners Insurance Claims, Insurance Claim Handling, Insurance Policies, Liability Insurance, Litigation, Negotiation, Personal Injury Claims, Property Damage, Relationship Management. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products.

ME19 days ago

$50,000–$65,300 Per Year

Auto Collision (Inactive), Auto Collision Repair, Auto Insurance, Auto Insurance Claims, Automobile Accidents, Automobile Liability, Case Management, CCC ONE, Claims Administration, Claims Resolution, Claims Review, Customer Service, Insurance Claims Investigations, Insurance Coverage, Insurance Policies. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products.

ME30+ days ago

$98,100–$167,850 Per Year

The individual grants settlement authority on the most complex claims valued in excess of Market Claim Office (MCO) and Regional Claim Office (RCO) limits, approving requests to go to trial on cases where the gross exposure is in excess of MCO authority, and general oversight of all large losses for a specific CSA or CSAs. Bodily Injury Claims, Client Counseling, Commercial Insurance Claims, Complex Claims, Conflict Management, General Liability Insurance, Homeowners Claims, Insurance Claims, Insurance Coverage Analysis, Large Loss Claims, Liability Insurance, Multitasking, Personal Injury Claims, Prioritization, Strategic Thinking, Task Management, Time Management.

Portland, ME30+ days ago

Previous Experience: Demonstrated proficiency in covert surveillance techniques, capturing high-quality video footage, and preparing thorough, well-organized investigative reports. This role involves performing both stationary and mobile surveillance, obtaining video and photographic evidence, and preparing thorough, detailed reports for clients.

Portland, ME30+ days ago

$57,000–$83,000 Per Year

An Associates or Bachelors degree in Criminal Justice or a related field, or five years of insurance claims investigation experience or five years of professional investigation experience with law enforcement agencies, or seven years of professional investigative experience involving economic or insurance fraud related matters. The Investigator will work collaboratively with the Claims Department and Legal to quickly identify and combat potential fraud in a business environment that values speed and service, allowing us to quickly process and pay legitimate claims for our policyholders.

Portland, ME30+ days ago

Position: Property Adjuster Location: Portland, ME (Hybrid: Work From Home + Driving Role) What We're Looking For: • Minimum 2 years of Property Adjuster experience • Minimum 2 years of Xactimate experience • Strong analytical and communication skills • Ability to work independently and travel for inspections. Settles claims by determining insurance carriers liability, clients instructions and authority levels required by obtaining demands and making offers to claimants, issuing settlement checks, making filings with regulatory agencies, disposing of salvage, pursuing subrogation when appropriate.

Portland, ME30+ days ago

The Assistant Retail Manager provides flexible support to the Retail Manager in all aspects of store operations at their designated "home" market location, including personnel management, inventory management, communication, and store upkeep. The Assistant Retail Manager works closely with the Retail Manager, Director of Retail Operations, and store employees to ensure that store operations and culture are aligned with Rosemont's strategy and overall business goals.

Home Teleworkers, ME22 days ago

Remote

$110,700–$123,000 Per Year

Alabama - Home Teleworkers, Alabama - Home Teleworkers, Arkansas - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers, Nebraska - Home Teleworkers {+ 20 more}. Pursuit or completion of industry-relevant continuing education, including graduate degrees, MBS, risk and insurance designations from The Institutes (AINS, AIC, ARM, CPCU, etc.), or actuarial exams and designations (ACAS, FCAS, CERA).

Portland, Maine26 days ago

Brunswick, ME13 days ago

Who We Are and What We're About: Our core focus is delivering customized medication management solutions to support healthcare organizations serving seniors and individuals with complex care needs. With our comprehensive suite of tech-enabled pharmacy services and a dedicated team of professionals committed to enriching the lives of those we serve, we are redefining how pharmacy care is delivered.

Kennebunk, ME30+ days ago

Patient Care Coordinators are responsible for providing exceptional service by welcoming our patients and ensuring all check-in and checkout processes are completed. Acknowledge and greets patients, customer, and vendors as they walk into the practice, in a friendly and welcoming manner.

Scarborough, ME30+ days ago

$20–$28 Per Hour

Respect the Individual: Embraces differences in people cultures ideas and experiences creates a workplace where associates feel seen supported and connected through a culture of belonging creates opportunities for all associates to thrive and perform helps to attract the best talent. Serve our Customers and Members Makes decisions based reliable information balances short and longterm priorities and considers how own work impacts the teams ability to deliver on our purpose for all stakeholders.

Brunswick, Maine15 days ago

Our core focus is delivering customized medication management solutions to support healthcare organizations serving seniors and individuals with complex care needs. With our comprehensive suite of tech-enabled pharmacy services and a dedicated team of professionals committed to enriching the lives of those we serve, we are redefining how pharmacy care is delivered.

Bath, ME18 days ago

$60.90–$82.30 Per Hour

Walgreens has approximately 211,000 team members, including roughly 85,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities. Opportunities for growth - Many pharmacists advance quickly into leadership roles in pharmacy operations, retail management, multi-site leadership, and corporate support functions.

Biddeford, ME30+ days ago

$64.60–$71.05 Per Hour

Cornish, ME30+ days ago

$5,863.20–$6,438.20 Per Week

Walgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities. Models and shares customer service best practices with all team members to deliver a distinctive and joyful patient experience, including interpersonal habits that show care (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., demonstrating curiosity to identify needs and proactively helping, servicing until satisfied, championing empathy and inclusivity, etc.).

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Claims Jobs in Westbrook, ME

Licensed Clinical Professional Counselor (LCPC) - Remote Talkspace

Claims Adjuster Trainee The Progressive Corp

Workers Compensation Claims Adjuster | NJ & VA Jurisdictions | Dedicated Client & Capped Caseload Sedgwick Claims Management Services, Inc.

Injury Claims - Attorney Represented The Progressive Corp

TEMP-Workers' Compensation Claims Adjuster Argo Group International Holdings Inc

TEMP Workers' Compensation Claims Adjuster Argo Group International Holdings Inc

Large Loss Claims Admin Allstate Insurance Company

Commercial Claims Quality & Performance Analyst III - Remote CSAA Insurance Group

Senior Manager, Insurance and Claims Advocacy Sun Life Financial Inc

Senior Manager, Stop Loss & Health Claims Sun Life Financial Inc

Leave and Disability Claims Roles Unum Group

Claims Representative I (South Portland, ME & Roanoke, VA) Elevance Health Inc

Claims Representative I (South Portland, ME & Roanoke, VA) Elevance Health

Senior Disability Claims Examiner (LTD) (Virtual) Prudential Financial Inc

Associate Director, LTD Claims Sun Life Financial Inc

Senior Manager, Claims Sun Life Financial Inc

Senior Casualty Claims Specialist W. R. Berkley Corp

Workers Compensation Claims Examiner | MA, ME,NH, RI, DE, VT Jurisdictions | License Required (Evergreen) Sedgwick Claims Management Services, Inc.

Disability Claims Examiner - Short-Term Disability/Absence (Virtual) Prudential Financial Inc

Claims Specialist - Medical Professional Liability ProAssurance Corp

Senior Director, Claims & Payment Integrity - Remote Martin's Point Health Care LLC

Group Insurance Sr. Disability Claims Examiner Prudential Financial

Senior Casualty Claims Specialist Berkley

Commercial Claims Programs Consultant - Remote CSAA Insurance Group

Workers Compensation Claims Examiner | CT, MA, NH, RI, VT Jurisdictional Knowledge | Remote Sedgwick Claims Management Services, Inc.

Workers'''' Compensation Claims Examiner | NY & VT Jurisdictional Knowledge | Remote Sedgwick Claims Management Services, Inc.

Senior Manager, Claims Sun Life

EPIC Applications Analyst (1-4): Professional Billing Admin and Professional Billing Claims - IT Services - Full Time SolutionHealth

EPIC Applications Analyst (1-4): Hospital Billing Admin and Hospital Billing Claims - IT Services - Full Time SolutionHealth

Liability Litigation Claims Examiner | Litigation, Premise, Auto, BI & Product Claims Experience | Remote Sedgwick Claims Management Services, Inc.

Senior Claims Benefit Specialist CVS Health Corp

Stop Loss & Health Claim Analyst Sun Life Financial Inc

Claim Benefit Specialist CVS Health Corp

Manager, Claim Processing CVS Health Corp

Bodily Injury Adjuster - Litigation & Homeowner Liability Allstate Insurance Company

Auto Adjuster I, II or Sr. Allstate Insurance Company

Large Loss Bodily Injury Adjuster Allstate Insurance Company

Investigator Ethos Risk Services

SIU Investigator Chubb Ltd

Property Adj Crawford & Co

Retail Assistant Manager Rosemont Market & Bakery

Commercial Insurance Analyst - Remote CSAA Insurance Group

Surveillance Investigator Allied Universal

Pharmacy Billing Specialist Guardian Pharmacy LLC

Patient Care Coordinator Acuity EyeCare Holdings LLC

(USA) Pharmacy Tech Sam''''''''s Walmart Inc

Pharmacy Billing Specialist Guardian Pharmacy Services Management

Pharmacist - Sign-On Bonus Available Walgreen Co

Pharmacist Walgreen Co

Pharmacy Manager - Sign-On Bonus Available Walgreen Co

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