SUMMARY: Claim Representative I: This is the entry level professional claim handler. Handles medical only and indemnity benefits. Exercises some discretion in the determination of compensability of claims. Considers many factors in the determination claim reserves. Negotiates and settles claims within given authority. Claim Representative II: This is the intermediate level of the claim handler career path. Handles moderate to difficult claims. Exercises progressively more discretion in the determination of compensability of claims. Considers many factors in the determination claim reserves. Negotiates and settles claims within given authority. Claim Representative III: This is the advanced level of the claim handler career path. Investigates claims and exercises significant discretion in the determination of compensability of claims. May handle large, more complex customers requiring high touch, labor intensive claim service. Considers many factors in the determination claim reserves. Negotiates and settles claims within given authority. Mentors lower level claim handlers. Coordinates special projects and provides guidance to others. RESPONSIBILITIES/TASKS: Claim Representative I, II, III: - Verifies workers’ compensation coverage of employers and injured employees. - Determines compensability under workers’ compensation by thorough investigation of the claim. - Determines causal relationship between the reported injury and the incident to ensure appropriate payment of benefits. - Facilitates return to work for the injured employee. - Establishes timely and appropriate reserves based on the profile of the claim within given authority based on anticipated financial exposure. - Documents specifics of claims with potential for subrogation recovery, including amount of potential recovery monies. - Manages medical bills for non-indemnity and indemnity claims directly associated with the claimed injury. Approves payment based on knowledge of the treatment plan and medical support showing relationship of treatment to the injury. - Concludes and closes files following resolution of claims to meet internal performance standards while complying with state legislation to avoid penalties and manage expenses. - Negotiates settlements with attorneys or injured parties within given authority at the earliest possible point to bring cases to final disposition. - Works closely with manager on complex files or files above settlement/reserve authority. - Manages outside vendors to ensure cost containment efforts. - Establishes and maintains effective working relationships with all internal and external customers. - Stays abreast of changes in workers’ compensation statutes, case law and rehabilitation efforts/advancements in order to accurately interpret and apply relevant laws. ADDITIONAL RESPONSIBILITIES/TASKS: Claim Representative II, III: - Administers complex claims and catastrophic exposures within authority, including claims from dedicated large accounts. - Exercises independent judgment to settle cases prior to mediation or litigation. - Actively participates in agent/client relationship management. - Assists in mentoring team members. Claim Representative III: - Mentors team members. - Conducts audits of claim files. - Acts as a back up for team leader. - Coordinates special projects. This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required. EMPLOYMENT QUALIFICATIONS EDUCATION OR EQUIVALENT EXPERIENCE: Claim Representative I, II, III: Bachelor’s degree in a related field. Relevant combination of education and experience may be considered in lieu of degree. Continuous learning, as defined by the Company’s learning philosophy, is required. Certification or progress toward certification is highly preferred and encouraged. EXPERIENCE: Claim Representative I: Minimum one year relevant experience that provides the necessary skills, knowledge and abilities or completion of claims trainee program. Bilingual skills preferred. Claim Representative II: Three years experience in a workers’ compensation claims environment which provides the necessary skills, knowledge and abilities, such as experience in reviewing, investigating and closing workers’ compensation claims. Experience handling claims in multiple jurisdictions preferred. Bilingual skills preferred. OR One year of AF Group Claims Representative I experience that includes handling of difficult or complex claims. Claim Representative III: Five years experience in a workers’ compensation claims environment which provides the necessary skills, knowledge and abilities, such as experience in reviewing, investigating and closing complex workers’ compensation claims. Experience handling claims in multiple jurisdictions preferred. Bilingual skills preferred. OR Two years of AF Group Claims Representative II experience that includes discretion in determining compensability of complex claims and/or handling complex, high touch or labor intensive customers. SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED: Claim Representative I, II, III: - Ability and proficiency in the use of computers and company standard software specific to position. - Knowledge of medical and legal terminology related to the work. - Knowledge of workers’ compensation laws and regulations, including jurisdictional laws. - Effective oral and written communication skills. - Effective customer service skills. - Ability to negotiate, build consensus and resolve conflict. - Ability to manage multiple priorities and meet established deadlines. - Attention to detail and analytical skills. - Ability to work independently as well as within a team. ADDITIONAL SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED: Claim Representative II, III: - Ability to make independent decisions. - Ability to solve complex problems. Claim Representative III: - Ability to train and mentor others. WORKING CONDITIONS: Work is performed in an office setting with no unusual hazards. Minimal travel required. PAY RANGE: Actual compensation decision relies on the consideration of internal equity, candidate’s skills and professional experience, geographic location, market, and other potential factors. It is not standard practice for an offer to be at or near the top of the range, and therefore a reasonable estimate for this role is between $56,700 and $94,900. The qualifications listed above are intended to represent the minimum education, experience, skills, knowledge and ability levels associated with performing the duties and responsibilities contained in this job description. We are an Equal Opportunity Employer. Diversity is valued and we will not tolerate discrimination or harassment in any form. Candidates for the position stated above are hired on an "at will" basis. Nothing herein is intended to create a contract. #LI-CD1 #AFG

Inovalon was founded in 1998 on the belief that technology, and data specifically, would empower the transformation of the entire healthcare ecosystem for the better, improving both outcomes and economics. At Inovalon, we believe that when our customers are successful in their missions, healthcare improves. Therefore, we focus on empowering them with data-driven solutions. And the momentum is building. Together, as ONE Inovalon, we are a united force delivering solutions that address healthcare’s greatest needs. Through our mission-based culture of inclusion and innovation, our organization brings value not just to our customers, but to the millions of patients and members they serve. Overview: The Business Development Manager applies healthcare industry knowledge, advanced sales acumen, and disciplined territory management to drive growth within an assigned geographic region or book of business. This role independently manages the full sales lifecycle from prospecting through close while maintaining rigorous pipeline management and consistent use of sales operations processes. The Business Development Manager builds influence with both customer stakeholders and internal partners through exceptional communication, consultative selling, and data‑driven insights. Duties and Responsibilities: - Drive demand and increase awareness of Inovalon’s products by engaging prospects and nurturing existing relationships through effective communication across multiple channels, including in‑person meetings, virtual interactions, and phone outreach. - Maintain disciplined and reliable execution of sales operations, including accurate CRM documentation (Salesforce), pipeline hygiene, forecasting, and follow‑up processes. - Identify, qualify, and develop net‑new business opportunities while expanding and strengthening existing client relationships. - Develop an understanding of Inovalon’s enterprise solutions and the ONE Inovalon mission, identifying and connecting opportunities across business units and collaborating with colleagues to ensure customers receive the full value of Inovalon’s offerings—even beyond the assigned territory or BU. - Work closely with assigned Sales team and other team members in your territory to qualify prospect accounts, ensure web demonstrations are completed in a timely and thorough manner, and all sales opportunities are properly gathered with Marketing, Sales, and Business Development departments. - Partner with Marketing to communicate customer insights, competitive trends, and emerging needs that influence product and go‑to‑market strategy. - Lead or support product presentations, solution positioning, and demonstration processes in collaboration with Sales, Marketing, and Business Development teams. - Develop a deep understanding of the territory’s market dynamics, competitive landscape, and customer needs to inform strategic sales planning. - Conduct effective discovery, needs assessments, and consultative conversations that influence customer decision‑makers. - Collaborate with assigned Sales Representatives, Marketing, and Business Development leaders to synergize sales efforts, follow up activities and support each other with identified new business opportunities and clients; - Travel to meet with prospective and existing clients to drive sales outcomes and strengthen relationships. - Serve as an informal mentor or coach to new hires by modeling best practices in sales process discipline, communication, and customer engagement. - Contribute to a positive team culture that emphasizes accountability, collaboration, and continuous improvement. - Maintain compliance with Inovalon’s policies, procedures and mission statement; - Adhere to all confidentiality and HIPAA requirements as outlined within Inovalon’s Operating Policies and Procedures in all ways and at all times with respect to any aspect of the data handled or services rendered in the undertaking of the position; and - Fulfill those responsibilities and/or duties that may be reasonably provided by Inovalon for the purpose of achieving operational and financial success of the Company. Job Requirements: - 3-5 years of progressive sales or business development experience, preferably within the healthcare, health technology, or payer/provider space. - Demonstrated success managing a territory or book of business with measurable revenue outcomes. - Proven track record of consultative, solution‑based selling, including running discovery, developing value propositions, and influencing cross‑functional decision‑ - Experience maintaining accurate pipeline management, forecasting discipline, and CRM hygiene (Salesforce strongly preferred) with limited supervision. - Advanced communication and presentation skills, with the ability to translate technical or clinical concepts into compelling business value. - Ability to independently drive the full sales lifecycle—prospecting, qualifying, presenting, negotiating, and closing. - Strong territory planning and prioritization skills, with the ability to balance new business generation and account expansion. - Proven ability to conduct strategic, value‑based discussions with C‑suite leaders to advance complex sales opportunities. - Leadership or supervisory experience preferred. - Proficiency in Microsoft Office Suite; strong command of PowerPoint and Excel for sales presentations and territory planning. Education: - BA or BS degree in technical or business discipline and or related field, or equivalent work experience; Physical Demands and Work Environment: - Sedentary work (i.e. sitting for long periods of time); - Exerting up to 10 pounds of force occasionally and/or negligible amount of force; - Frequently or constantly to lift, carry push, pull or otherwise move objects and repetitive motions; - Subject to inside environmental conditions - Up to 25% travel for business related purposes Inovalon Offers a Competitive Salary and Benefits Package In addition to the base compensation, this position may be eligible for performance-based incentives. The actual base pay offered may vary depending on multiple factors including, but not limited to, job-related knowledge/skills, experience, business needs, geographical location, and internal equity. At Inovalon, it is not typical for an individual to be hired at or near the top end of the range for their role, and compensation decisions are dependent upon the facts and circumstances of each position and candidate. Inovalon invests in associates to help them stay healthy, save for long-term financial goals, and manage the demands of work and personal commitments. That’s why Inovalon offers a valuable benefits package with a wide range of choices to meet associate needs, which may include health insurance, life insurance, company-paid disability, 401k, 18+ days of paid time off, and more. Base Compensation Range $65,000—$80,000 USD This position is not eligible for immigration sponsorship (e.g. H-1B, TN, or E-3). Applicants must be authorized to work in the United States as a condition of employment. (This is only applicable for US-based positions) If you don’t meet every qualification listed but are excited about our mission and the work described, we encourage you to apply. Inovalon is most interested in finding the best candidate for the job, and you may be just the right person for this or other roles. By embracing inclusion, we enhance our work environment and drive business success. Inovalon strives to provide equal opportunities to the communities where we operate and to our clients and everyone whom we serve. We endeavor to create a culture of inclusion in which our associates feel empowered to bring their full, authentic selves to work and pursue their professional goals in an equitable setting. We understand that by fostering this type of culture, and welcoming different perspectives, we generate innovation and growth. Inovalon is proud to be an equal opportunity workplace. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or veteran status. We also consider qualified applicants regardless of criminal histories, consistent with legal requirement. To review the legal requirements, including all labor law posters, please visit this link To review the California Consumer Privacy Statement: Disclosures for California Residents, please visit this link

Description Please note – while this position is fully remote, candidates must be residents of Wisconsin, Kansas, Georgia, Oklahoma, Florida, Arkansas, or Tennessee to be considered. Uncapped Earnings | Performance-Driven | Career Growth Are you competitive, goal-oriented, and motivated by unlimited earning potential? Do you thrive in roles where your effort directly impacts your paycheck? If so, this is the opportunity you’ve been looking for. Join our growing Collection Team, where top performers are rewarded, income is uncapped, and your ability to negotiate, build rapport, and close resolutions can translate into six-figure earnings. This role offers a clear path to high income while allowing you to help consumers resolve outstanding balances with dignity, respect, and professionalism. As a Collection Representative, you'll work directly with consumers who have past-due medical balances, guiding them toward practical, mutually beneficial payment solutions. Why Join Us? This is a true performance opportunity for individuals who want control over their income, a clear path to success, and a professional environment that rewards effort and results. If you’re ready to work hard, earn big, and grow your career—we want to hear from you. What You’ll Do: - Handle high-volume outbound and inbound calls with professionalism and confidence - Negotiate payment arrangements that meet both consumer needs and company goals - Consistently meet and exceed performance metrics (quality, compliance, collections) - Maintain accurate documentation and follow all required laws and standards - Build trust quickly through active listening, empathy, and strong communication. Who Succeeds in This Role Top collectors tend to be: - Highly driven and money-motivated - Reliable and successful working a structured, full-time Mon-Fri schedule - Comfortable on the phone and energized by frequent conversations - Resilient, persistent, and confident handling objections - Empathetic negotiators who can balance firmness with professionalism If you enjoy being measured by results—and rewarded for them—you’ll thrive here. Compensation & Earning Potential We offer a clear, progressive compensation path designed to reward performance: Training Period - $20/hour during virtual training led by industry experts - Learn systems, compliance, call strategy, and negotiation fundamentals Following Training - Transition to $17/hour plus bonus/commission opportunity - Designed so strong performers earn more than their initial hourly rate - Provides stability with significant upside Work Location & Schedule - Remote or in-office (Marshfield, WI) - Remote employees must have a private, dedicated office space - Monday–Friday, full-time: - 8:00 AM – 5:00 PM CST / 9:00 AM – 6:00 PM ET - Commission schedule includes: - Two evening shifts per week (until 7:00 PM CST) - Every other Friday off Additional schedule options, including later evenings and Saturdays, may become available in 2026. Benefits & Perks - Paid medical insurance with personalized plan selection assistance - Company provided Short-Term Disability, and basic Life Insurance - Optional Dental, Vision, Long-Term Disability, and additional Life Insurance - Generous PTO (3 weeks annually, increases with tenure) plus holidays and make-up time - 401(k) with the option to deposit annual discretionary bonus - Company-provided equipment - Access Perks employee discount program (retail, travel, food, entertainment) Essential Duties and Responsibilities: - Accomplishes minimum requirements for KPIs including call quality scores monthly and minimum fees. - Contacts consumer regarding past due balance and negotiates payment terms and methods within guidelines. Overcomes common objections, practices how to overcome more challenging ones. Suggests money sources for debt payment. - Updates account notes and other documentation in real time while working with consumers making few errors. - Handles high volume of inbound consumer calls while on dialer and places outbound calls. - Effectively uses scripts/verbatims and navigates within guidelines to maximize potential recovery on each call. - Ensures legal (i.e. FDCPA, state and other) compliance requirements are followed. - Learns and operates with proficiency within the systems and programs used for collections Requirements - Able to communicate clearly, both verbally and in writing, and utilize proper grammar and telephone etiquette and provided electronic tools. - Able to navigate multiple computer applications and databases. - Able to multitask and can communicate on the phone and navigate multiple computer systems simultaneously. - Able to overcome objections and obstacles to negotiate payment successfully. - Reliable and responsible. Arrives on time and uses time productively. - Possesses and demonstrates professional judgement. - Understands sensitive personal information (SPI) and sensitive consumer information (i.e. Protected Health Information (PHI)) while maintaining the confidentiality of this information. - Able to use tools provided to compute basic math calculations using addition, subtraction, multiplication, division, and percentages. - Self-motivation and committed to career success. - Willingness and ability to obtain Professional Collections Specialist (PCS) certification within one year of date of hire (paid for by company). - High School Diploma or equivalent (i.e., GED) required. - Ability to successfully complete company collector training program. - Clear initial and annual criminal and background check.

Description Please note – while this position is fully remote, candidates must be residents of Wisconsin, Kansas, Georgia, Oklahoma, Florida, Arkansas, or Tennessee to be considered. Uncapped Earnings | Performance-Driven | Career Growth Are you competitive, goal-oriented, and motivated by unlimited earning potential? Do you thrive in roles where your effort directly impacts your paycheck? If so, this is the opportunity you’ve been looking for. Join our growing Collection Team, where top performers are rewarded, income is uncapped, and your ability to negotiate, build rapport, and close resolutions can translate into six-figure earnings. This role offers a clear path to high income while allowing you to help consumers resolve outstanding balances with dignity, respect, and professionalism. As a Collection Representative, you'll work directly with consumers who have past-due medical balances, guiding them toward practical, mutually beneficial payment solutions. Why Join Us? This is a true performance opportunity for individuals who want control over their income, a clear path to success, and a professional environment that rewards effort and results. If you’re ready to work hard, earn big, and grow your career—we want to hear from you. What You’ll Do: - Handle high-volume outbound and inbound calls with professionalism and confidence - Negotiate payment arrangements that meet both consumer needs and company goals - Consistently meet and exceed performance metrics (quality, compliance, collections) - Maintain accurate documentation and follow all required laws and standards - Build trust quickly through active listening, empathy, and strong communication. Who Succeeds in This Role Top collectors tend to be: - Highly driven and money-motivated - Reliable and successful working a structured, full-time Mon-Fri schedule - Comfortable on the phone and energized by frequent conversations - Resilient, persistent, and confident handling objections - Empathetic negotiators who can balance firmness with professionalism If you enjoy being measured by results—and rewarded for them—you’ll thrive here. Compensation & Earning Potential We offer a clear, progressive compensation path designed to reward performance: Training Period - $20/hour during virtual training led by industry experts - Learn systems, compliance, call strategy, and negotiation fundamentals Following Training - Transition to $17/hour plus bonus/commission opportunity - Designed so strong performers earn more than their initial hourly rate - Provides stability with significant upside Work Location & Schedule - Remote or in-office (Marshfield, WI) - Remote employees must have a private, dedicated office space - Monday–Friday, full-time: - 8:00 AM – 5:00 PM CST / 9:00 AM – 6:00 PM ET - Commission schedule includes: - Two evening shifts per week (until 7:00 PM CST) - Every other Friday off Additional schedule options, including later evenings and Saturdays, may become available in 2026. Benefits & Perks - Paid medical insurance with personalized plan selection assistance - Company provided Short-Term Disability, and basic Life Insurance - Optional Dental, Vision, Long-Term Disability, and additional Life Insurance - Generous PTO (3 weeks annually, increases with tenure) plus holidays and make-up time - 401(k) with the option to deposit annual discretionary bonus - Company-provided equipment - Access Perks employee discount program (retail, travel, food, entertainment) Essential Duties and Responsibilities: - Accomplishes minimum requirements for KPIs including call quality scores monthly and minimum fees. - Contacts consumer regarding past due balance and negotiates payment terms and methods within guidelines. Overcomes common objections, practices how to overcome more challenging ones. Suggests money sources for debt payment. - Updates account notes and other documentation in real time while working with consumers making few errors. - Handles high volume of inbound consumer calls while on dialer and places outbound calls. - Effectively uses scripts/verbatims and navigates within guidelines to maximize potential recovery on each call. - Ensures legal (i.e. FDCPA, state and other) compliance requirements are followed. - Learns and operates with proficiency within the systems and programs used for collections Requirements - Able to communicate clearly, both verbally and in writing, and utilize proper grammar and telephone etiquette and provided electronic tools. - Able to navigate multiple computer applications and databases. - Able to multitask and can communicate on the phone and navigate multiple computer systems simultaneously. - Able to overcome objections and obstacles to negotiate payment successfully. - Reliable and responsible. Arrives on time and uses time productively. - Possesses and demonstrates professional judgement. - Understands sensitive personal information (SPI) and sensitive consumer information (i.e. Protected Health Information (PHI)) while maintaining the confidentiality of this information. - Able to use tools provided to compute basic math calculations using addition, subtraction, multiplication, division, and percentages. - Self-motivation and committed to career success. - Willingness and ability to obtain Professional Collections Specialist (PCS) certification within one year of date of hire (paid for by company). - High School Diploma or equivalent (i.e., GED) required. - Ability to successfully complete company collector training program. - Clear initial and annual criminal and background check.