Role Description The Credentialing Specialist is responsible for managing the credentialing process for members of the clinical team, ensuring all required documentation is complete, accurate, and compliant with Company and customer requirements. This role oversees credentialing activities across multiple healthcare facilities, including maintaining licenses, certifications, background checks, and other required documentation. This is a fully remote position; however, candidates must reside within the posted hiring location(s). The ideal candidate is highly organized, detail-oriented, customer-focused, and comfortable managing credentialing processes independently while collaborating with internal teams, clinical leadership, healthcare facilities, and external customers. Key Responsibilities: - Oversee and manage the credentialing process for clinical team members across multiple healthcare facilities. - Collaborate with Company’s clinical leadership to establish and enforce appropriate credentialing documentation for all clinical team members. - Ensure that all required documentation is complete, accurate and up to date including licenses, certifications and background checks. - Maintain detailed records of credentialing activities and ensure compliance with healthcare regulations and standards. - Serve as a point of contact between healthcare facilities, the credentialing team, and vascular access nurse specialists to address inquiries and provide updates on credentialing statuses. - Collaborate with internal teams to streamline processes and ensure timely completion of credentialing tasks. - Coordinate with Company’s customers to understand specific credentialing requirements and ensure all criteria are met. - Perform routine audits of credentialing files and take necessary actions to address any issues or discrepancies. - Provide exceptional customer service to both internal and external customers during the credentialing process. - Utilize Microsoft Office tools as needed (Word, Excel, Outlook) for documentation, reporting and communication. - Work with the clinical management team to schedule in-person orientations. - Place authorization orders for updates to clinical team member credentials. Qualifications - Strong organizational skills with the ability to manage multiple tasks and deadlines. - Excellent customer service and communication skills, both verbal and written. - Ability to work collaboratively with a team and external contacts. - Proficiency in Microsoft Office tools (Word, Excel, Outlook). - Understanding of healthcare processes and credentialing requirements. - Strong attention to detail and commitment to accuracy. - Ability to handle sensitive and confidential information with professionalism and discretion. Requirements - Compensation is based on candidate experience and relevant certifications. - Salary Range: $20 — $24 USD - Hourly Pay Range: $20 — $24 USD Benefits - Competitive pay with performance-based bonuses. - Professional Development: Ongoing education, training, and mentorship. - Comprehensive Benefits for full-time employees, including medical, dental, vision, 401(k) match, and paid time off. - Company provided vehicle or mileage reimbursement for travel between patient sites. - Supportive Culture: Join a positive, growth-focused team with 24/7 on-call support.

• Verify coverage, investigate liability, and determine the scope of damages for assigned bodily injury claims. • Conduct thorough, detailed, and accurate investigations to evaluate claim facts and determine appropriate resolutions. • Evaluate accident facts, injuries, medical records, and medical bills to determine causation, liability, and claim value. • Analyze claim information and move claims toward timely and appropriate resolution. • Negotiate settlements in accordance with company best claim practices and applicable state regulations. • Manage an assigned inventory of bodily injury claims while working independently and making sound claims decisions. • Maintain ownership of the claim throughout the claim lifecycle while providing a seamless customer experience. • Provide proactive, transparent, and timely communication to customers, claimants, attorneys, and other involved parties. • Deliver an extraordinary customer experience through professionalism, empathy, and responsive service. • Collaborate with internal departments and external vendors to ensure efficient claim resolution. • Continue building technical knowledge of bodily injury claims, litigation, and regulatory requirements.

• Investigate and manage complex bodily injury claims, including litigation, uninsured/underinsured motorist claims, and other high-exposure losses. • Verify coverage, determine liability, evaluate damages, and conduct thorough investigations to support claim decisions. • Analyze medical documentation, applicable laws, and case precedent to complete comprehensive bodily injury evaluations. • Demonstrate sound judgment in evaluating liability, damages, and settlement opportunities. • Manage injury litigation from assignment through resolution. • Prepare mediation and arbitration submissions and represent the company through the dispute resolution process. • Partner with defense counsel and other legal professionals to develop claim strategies and achieve appropriate outcomes. • Negotiate settlements while adhering to company best claim practices and regulatory requirements. • Deliver an exceptional customer experience by maintaining proactive, transparent communication throughout the life of the claim. • Keep insureds, claimants, attorneys, and other involved parties informed regarding claim status and resolution. • Handle sensitive and high-stress customer interactions with professionalism and empathy. • Serve as a technical resource and subject matter expert for complex bodily injury claims. • Mentor and provide guidance to less experienced claim professionals. • Share knowledge and best practices to support team development and continuous improvement. • Maintain compliance with all state regulations, company policies, and claims handling standards. • Obtain and maintain all required state adjuster licenses. • Effectively utilize claims management systems and other technology tools to manage assigned inventory. • Maintain ownership of assigned claims while meeting quality, productivity, and service expectations.

Role Description This is a remote position based in California, and candidates must reside within the state. As a Senior Claims Examiner, you’ll play a vital role in helping businesses and individuals navigate complex Workers' Compensation claims. This is your opportunity to make a meaningful impact by resolving claims efficiently, mitigating risks, and delivering exceptional service. In this role, you’ll manage Workers' Compensation indemnity claims, ensuring they’re handled with care and precision. You’ll oversee complex claim issues, leveraging your expertise in litigation management and lien resolution to achieve fair outcomes. Your day-to-day will involve: - Maintaining accurate claim diaries - Updating reserves - Ensuring timely reporting to key stakeholders - Collaborating with legal teams - Identifying opportunities for subrogation - Working closely with clients to maintain satisfaction Additionally, you’ll: - Prepare and attend file reviews to ensure claims are progressing effectively - Negotiate settlements and resolve outstanding liens - Monitor and guide defense attorneys to achieve optimal outcomes - Ensure compliance with all regulatory requirements and deadlines Qualifications - High school diploma and 5 years related claims experience required - Appropriately licensed and/or certified in all states in which claims are being handled or able to obtain the licenses/certification per local requirements - Extensive knowledge of accepted industry standards and practices - Computer experience with related claims and business software - Bachelor's degree preferred Requirements - Ability to think critically and solve problems - Plan and organize activities - Serve clients and negotiate - Effectively communicate verbally and in writing - Embrace new challenges - Analytical skill necessary to make decisions and resolve complex issues inherent in handling losses - Ability to successfully negotiate the settlement and disposition of serious claims - Ability to interpret related documentation