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The Provider Management Analyst verifies provider information and documentation for claims, communicates issues, and ensures confidentiality of medical records.

The Appeals Representative analyzes appeals in accordance with policies and guidelines, communicates with providers, and ensures timely completion of appeals while adhering to industry standards.

The Data Verification Specialist performs clerical duties including bill review, data entry, data verification, and communication with supervisors to support the bill review department.

The Workers' Compensation Claims Supervisor supervises staff, ensures compliance with laws, provides training, guides claims staff, and maintains team performance.

The Business Analyst will evaluate business processes, collaborate with stakeholders for improvements, and translate workflows into software requirements with a focus on claims and care management systems.

Serve as technical claims QA expert by auditing claim handling for accuracy, timeliness, compliance and reserving; report trends, develop and deliver QA training, manage corrective action plans, and test software/website functionality to identify defects.