Top Tech Jobs & Startup Jobs

The Account Manager II is responsible for consultative customer service, account management, revenue growth, client retention, and coordination of internal and external implementations.

The Senior CERIS Operations Manager oversees departmental management including staff hiring, quality assurance, compliance with standards, and reporting metrics.

Supervise hospital bill audit nurses, ensuring accurate audits and compliance with regulations. Foster team collaboration and handle auditor inquiries while maintaining productivity standards.

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.

Manage non-complex California workers' compensation claims within delegated authority: validate claims, confirm coverage, establish reserves, authorize payments, communicate status to stakeholders, adhere to client/carrier guidelines, assist on complex claims, and comply with safety programs. Role supports senior claims professionals and handles future medical claims remotely while maintaining required California certifications.

Manage non-complex workers' compensation indemnity claims within delegated authority: intake, coverage determination, reserving, authorizing payments, claimant/client communication, and adherence to client/carrier guidelines under senior supervision.

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.

The Claims Specialist manages lower-level workers' compensation claims, ensuring validity, compensability, and communication with clients while working under supervision.

Supervise and coach a Workers' Compensation claims team, ensure regulatory compliance, manage performance, assist with hiring/onboarding, provide technical/jurisdictional guidance on complex claims, liaise with clients, participate in claim reviews, and travel overnight for meetings as required.