• Investigate, evaluate, and adjust insurance claims to determine coverage, liability, and damages in compliance with carrier authority, company guidelines, and Department of Insurance regulations. • Analyze policy language and prepare accurate coverage correspondence, including reservation of rights and denial letters, as applicable. • Conduct thorough investigations, including interviews, site inspections, and review of police reports, medical records, photographs, and proof of loss. • Document claim activity and prepare detailed reports addressing coverage analysis, damage assessments, reserves, and settlement recommendations. • Negotiate fair and timely claim resolutions in accordance with legal requirements, industry standards, and assigned authority. • Communicate professionally with claimants, insureds, brokers, attorneys, and other stakeholders, providing timely updates and responsive customer service. • Collaborate with internal teams, including management, coverage, and accounting, and participate in carrier calls, presentations, mediations, and strategic discussions. • Maintain complete, accurate, and timely claim files in the claims management system, including diaries, notes, correspondence, and required documentation. • Monitor claim progress, meet established deadlines, and ensure ongoing regulatory and carrier compliance. • Stay current on industry trends, regulations, and best practices through ongoing training and professional development.

The Opportunity We are seeking a dedicated, data-driven Claims & Strikes Administrator to join our Strikes organization. This is a newly created role designed to centralize our claims management and data integrity efforts. Reporting directly to the VP of Engineering, you will serve as the primary bridge between insurance providers, finance, and GRC leadership. If you are a self-starter who thrives in an independent environment and possesses a deep understanding of the claims lifecycle, from dispute to closure, this is the role for you. We are looking for an expert who can navigate complex claims landscapes and ensure our data management remains a high-functioning asset for the company. Responsibilities Claims Management - Act as the primary point of contact for insurance providers, claimants, and claims reps through to closure (dispute or payment) - Conduct QA/QC on claims documentation, collaborating with middle management to ensure absolute accuracy - Manage communication between insurance and GRC leadership regarding strike and safety-related issues - Gather evidence from market leaders to support GRC in disputing damage claims - Partner with Finance to settle claims involving subcontractors (e.g., charging against retainage) and ensure they are aware of all financial impacts Strike & Incident Management - Utilize Zoho and GRC tracking systems to generate high-level reporting on strike and safety data - Track strike footage and create project ratios (strike-per-foot), categorizing events by preventable vs. non-preventable - Ensure all incident reports (MVA, General Liability, Illness/Injury) are accurately entered into Zoho - Clearly define and reflect preventable vs. non-preventable events with insurance providers Reporting & Analysis - Produce all claims and safety financial reporting - Report tracking milestones to the strike and safety teams - Maintain strict confidentiality and discretion regarding sensitive claim and safety data Required Qualifications - Experience: Proven experience managing insurance claims (Construction, MVA, or General Liability preferred) - Data Mastery: Strong experience in data entry, management, and analysis - Technical Skills: Proficiency in Excel/Google Sheets (formulas, pivot tables, charts) and experience building dashboards within databases (Zoho One or Salesforce preferred) - Autonomy: Ability to work independently without "hand-holding" and manage multiple concurrent projects - Communication: Ability to handle "complicated conversations" and disagreements regarding insurance recommendations with diverse stakeholders Preferred Qualifications - Experience tracking and reporting strike ratings for bids and project development - Previous experience within the construction or telecommunications industry - Strong analytical, problem-solving, and organizational skills - Strong written and verbal communications skills - Understanding of basic utility construction processes and terminology a plus Additional Information Salary Range: $65,000 - $80,000 + 10% Bonus Schedule: Day Shift: Monday - Friday Travel Requirements: Remote (Must be willing to travel 5-10%) Role Openings: 1 Target Start Date: 2-3 weeks from offer Interview Process - Recruiter Screen - Interview with the Platform Operations Specialist - Final Interview with VP of Engineering - Conditional offer upon successful background check Equal Opportunity Employer Glass Roots Construction (GRC) is an Equal Opportunity Employer. We are committed to creating a diverse environment and are proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity, sexual orientation, national origin, disability, or veteran status. Reasonable Accommodation Glass Roots Construction (GRC) provides reasonable accommodations to individuals with disabilities. If you require accommodation to participate in the hiring process or to perform the essential functions of this job, please contact us at GRCJobs@glassrootsconstruction.com.

• Review medical claims thoroughly to ensure no missing or incomplete information • Navigate multiple computer systems and platforms to research and process assigned claims accurately (e.g., verifying pricing, prior authorizations) • Apply appropriate benefits to each claim in accordance with claims processing policies, including grievance procedures, state mandates, CMS guidelines, and benefit plan documents • Review documentation to assess whether the visit was necessary and whether the policy covers the treatment received • Determine if claims should be paid or denied, and complete denial letters when applicable

• Investigate and manage claim files to help individuals and businesses prevail after a claim • Handle higher complexity Workers’ Compensation claims requiring timely investigations, financial accuracy, effective benefit oversight, appropriate file disposition, and adherence to statutory guidelines • Plan, recommend, and execute the investigation and disposition of claims consistent with corporate claim standards policies and procedures, and statutory, regulatory and ethics requirements • Manage caseload/claims within established performance standards • Establish and maintain effective relationships with customers, gaining their trust and respect • Be responsible for successfully managing Workers' Compensation claims • Fully engage your exceptional verbal and numerical critical thinking skills; gather information, apply reasoning and draw appropriate conclusions to make sound decisions • Plan recommend, reserve and execute the investigation, valuation, disposition and settlement of claims • Achieve fair, equitable and timely claim dispositions • Properly assess the indemnity, medical and expense exposure of assigned claims • Set reserves accurately and in a timely manner • Accurately resolve coverage and compensability issues • Plan, organize and establish priorities, determine realistic completion dates • Develop technical and jurisdictional expertise • Maintain current knowledge of claim loss cost containment initiatives and use them appropriately and consistently with company practices and procedures • Identify and initiate mitigation, subrogation and other recovery opportunities on assigned claims • Identify fraud indicators and initiate investigation on assigned claims • Apply general mathematical knowledge or financial analysis to achieve results