Role Description 24/7 OEMS is seeking to fill a Claims Management and Return to Work Specialist role. This position is full-time, working remotely from home. The Claims Manager and RTW Specialist (CM) will be responsible for providing comprehensive disability case management services to multiple clients primarily in the mining industry. The CM will work collaboratively with employees, employers, medical professionals, insurers, and workers’ compensation boards to identify barriers, determine fitness for work, and facilitate safe, timely, and sustainable return to work plans. The CM will support the development and integration of disability management policies, procedures, and documentation aligned with industry best practice and privacy legislation. Qualifications - Completion of a Nursing, Occupational Health, Physician Assistant, or related healthcare program and/or relevant experience in disability management within an occupational health environment. - Minimum 5 years of experience in disability claims management, adjudication, or a combination of equivalent experience and specialized education. - Strong knowledge of group benefits, disability products, and experience working with insurance carriers, Third-Party Administrators and Workers’ Compensation Boards. - Proficiency with Microsoft Office (Word, Excel, Outlook) and the ability to work with electronic medical record systems (e.g., Cority). Requirements - Coordinate and manage disability cases for both occupational and non-occupational claims. - Develop, implement, and monitor individualized return-to-work and modified work plans. - Determine fitness to work and claim eligibility in consultation with Deputy Medical Directors and onsite medical personnel, where applicable. - Review medical documentation, claim forms, investigation reports, and functional abilities information to support decision-making. - Coordinate referrals for medical clarification, functional abilities assessments, and independent medical examinations as required. - Act as the primary liaison between employees, employers, human resources, management, medical providers, insurers, and workers’ compensation boards. - Clearly explain the disability case management process, including roles and responsibilities of all stakeholders. - Provide concise, professional written and verbal communication within applicable privacy legislation. - Collaborate with HR and business representatives to review claim status and RTW timelines. - Receive, process, and maintain medical absence and RTW documentation in compliance with privacy legislation. - Maintain accurate and confidential medical records using electronic medical record systems. - The CM role will support other projects such as wellness initiatives and health promotion as required. - Some flexibility in work hours may be needed to accommodate time zones and occasional travel to site may be required. Benefits - Compensation will be determined by relevant experience and qualifications – ranging $90,000 - $108,000 per annum. - Employer sponsored benefits. - Long-term disability paid by employee. Application review process We value a fair, human‑centered recruitment process, and every application matters to us. All resumes and applications submitted to 24/7 Occupational & Emergency Medicine Solutions Inc. (24/7 OEMS) are reviewed by members of the HR team. Artificial intelligence is not used in the application review, screening, selection, or hiring process. Applications will be reviewed, and interviews scheduled on a rolling basis. Equity, Inclusion, and Diversity 24/7 OEMS is committed to a recruitment process and workplace culture of respect, inclusion, and diversity. We encourage applications from members of groups with historical and/or current barriers to equity. Application Status We thank all applicants for their interest in 24/7 OEMS; however, only those with the required qualifications and experience will be considered and only those selected for an interview will be contacted.

Role Description We’re seeking a detail-oriented, results-driven Claims Resolution Specialist to support our billing and revenue cycle operations. In this role, you’ll manage assigned claims, follow up on denials, ensure accurate and timely payment, and support the financial health of our clinics through effective payer engagement. - Investigate and resolve claim denials and underpayments from insurance providers - Research payer-specific policies and submit accurate, timely appeals - Follow up on unpaid or delayed claims using payer portals and internal billing systems - Monitor aging reports and prioritize claims follow-up based on timely filing and payer deadlines - Perform insurance re-verification as needed and reprocess claims to appropriate payers - Accurately post payments and adjustments, including co-payments, deductibles, and coinsurance - Support billing operations, including charge entry, rejection resolution, and documentation reviews - Collaborate with internal teams to escalate payer issues and reduce future denials - Maintain meticulous records of follow-ups, appeal status, and payment resolutions in the EMR Qualifications - 4+ years of experience in medical billing, claims resolution, or insurance follow-up - 1+ years experience working remotely - Solid understanding of insurance guidelines, claim cycles, and payer behavior - Proficiency with CPT, ICD-10, and medical billing workflows - Comfortable using payer portals, EMR systems, and Excel/Google Sheets - Organized, self-motivated, and accountable with strong time management skills - Clear written and verbal communication when working with both payers and internal teams - High school diploma or equivalent required Requirements - Familiarity with Centricity EMR - Previous experience in surgical or specialty practice billing - Knowledge of revenue cycle metrics and KPIs Benefits - Medical, Dental, and Vision Insurance - 401(k) with Company Match - Paid Time Off (PTO) + Paid Company Holidays - Company-Paid Life Insurance - Short-Term Disability Insurance - Employee Assistance Program (EAP) - Career Growth & Development Opportunities Schedule Monday - Friday Compensation $20 — $25 USD

• Supports Revenue Cycle Operations, Coding Leadership, and other team members by reviewing electronic and written documentation. • Convert documentation into diagnostic and/or procedure codes for reimbursement. • Manage denials for third-party payers and oversee the denial process. • Identify opportunities for workflow improvements. • Communicate with clinical staff for accurate translation of medical record documentation using appropriate code selection. • Assist in performing quality data collection and monitoring/reporting to ensure proper reimbursement.

Role Description Investigate and settle advanced, large loss, complex claims promptly and equitably under minimal supervision. - Works within established authority on moderate-to-difficult claims. - Reviews coverages, determines liability and compensability. - Secures information, arranges property damage appraisals and settles claims utilizing claims best practices. - Evaluates and sets reserves using independent judgment. - Assists supervisor and company attorneys in preparing cases for litigations. - Conducts training and mentors new hires. Benefits - Pay and incentive plans that recognize performance excellence. - Benefit programs that empower financial, physical, and mental wellness. - Training programs that promote continuous learning and career progression while enhancing job performance. - Sustainability programs that give back to the communities in which we live and work. - A culture of respect, collaboration, entrepreneurial spirit and inclusion. Company Description At Crawford, employees are empowered to grow, emboldened to act and inspired to innovate. Our industry-leading team pioneers new solutions for the industries and customers we serve. We’re looking for the next generation of leaders to take this journey with us. - We hail from more than 70 countries and speak dozens of languages, reflecting the global fabric of the audience we serve. - Though our reach is vast, we proudly operate as One Crawford: united in purpose, vision and values. - When you accept a job with Crawford, you become a part of the One Crawford family.