Operations

• Assist in keeping service standards on track
• Ensure regulatory and litigation workflows run smoothly
• Equip adjusters and leaders with accurate, timely operational intelligence
• Service compliance & QA
• Audit callback alerts
• Track call answer rates and trends
• Maintain and publish the Litigation Calendar for the Complex Unit
• Submit external subpoenas via approved vendors; process external subpoena responses
• Prepare Utilization Review determination responses and manage medical-records uploads
• Build/maintain transfer templates to move files between Complex and Lien units
• Draft “no coverage” letters in partnership with the Coverage team
• Review Legal Ops invoices for accuracy and policy alignment
• Process overflow work: adjuster alerts, ISO activity, FROI filings, and related File reviews
• Coordinate review schedules with leaders and insureds
• Standardize and collect claim summaries, ensuring completeness ahead of reviews
• Flex to support priority initiatives and stakeholders when volume or complexity spikes.

Claims Operations Associate

Director, Technical Label Operations

Senior Director, Global Operations Planning – Onsite

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