Top Tech Jobs & Startup Jobs

Assesses business interruption and other financial claims for clients, reviewing financial information, preparing analytical reports, calculating interim payments, and negotiating settlements. The role involves site visits and meetings with insurers, reinsurers, claimants, and insured parties. It also requires maintaining case records, monitoring legal and technical developments, developing client relationships, identifying new business opportunities, and supporting less experienced staff.

Conducts business and productivity analyses, researches operational systems, and recommends process improvements. Supports the future-state operating model by organizing workshops, documenting decisions, obtaining approvals, and developing procedures. Produces Power BI reporting and validates client data, supports client setup and renewals, evaluates technology solutions, assists with requirements, audits processes, and contributes to budgeting, billing, and collections. Collaborates with client services, business units, IT, customers, vendors, and consultants to improve efficiency and client satisfaction.

Investigates, evaluates, and resolves advanced, large-loss, and complex Alabama workers compensation claims. Determines coverage, compensability, liability, reserves, payments, settlements, subrogation, and recovery opportunities. Manages litigation strategy with defense counsel, prepares claim reports, participates in reviews, and supports team development through training and mentoring.

Investigates, evaluates, and resolves complex liability claims independently. Reviews policy coverage, determines liability, establishes reserves, authorizes payments, negotiates settlements, manages litigation strategy with counsel, identifies recovery opportunities, prepares claims reports, and supports team development through training and mentoring.

Investigates, evaluates, and settles complex liability claims, including advanced and large-loss cases. Reviews coverage, determines liability and compensability, sets reserves, authorizes payments, coordinates appraisals, manages litigation discovery with counsel, and identifies recovery opportunities. Prepares claims reports, participates in reviews, supports defense attorneys, and mentors or trains new hires while working independently within established authority.

Manage complex liability claims end-to-end: investigate coverage and liability, set reserves, authorize payments within authority, coordinate discovery and litigation strategy, pursue subrogation, prepare reports for clients/carriers, and mentor/train junior staff. Work independently on large-loss and difficult claims while collaborating with supervisors and defense counsel.

Manages client relationships for medical management programs in a third-party administrator environment. Coordinates implementation, clinical service delivery, reporting, performance improvement, issue resolution, renewals, retention, and account growth. Partners with claims, clinical, and operational teams to improve medical cost containment and return-to-work outcomes. Requires expertise in workers’ compensation, managed care, medical claims, treatment progression, pricing, invoicing, and healthcare account management.

Processes and reviews client information according to standard procedures, identifies and reconciles adjustments or variances, prepares reports, manages documentation, routes tasks, resolves inquiries, and escalates issues appropriately. The role requires confidentiality, accurate file management, effective communication, multitasking, and adherence to compliance requirements, including restrictions on interpreting clinical information.

Prepares new, renewal, and addendum contracts; initiates and tracks review processes for large and special agreements; monitors pending contracts; prioritizes work; reviews client redlines and identifies concerns for attorneys; supports special projects and maintains ethical, accurate, deadline-driven contract administration.

Reviews and processes client information according to SOPs, identifies and reconciles adjustments and variances, prepares reports, resolves inquiries, manages documentation, routes tasks, and escalates issues when necessary. The role also performs administrative support while maintaining confidentiality, accuracy, professionalism, and compliance with limits on interpreting clinical information.