• Assess claim eligibility by analyzing all relevant contractual, medical, functional, and professional documentation in accordance with established procedures and the provisions of insurance certificates; • Efficiently manage an active caseload while meeting service standards, best practices, key performance indicators (KPIs), and processing timelines; • Maintain thorough documentation of claim assessments and keep accurate records in accordance with company policies and procedures; • Communicate professionally and empathetically, both verbally and in writing, to provide updates, clarify claim status, and explain decisions; • Conduct detailed telephone interviews with clients or relevant parties to collect necessary information and discuss claim outcomes; • Identify supporting documents required for current and future payments, and follow up as needed to obtain requested information; • Collaborate with team members, plan sponsors, and other partners to maintain high service standards and contribute to a positive, dynamic work environment; • Actively participate in department projects and continuous improvement initiatives by identifying process optimization opportunities and adapting to change; • Perform other related duties as required.

• Assess claims for benefit entitlement by reviewing all relevant contractual, medical, functional, and occupational documentation in accordance with established routines and certificate provisions; • Efficiently manage an active caseload, ensuring compliance with client service standards, best practice guidelines, KPIs, and turnaround times (TATs); • Conduct thorough documentation of claim analysis and maintain accurate records as per company policies and procedures; • Communicate professionally and empathetically, both in writing and verbally, with stakeholders to provide updates, clarify claim status, and explain decisions; • Perform detailed phone interviews with clients or involved parties to gather information and discuss claim outcomes; • Identify required supporting documents for current and future benefit payments, and follow up diligently to obtain necessary information; • Collaborate with team members, plan sponsors, and other stakeholders to uphold service standards and contribute to a positive and dynamic work environment; • Participate actively in departmental projects and continuous improvement initiatives by identifying process optimization opportunities and adapting to changes; • Perform other related duties as assigned.

• Join a dynamic team as an Epic Application Analyst focused on Clinical Documentation (Clin Doc), supporting and optimizing workflows that directly impact patient care. • Collaborate with clinical and IT teams to troubleshoot, build, and enhance Epic applications. • Configures, implements, supports and maintains applications and technical integrations, specifically Epic applications, to meet the needs of the organization. • Serves as a coordinator and collaborates with business operations, IT, leadership, system users and vendors. • Provides routine maintenance and standard build for Epic applications and systems using existing internal processes, policies and procedures. • Troubleshoots and resolves basic to moderately complex application issues and provides end-user support for Epic applications. • Codes complex functions including building application tables and reports for Epic applications. • Updates testing scripts to incorporate ongoing system development and implementations. • Analyzes, prioritizes, and organizes technical requirement specifications, using data, diagrams, and flowcharts to inform decision making.

• Serve as the point of contact for incoming calls and emails from clients reporting IT incidents or requesting technical clarification • Monitor and respond promptly to incoming requests related to incidents on IT platforms that impact customers • Monitor systems and platforms, take action and escalate to 2nd-level support teams if any system or platform does not recover after first-level intervention • Assist in interactions between users and 3rd-level teams • Receive, log and manage IT tickets submitted via ticketing tool, phone or email • Keep the knowledge base up to date and control changes • Document and review monitoring and IT support procedures • Train Level 2 personnel on operational procedures and tools • Develop automation using Shell, PowerShell and Python scripts • Learn and apply Site Reliability Engineering (SRE) concepts to optimize and automate processes.