• Build the Platforms That Power Government Services! • Support platform development, configuration, upgrades, and enhancements. • Monitor platform performance and contribute to troubleshooting and issue resolution. • Lead platform architecture, standards development, and strategic platform planning. • Drive operational excellence and continuous improvement through platform services optimization.

Role Description - Manage guest incident claims from intake through resolution, escalation, or litigation referral, ensuring timely investigation, documentation, evaluation, and follow-up. - Conduct claim review, investigation, and risk assessment to identify exposure, escalation triggers, documentation gaps, and appropriate next steps. - Collect, review, and analyze claim-related documentation, including incident reports, photographs, witness statements, receipts, communications, and other supporting materials. - Evaluate guest incident claims for completeness, liability indicators, potential litigation concerns, policy application, and allocation applicability. - Exercise sound judgment in determining when claims require escalation, additional investigation, management review, or litigation referral. - Serve as a primary operational liaison between Legal, Risk, Operations, Guest Relations, third-party administrators, insurance partners, and outside counsel. - Coordinate with third-party administrators on claim status, documentation needs, investigation follow-up, escalation, reserve or exposure concerns, and resolution strategy. - Review TPA claim updates, assessments, and recommendations, and identify issues requiring additional action, escalation, or Sr. Manager review. - Attend claim reviews with third-party administrators and support follow-up on action items, trends, and open issues. - Monitor claim activity and proactively identify inconsistencies, missing information, recurring issues, or operational gaps that may impact claim handling. - Review allocation disputes and provide recommendations based on Company policy, available documentation, supporting evidence, and established guidelines. - Support oversight of claim handling expectations, escalation protocols, reporting requirements, and TPA performance. - Maintain and update guest incident handling procedures, allocation guidelines, chargeback processes, claims administration materials, and related policies in partnership with the Sr. Manager. - Identify trends in guest incidents, claim activity, recurring issues, or policy gaps and recommend operational or process improvements to reduce exposure and support risk mitigation. - Assist in developing and implementing best practices related to claims handling, investigation standards, documentation requirements, escalation protocols, allocation management, and claim file maintenance. - Support training, guidance, and communication efforts related to guest incident documentation, claim handling procedures, and claims administration processes. - Other tasks as assigned by manager. - Provide litigation support for escalated guest incident claims and related matters, including document preservation, file organization, case tracking, and coordination with internal partners and outside counsel. - Ensure claim and litigation files are complete, accurate, organized, and maintained in claim and matter management systems. - Coordinate with outside counsel and internal stakeholders regarding document collection, case updates, deadlines, and litigation support needs. - Monitor litigation deadlines, milestones, follow-up items, and matter activity to support case management and litigation strategy. - Maintain accurate matter management system updates, litigation records, claim notes, reporting fields, and supporting documentation. - Process and review outside counsel and vendor invoices for accuracy, completeness, compliance, and appropriate coding. - Support litigation reporting, claims metrics, audits, trend analysis, and other operational reporting for the Legal team. - Identify and recommend efficiencies in claims administration, litigation workflows, documentation practices, reporting processes, and matter management procedures. - Provide guidance and informal mentoring to less experienced team members as appropriate. Qualifications - 6+ years of experience in claims management, risk management, investigations, litigation support, insurance administration, legal operations, or a related environment. - Strong understanding of claims handling practices, liability evaluation, risk assessment principles, litigation readiness, and claim documentation standards. - Demonstrated ability to independently manage claims, competing priorities, sensitive matters, and complex workstreams with limited supervision. - Experience working with third-party administrators, outside counsel, insurance partners, claims management systems, matter management systems, and cross-functional business stakeholders. - Ability to interpret and apply policies, procedures, allocation guidelines, escalation protocols, and supporting documentation. - Strong investigative, analytical, organizational, and problem-solving skills. - Sound judgment and decision-making skills, particularly in sensitive, high-risk, or time-sensitive situations. - Strong written and verbal communication skills, with the ability to communicate clearly and professionally with internal and external stakeholders. - Ability to handle confidential and sensitive information with discretion and professionalism. - Proficiency in Microsoft Office applications, including Outlook, Word, and Excel; experience with claims or matter management systems preferred. Requirements - Compensation Range: $67,000.00 - $92,125.00 Company Description - Red Robin is an Equal Opportunity & E-Verify Employer.

• Review and cross-check complex financial figures across full company reports to identify inconsistencies and reporting errors. • Conduct thorough financial and operational analysis focused on aviation, defense systems, and MRO supply chains. • Write clear, concise executive summaries that translate raw financial data and discrepancies into easy-to-understand insights. • Analyze historical financial performance to support strategic decision-making and business evaluations.

Role Description The AR Senior Analyst is responsible for leading advanced A/R follow-up, analysis, and resolution activities to ensure accurate and timely reimbursement for healthcare providers. This role requires deep knowledge of payer policies, denial management, and U.S. healthcare billing regulations. The AR Senior Analyst will handle high-value, aged, and complex claims while providing analytical insights and process improvement recommendations to optimize overall cash flow and reduce days in A/R. In addition to performing detailed claim analysis, the Senior Analyst may mentor junior analysts, support team training, and assist with escalations that impact key revenue cycle performance indicators. Essential Functions: - Conduct in-depth pre-call analysis to determine root causes of unpaid or underpaid claims. - Contact payers through calls, IVRs, or web portals for claim status, resolution, and escalation when necessary. - Handle complex denials and aged accounts by identifying trends and recommending corrective actions. - Document all claim-related activities comprehensively in client software for a compliant and auditable trail. - Interpret and analyze Explanation of Benefits (EOBs), medical documentation, authorizations, and payer correspondence. - Prepare and submit appeals for denied or underpaid claims; ensure adherence to payer-specific timelines. - Monitor and track high-dollar, aged, and specialty claims through to resolution. - Collaborate with team members to improve workflow efficiency and data accuracy. - Support audit requests and ensure strict compliance with HIPAA, ERISA, and payer-specific requirements. - Mentor junior analysts by sharing best practices and supporting performance improvement. Qualifications - Graduate (Bachelor’s degree or equivalent). - Minimum 3–5 years of experience in U.S. healthcare accounts receivable follow-up and denial management, with demonstrated expertise in handling complex and high-value claims. - Strong communication and analytical skills with the ability to present insights to leadership. - Solid understanding of U.S. healthcare reimbursement, payer rules, and regulatory requirements. - Working knowledge of ICD-10, CPT, and HCPCS codes. - Proficiency in Microsoft Office (Excel, Word, PowerPoint) and EHR platforms. - Willingness to work continuous night shifts and flexible schedules when required. Requirements - Bachelor’s degree preferred (Healthcare, Finance, or related field). - Prior experience in U.S. healthcare BPO/RCM strongly preferred. - Exposure to acute EHR systems (hospital-based) and clearinghouses such as Waystar, Realmed, Availity, Change Healthcare, and ViaTrack. - Certification in Medical Billing/Coding (optional but preferred). Skills & Technical Proficiency - Advanced analytical and problem-solving abilities with a focus on data-driven decision-making. - Expertise in denial management, payer follow-ups, and revenue recovery strategies. - Strong attention to detail with the ability to process high volumes of claims accurately. - Effective time management and organizational skills. - Ability to work independently with minimal supervision while supporting team goals. - Excellent interpersonal skills for cross-functional collaboration. - Commitment to confidentiality and strict compliance with HIPAA and internal quality standards. Working Environment/Physical Demands - General office environment: Works generally at a desk in a well-lighted, air-conditioned office, with moderate noise levels. - Periods of stress may occur. - Activities require a significant amount of sitting at office and work desks and in front of a computer monitor. - Some walking and standing relative to interaction with other personnel. Travel Requirements - None Other possible Unofficial Titles Unofficial titles may be given by the manager and used for email signature. Note: Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time. This document does not create an employment contract, implied or otherwise. It does not alter the "at will" employment relationship between the company and the employee.