Top Tech Jobs & Startup Jobs in Charlotte, NC

Manages lower-complexity workers’ compensation claims under senior supervision. Responsibilities include verifying coverage, determining claim compensability, setting reserves, authorizing payments within limits, communicating with claimants and clients, following carrier guidelines, and supporting claims reviews. The role requires strong communication, organization, problem-solving, Microsoft Office proficiency, and a current workers’ compensation license or certification.

Manages mid-to-complex auto and general liability claims, including bodily injury, property damage, and litigated files. Responsibilities include confirming coverage, determining compensability, investigating claims, setting reserves, authorizing payments, communicating claim status, following client and carrier guidelines, and collaborating on complex cases. The role requires significant claims experience, active adjuster licensing, strong communication and analytical skills, and proficiency with Microsoft Office and Excel.

Handles complex Workers’ Compensation claims, including coverage investigation, compensability decisions, reserves, payments, subrogation, litigation, recoveries, settlement negotiations, and regulatory filings. Coordinates with case managers, attorneys, customers, claimants, and carriers to reduce claim costs and support return-to-work efforts. Maintains compliance with state requirements, manages claim documentation, communicates claim status, and supports team knowledge development.

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

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.