Jobs at Steven-Oraclecloud

Provides remote telephonic medical case management for injured or disabled individuals. Reviews medical records, assesses needs, coordinates treatment and return-to-work plans, communicates with patients, physicians, employers, and claims adjusters, and makes referrals for peer reviews and independent medical examinations. Maintains documentation, productivity, and quality standards while applying clinical expertise, data analysis, and customer service skills.

Manages strategic insurance client accounts, coordinates service delivery, supports proposals and renewals, analyzes claims and loss-cost trends, prepares client reporting, identifies cross-selling opportunities, and drives retention and market-share growth. Serves as the primary client contact while coordinating internal teams, billing, collections, implementations, complaints, and service improvements.

Investigates, evaluates, and settles complex liability claims, including coverage and liability determinations, reserves, payments, subrogation, litigation support, and recovery efforts. Prepares reports, participates in claim reviews, works with legal counsel, and ensures timely, equitable settlements within established authority. The role also mentors new hires and conducts training while managing advanced claims independently.

Investigate, evaluate, negotiate, and settle Defense Base Act workers’ compensation claims under general supervision, confirming policy coverage and taking actions that support timely, equitable resolutions and profitability.

Manages large-scale client implementation projects for Broadspire accounts, coordinating internal teams, clients, consultants, and vendors. Responsibilities include developing project plans, tracking timelines and delegated tasks, coordinating integrated process flows, supporting client onboarding and training, reporting progress to leadership, and driving continuous quality improvement. The role requires expertise in workers’ compensation claims administration, disability programs, managed care or healthcare environments, and cross-functional project leadership.

Manages liability claims operations and supervises claims examiners. Establishes performance standards, assigns workloads, reviews claim files, supports reserves and settlements, ensures compliance, coaches employees, and reports service-center activities to senior claims leadership. Oversees workflows in the Risk Tech Claim System and related systems while helping train staff and improve productivity and timely claim closures.

Investigates, evaluates, reserves, negotiates, and settles complex workers’ compensation claims within authority limits. Determines coverage, liability, and compensability; coordinates appraisals, litigation strategy, subrogation, and third-party recovery. Prepares claims reports, participates in reviews, authorizes payments, and ensures timely disbursements. Provides training and mentorship while collaborating with clients, carriers, management, attorneys, and other stakeholders.

Investigates, evaluates, and resolves complex liability claims independently. Responsibilities include interpreting policy coverage, determining liability, setting reserves, authorizing payments, negotiating settlements, directing investigations and litigation strategy, identifying recovery opportunities, preparing reports, and partnering with counsel. The role also supports team development through training and mentoring.

Investigates and resolves complex contractor workmanship, liability, warranty, and performance issues. Reviews estimates, contracts, independent reports, insurance matters, building code requirements, and claim documentation to recommend appropriate resolutions. Coordinates with adjusters, contractors, homeowners, clients, insurers, and internal teams while tracking deadlines, documenting findings, and providing status updates. Requires property and liability adjusting experience, construction knowledge, advanced Xactimate and XactAnalysis proficiency, and strong analytical, communication, negotiation, and organizational skills.

Leads client-specific claims programs and serves as the primary liaison between the client and claims operations teams. Oversees claim investigations, reserves, litigation, audits, quality, compliance, reporting, staffing, and workflow improvements. Provides technical guidance, coaches claims personnel, monitors performance metrics, manages external resources, resolves client concerns, and escalates issues beyond authority. The role requires substantial progressive claims experience, supervisory capability, sound judgment, and strong communication skills.

Investigates, evaluates, and resolves complex liability claims independently. Responsibilities include interpreting coverage, determining liability, managing reserves, authorizing payments, negotiating settlements, directing investigations and litigation strategy, identifying recovery opportunities, preparing claims reports, and mentoring or training newer employees.

Investigates and evaluates insurance claims across multiple lines of business, including coverage, liability, damages, reserves, evidence, reports, and medical records. Negotiates settlements, manages litigation, attends legal proceedings, handles regulatory filings, salvage, and subrogation. Prepares client reports, maintains claim caseloads and quality standards, responds to emergency investigations, and completes continuing education. Requires independent judgment, regulatory compliance, customer service, and occasional travel or on-call work.

Investigate, evaluate, and settle complex liability claims independently. Determine coverage and liability, manage investigations, set reserves, authorize payments within authority, develop subrogation, coordinate with defense counsel for litigation, prepare reports, and mentor/train new hires.

Handle complex commercial property losses (typically >$250k) by investigating damages, determining coverage, negotiating settlements, managing claims teams, supporting catastrophes, providing peer review, recommending litigation, and testifying as an expert witness when needed.

Investigate and resolve complex commercial property losses (typically > $500K). Determine coverage, set loss estimates, prepare reports, control claim costs, recommend litigation, serve as expert witness, manage national/international accounts, make sales presentations, mentor staff, maintain licenses and complete required qualifications.

Lead and manage SOX/internal control and audit projects across finance. Perform walkthroughs, control testing, SOC coordination, IT audit and data analytics, recommend remediation, drive process improvements and automation, and liaise with internal/external auditors and senior stakeholders.

Under supervision, perform on-site investigations of claims and accidents, document scenes with photos/videos, gather official reports and witness statements, prepare and transmit investigation reports quickly, provide customer service, escalate issues, and work variable/on-call hours with occasional travel.

Investigate and settle complex commercial property losses (typically >$100K) by determining coverage, estimating losses, preparing reports, negotiating with stakeholders, recommending litigation, serving as expert witness, mentoring staff, assisting with catastrophes, and making business development calls.

Investigate, evaluate, and settle complex Defense Base Act and Workers' Compensation claims independently. Determine coverage and liability, manage investigations, set reserves, authorize payments within authority, coordinate with legal counsel for litigation, pursue subrogation, prepare client and management reports, and mentor/train junior staff.

Lead account management for large Broadspire clients: coordinate cross-functional teams, manage renewals and billing, drive retention and upsell, analyze loss trends and benchmarking, prepare client reporting, and train staff to ensure service delivery and cost containment.