The specialist reviews and manages billing and collections for hospitals and physicians, acting as an intermediary to file claims, determine reimbursements, and manage denials. Key functions include working with insurance companies to resolve outstanding issues and analyzing claims for resolution toward payment, adjustment, or self-pay.

The Multi-line Adjuster will serve as an ambassador for customer service, working in dynamic environments to inspect damage, estimate repair costs, negotiate settlements, and issue payments. This role primarily focuses on servicing claims related to boats, motorcycles, RVs, and other specialty items.

This phone queue-based role involves servicing high volumes of inbound calls from members and providers regarding claims, contracting, and provider relations, requiring back-to-back handling throughout the day. Advocates must also make occasional outbound calls to research, resolve inquiries using multiple applications, and handle escalations or complaints.

The primary purpose is to supervise multiple teams of workers' compensation examiners and technical staff, monitoring workloads, providing training, and offering technical direction on claim adjudication. This role also involves maintaining claim diaries, especially for complex or high-exposure cases.