Top Tech Jobs & Startup Jobs

Support and maintain claims management systems, manage security access and logins, process claim updates and adjustments, queue claims for Managed Care, run reconciliations, gather audit data, provide telephone support, and collaborate with internal teams to ensure policy compliance.

Review and analyze FMLA and paid leave claims to determine eligibility and benefits under client plans and regulations, make calculations and payments, communicate with claimants and clients, and maintain case documentation and service standards.

Perform month-end close, prepare and review general ledger entries and balance sheet reconciliations, research accounting and financial reporting issues, maintain internal controls, assist with audits, and support special projects and cross-departmental communication.

Adjudicate complex California workers' compensation claims, manage high-exposure and litigated files, calculate reserves and benefits, negotiate settlements, coordinate vendors, handle recoveries and statutory filings, and maintain client and claimant communications to achieve timely, cost-effective resolutions.

Collect, analyze, and report data to ensure data integrity and accuracy. Produce management and exception reports, support Business Development by creating/updating opportunities, assist client setup tasks, and generate custom/internal reports to improve quality and decision-making.

Analyze and establish FMLA and other unpaid leave claims, determine eligibility and required certification, track and code documentation, make timely case decisions, communicate outcomes to claimants and clients, maintain client relationships, and meet quality and service standards.

Lead regional Property of America business to drive profitable growth by acquiring and retaining clients, oversee property claims operations and staff, implement business and financial plans, ensure quality, compliance, and strong client relationships, and provide leadership and development for regional teams.

Lead regional operations to drive profitable growth through client acquisition and retention, implement annual business plans, manage talent and financial controls, oversee property & casualty staff, ensure quality and customer satisfaction, hire and develop colleagues, and facilitate communication across stakeholders. Travel as required.

Review and establish FMLA and paid leave claims; determine eligibility and benefits per client plans and regulations; calculate and process payments/adjustments; communicate with claimants and clients; maintain documentation and service standards.

Process and review subrogation claims and recoveries across lines of business; apply recoveries in claims systems; coordinate with collection agencies; respond to clients; prepare status reports; support Claims Recovery team and follow company procedures.