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Manage complex Workers' Compensation claims from intake through resolution: investigate compensability, establish reserves, authorize payments, coordinate with case managers and attorneys, handle subrogation and litigation, negotiate settlements, report to carriers, coordinate return-to-work, maintain compliance with state regulations, and communicate claim status to customers and claimants.

Manage lower-level, non-complex workers' compensation indemnity claims within delegated authority: receive and validate claims, confirm coverage, establish reserves, authorize payments, communicate status with stakeholders, and assist senior claims professionals with complex cases while adhering to client and carrier guidelines.

The QA Engineer automates and executes testing for software applications, leveraging AI tools, creating complex SQL scripts, and collaborating with teams to ensure high-quality testing results in healthcare management.

The Implementation Manager oversees product enhancements, project management, and client implementations, ensuring smooth transitions to operational teams. They coordinate resources, facilitate communication among stakeholders, and manage all aspects of the implementation process.

Manage complex workers' compensation claims from intake through resolution: investigate compensability, set reserves, coordinate case management and return-to-work, handle subrogation and litigation, negotiate settlements, report to carriers, and maintain regulatory and client compliance while delivering strong customer service.

Schedule and confirm IME appointments with physicians, clients, and patients; prepare charts and exam notifications; coordinate records, ancillary services, invoicing, and provider payments; maintain records and follow state guidelines.

Manage mid-to-complex auto and general liability claims (bodily injury and property damage). Investigate claims, determine coverage and compensability, establish reserves, authorize payments within limits, handle litigated files, communicate with customers/clients/claimants, and follow client/carrier guidelines while collaborating with team and delegated authorities to achieve optimal outcomes.

Lead and develop a 24/7 National Help Desk delivering tier-one support; manage SLAs, incident management, staffing, training, and reporting; drive adoption of AI, automation, and modern service management technologies to improve service delivery and operational performance.

Manage complex Workers' Compensation claims from intake through resolution including coverage determination, reserving, payments, subrogation, litigation coordination, return-to-work efforts, reporting to carriers, and maintaining regulatory compliance while supporting customers and claims goals.

Oversee the daily operation of a designated claims office, lead and develop staff, ensure workers' compensation regulatory compliance, manage high-dollar claim review/settlement, optimize processes, staffing, training, and travel overnight as needed.