Players Health

Claims Specialist

• Maintain oversight of commercial claims including complex and litigated matters
• Perform second- and third-level reviews
• Validate coverage, liability, reserves, and settlement strategies
• Provide direction to TPAs, adjusters, and counsel
• Perform file audits and QC checkpoints, track SLAs, cycle times, litigation rates, and recoveries
• Support internal and external audit and develop remediation plans
• Conduct routine claims audits and quality reviews
• Develop and maintain claims dashboards to track trends, performance metrics, and program health
• Partner cross-functionally with Athlete Safety to share claims data, loss trends, and emerging risk insights
• Analyze claim outcomes across TPAs, jurisdictions, and programs to inform process improvements and underwriting insights
• Submit GL and A&H claims and manage ongoing communication with TPAs
• Support MGA financial and regulatory reporting, including carrier-specific and state-required submissions
• Lead data cleanup initiatives across MGA and claims systems to improve reporting accuracy
• Lead, mentor, and develop a growing team by establishing clear standards, workflows, and accountability

Senior Claims Analyst

Accounting Manager

• Direct all monthly, quarterly, and annual close activities across multiple entities
• Oversee preparation of GAAP financial statements, management reports, and board packages
• Maintain and improve accounting policies, procedures, and internal controls
• Support budgeting, forecasting, and financial modeling in partnership with FP&A
• Provide financial insights to executive leadership to inform strategy
• Supervise general ledger, revenue recognition, accounts payable/receivable, and bank reconciliations
• Oversee premium accounting, trust account reconciliations, and producer commission processing
• Manage team performance, hiring, and ongoing training
• Coordinate with external auditors and tax advisors
• Ensure compliance with financial covenants, trust account rules, and state-level regulatory requirements
• Maintain knowledge of statutory accounting principles (SAP) to support carrier reporting, bordereaux accuracy, and MGA obligations
• Contribute to system implementations, automation, and process improvements

Senior Claims Analyst

Head of Accounting