Top Tech Jobs & Startup Jobs in Charlotte, NC

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.

Manages lower-complexity workers’ compensation claims under senior supervision. Responsibilities include confirming coverage, determining claim validity and compensability, establishing reserves, authorizing payments within delegated limits, communicating claim status, following client and carrier guidelines, participating in reviews, and assisting with complex claims. The role requires strong communication, problem-solving, organizational, computer, and teamwork skills, plus a workers’ compensation license or certification.

Sell CorVel services to prospects and existing accounts, meet activity and sales targets, document opportunities and activity in Salesforce, respond to RFPs, attend meetings and conferences, and provide exceptional customer service to grow market share.

Manage lower-level, non-complex workers' compensation claims: intake, coverage verification, compensability determination, reserve setting, authorize payments within limits, communicate status, follow client/carrier guidelines, and assist with complex claims under senior supervision.

Develops and deploys production machine learning models and data products for enterprise use. Responsibilities include data mining, feature engineering, model evaluation, NLP and LLM/RAG solutions, API and pipeline integration, cloud-based deployment, model validation, A/B testing, documentation, and lifecycle management. The role translates business needs into scalable data science solutions and collaborates with product, engineering, and business stakeholders throughout the SDLC.

Contribute to corporate information security by assessing designs, selecting controls, performing threat modeling and vulnerability management, supporting risk and vendor assessments, and advising engineering teams on secure solutions and governance.

Prepare, review, and submit Workers' Compensation EDI FROI and SROI filings using vendor platforms. Analyze claim data, interpret state-specific EDI implementation guides and reporting rules, resolve transaction errors/rejects, monitor compliance with deadlines, communicate with internal stakeholders, and ensure HIPAA and regulatory compliance.

Lead end-to-end product management for PBM, Ancillary Benefit Management, and specialty network offerings. Define roadmap, ensure regulatory and contractual compliance, drive profitability and client metrics, coordinate cross-functional stakeholders, streamline operations, support RFP/pricing, and launch/optimize products to align with business objectives.

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.