IT Support

• Design, develop, and maintain internal web applications and software solutions that support business objectives.
• Work with full-stack technologies to improve systems, automate processes, and enhance operational efficiency.
• Manage, maintain, and optimize databases to support data integrity, reporting, and application integration.
• Provide technical support across IT areas, including workstations, servers, networks, software, and business systems.
• Research, evaluate, and learn new technologies to solve business and technical challenges.
• Develop automation and systems integration solutions to streamline IT operations.
• Support IT security, compliance, and best practices throughout the software development lifecycle and IT environment.
• Adapt to changing priorities and business needs in a fast-moving, growth-oriented organization.
• Support IT projects across multiple locations, including travel as needed.
• Perform other duties as assigned to support the effectiveness and continued growth of the IT department.

IT Specialist

• Conducting technical reviews of claim files and compliance check points to evaluate claim handling, documentation, coverage application, and adherence to company standards and regulatory requirements.
• Analyzing state-specific claims handling requirements and documenting their impact on Claims processes and operations.
• Identifying quality, technical, and compliance trends and translating findings into actionable insights for leadership and stakeholders.
• Executing monitoring and testing of claims compliance controls and recommending improvements where gaps are identified.
• Participating in calibration discussions to ensure consistent interpretation and application of claim handling standards and expectations.
• Contributing to the development and refinement of audit tools, reporting processes, and review standards.
• Collaborating with Training, Claims Leadership, and Automation teams to address identified trends and improve claims handling practices.
• Drafting and updating Standard Operating Procedures and processes based on audit findings, regulatory changes, and business needs.
• Acting as the go-to resource for peers by providing guidance on unique claims scenarios, offering coaching, and contributing to team training and knowledge sharing.
• Supporting the execution of claims compliance projects by coordinating tasks, monitoring progress and risks, and ensuring timely delivery of project milestones and regulatory requirements.
• Managing complex ad hoc audits and reviews from planning through execution, including the evaluation of results, presentation of recommendations, and implementation of changes to enhance Claims department practices.

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IT Specialist

Claims Compliance Audit Specialist