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Manage lower-level, non-complex workers' compensation claims within delegated authority: confirm coverage, determine compensability, establish reserves, authorize payments, communicate status to stakeholders, and assist senior claims professionals on complex cases.

Manage a regional portfolio (accounts ≥ $1M; portfolio > $5M) to drive retention, revenue growth, contract renewals, and service delivery. Build executive relationships, lead stewardship meetings, coordinate implementations across teams, track issues and AR, and document opportunities in Salesforce. Provide consultative guidance and present renewals or upsell proposals.

Respond to providers via phone and email about bill review questions, interpret workers' compensation guidelines and client contracts, navigate bill review systems to retrieve information, explain fee schedules, contracted rates and carve-outs, document bill review errors to improve trends, and follow company standards. May transition to a Knowledge Center Representative role handling first-call resolution and data entry into CareMC.

Perform bill review clerical duties including mail prep, scanning, data entry and validation of medical bills, apply customer-specific rules, communicate status with supervisor, and assist the bill review team with phone and email tasks.

Manage lower-level, non-complex New York workers' compensation claims within delegated authority: confirm coverage, determine compensability, set reserves, authorize payments, communicate with stakeholders, and assist senior claims professionals on complex matters.

Designs and delivers classroom, virtual, and field training; develops curricula, SOPs, job aids, and train-the-trainer programs; administers LMS; monitors onboarding and competency; measures learning outcomes; maintains version-controlled training documentation and aligns content with business processes.

Support claims staff by setting up new workers' compensation claims, processing mail/files/payments and forms, entering notes/diaries into the claims system, assisting examiners with phone calls, and performing other administrative duties as assigned.

Perform clerical bill review tasks for the bill review department, including mail handling, prepping and scanning medical bills, data entry, verifying data against customer rules, and supporting phone and email inquiries. Maintain communication with supervisors about queue status and assist with additional clerical duties as assigned.

The Case Management Supervisor directs department operations, oversees employee performance, ensures quality service, and manages human resources-related tasks.

The Account Manager manages client relationships, ensures service quality, drives account revenue growth, conducts meetings, and leads service discussions to meet customer expectations.