• Home
  • Services
  • About Us
  • Locations
  • S3 Europe
  • S3 Americas
  • S3 Asia
  • Veterans
  • Media
  • Leadership
  • Find a Job

  • Business Process Engineer

    STRATEGIC STAFFING SOLUTIONS HAS AN OPENING!

    This is a Contract Opportunity with our company that MUST be worked on a W2 Only. No C2C eligibility for this position. Visa Sponsorship is Available! The details are below.

    “Beware of scams. S3 never asks for money during its onboarding process.”

     

    Job Title: Business Process Engineer
    Contract Length: 12-month contract role requiring 4 days per week onsite
    Location:     Phoenix, AZ; San Antonio, TX; Plano, TX; Colorado Springs, CO; Chesapeake, VA; or Tampa, FL.

    Responsible for leading, optimizing, and governing complex business processes within a contact center environment, with a strong emphasis on insurance operations (claims preferred). This role drives process design, improvement, risk management, and performance optimization while partnering closely with business stakeholders, technology teams, and leadership.

    Key Responsibilities

    • Own and lead end-to-end business processes, including problem definition, requirements evaluation, process design, testing, and implementation.
    • Analyze process bottlenecks, inefficiencies, and risks; design solutions that improve performance, scalability, and compliance.
    • Develop and implement customer-specific business process strategies aligned with enterprise experience and operational goals.
    • Apply expert-level process knowledge to materially improve operational efficiency, quality, and customer outcomes.
    • Serve as a functional subject matter expert, bringing a practical, end-user-focused perspective to process design.
    • Manage process performance by:
      • Defining control limits and KPIs
      • Monitoring outcomes and risks
      • Communicating deficiencies, improvements, and operational issues to stakeholders
    • Identify, implement, and maintain controls to mitigate operational, regulatory, and compliance risks.
    • Lead solution development efforts, including business cases, benefit substantiation, and requirements definition.
    • Develop and execute communication plans for customers and internal stakeholders.
    • Ensure strong alignment across stakeholders through proactive engagement and collaboration.
    • Leverage reporting, data, and analytics to measure performance and drive continuous improvement.
    • Evaluate and incorporate emerging technologies to enhance contact center processes, including AI-enabled solutions.
    • Provide mentorship, guidance, and process leadership to team members and business partners.
    • Support planning, research, analysis, and implementation of new or enhanced applications and processes.
    • Ensure risks associated with business activities are identified, measured, monitored, and controlled in accordance with risk and compliance policies.

    Required Qualifications

    • Bachelor’s degree OR equivalent experience
      • (4 additional years of relevant experience may substitute for a degree; 10 years total experience in lieu of a Bachelor’s degree)
    • 6+ years of experience in:
      • Business process execution
      • Process engineering or optimization
      • Consulting or operational transformation
    • Hands-on experience with process mapping and process modeling, including creation and validation of process documentation.
    • Demonstrated experience applying:
      • Quality management methodologies
      • Process improvement frameworks
      • Structured problem-solving techniques
    • Proven ability to implement and sustain change (change champion).
    • Experience with process governance standards, controls, and risk management practices.
    • Experience using systems and tools to collect, analyze, and interpret operational data.
    • Experience with contact center technologies, including digital and omnichannel platforms used to manage and optimize customer interactions.

    Preferred Qualifications

    • Bachelor’s degree or higher.
    • Experience in insurance environments, particularly claims operations (any line of business).
    • Leadership experience.
    • Familiarity with contact center AI technologies (e.g., conversational AI, speech analytics, automation tools).
    • Experience with Lean, Business Process Management (BPM), or similar methodologies.
    • Lean Six Sigma certification.
    • Insurance designations (e.g., AIC, CPCU, AIS).

     

     

    January 28, 2026

  • Business Analyst

    Business Data Analyst

    Location: Houston, TX (Onsite)
    Duration:  9 Month Contract
    Pay:  $70/hr W2

    Job Summary

    The Business Analyst supports business operations by analyzing processes, identifying improvement opportunities, and translating business needs into actionable insights. This role partners with leadership, operations, finance, sales, and other business teams to drive efficiency, performance, and data-driven decision-making—without an IT or technical systems focus.

    Key Responsibilities

    • Analyze current business processes, workflows, and operational performance

    • Identify gaps, inefficiencies, and opportunities for process improvement

    • Gather and document business requirements through interviews, workshops, and data analysis

    • Develop reports, dashboards, and presentations to communicate findings and recommendations

    • Support strategic initiatives, operational projects, and change management efforts

    • Track KPIs and operational metrics to measure performance and outcomes

    • Collaborate with cross-functional teams to implement process improvements

    • Create business documentation such as process maps, SOPs, and requirement summaries

    • Support leadership with forecasting, budgeting insights, and operational analysis

    • Ensure solutions align with business goals, policies, and compliance requirements

    Required Qualifications

    • Bachelor’s degree in Business Administration, Finance, Operations, Management, or related field

    • 2–5+ years of experience in a business analysis, operations, or analytical role

    • Strong analytical, problem-solving, and critical-thinking skills

    • Experience working with business stakeholders (non-technical)

    • Proficiency in Excel and business reporting tools

    • Excellent written and verbal communication skills

    • Ability to manage multiple priorities and meet deadlines

      Required Experience & Skills
      • · 5–9 years of hands-on experience with SAS, SQL, and Python programming.
      • · Will be tested on SAS during interview.
      • · Strong experience working in sandbox environments and data warehouses
      • · Ability to write queries, download datasets, and perform analysis independently

    Preferred Qualifications

    • Experience in operations, supply chain, finance, sales, or customer service environments

    • Knowledge of process improvement methodologies (Lean, Six Sigma, or similar)

    • Experience creating process flows and business documentation

    • Strong presentation and executive-level communication skills

    Key Competencies

    • Business process analysis

    • Stakeholder management

    • Data analysis and reporting

    • Continuous improvement mindset

    • Attention to detail

    • Adaptability and collaboration

    Must Have

    Experience
    8-10 years of experience 

    January 27, 2026

  • Business Analyst

    Business Analyst
    Remote

    Pay: $30.00 – $45.00 per hour

    Job description:

    STRATEGIC STAFFING SOLUTIONS HAS AN OPENING!

    This is a Contract Opportunity with our company that MUST be worked on a W2 Only. No C2C eligibility for this position. Visa Sponsorship is Available! The details are below.

    “Beware of scams. S3 never asks for money during its onboarding process.”

    Job Title: Business Process Engineer
    Contract Length: 12-month contract role requiring 4 days per week onsite Location: Phoenix, AZ; San Antonio, TX; Plano, TX; Colorado Springs, CO; Chesapeake, VA; or Tampa, FL.

    Responsible for leading, optimizing, and governing complex business processes within a contact center environment, with a strong emphasis on insurance operations (claims preferred). This role drives process design, improvement, risk management, and performance optimization while partnering closely with business stakeholders, technology teams, and leadership.

    This is a 1-year onsite contract role requiring 4 days per week onsite. The position may be based in Phoenix, AZ; San Antonio, TX; Plano, TX; Colorado Springs, CO; Chesapeake, VA; or Tampa, FL. Relocation assistance is not available.

    Key Responsibilities

    • Own and lead end-to-end business processes, including problem definition, requirements evaluation, process design, testing, and implementation.
    • Analyze process bottlenecks, inefficiencies, and risks; design solutions that improve performance, scalability, and compliance.
    • Develop and implement customer-specific business process strategies aligned with enterprise experience and operational goals.
    • Apply expert-level process knowledge to materially improve operational efficiency, quality, and customer outcomes.
    • Serve as a functional subject matter expert, bringing a practical, end-user-focused perspective to process design.
    • Manage process performance by:
    • Defining control limits and KPIs
    • Monitoring outcomes and risks
    • Communicating deficiencies, improvements, and operational issues to stakeholders
    • Identify, implement, and maintain controls to mitigate operational, regulatory, and compliance risks.
    • Lead solution development efforts, including business cases, benefit substantiation, and requirements definition.
    • Develop and execute communication plans for customers and internal stakeholders.
    • Ensure strong alignment across stakeholders through proactive engagement and collaboration.
    • Leverage reporting, data, and analytics to measure performance and drive continuous improvement.
    • Evaluate and incorporate emerging technologies to enhance contact center processes, including AI-enabled solutions.
    • Provide mentorship, guidance, and process leadership to team members and business partners.
    • Support planning, research, analysis, and implementation of new or enhanced applications and processes.
    • Ensure risks associated with business activities are identified, measured, monitored, and controlled in accordance with risk and compliance policies.

    Required Qualifications

    • Bachelor’s degree OR equivalent experience
    • (4 additional years of relevant experience may substitute for a degree; 10 years total experience in lieu of a Bachelor’s degree)
    • 6+ years of experience in:
    • Business process execution
    • Process engineering or optimization
    • Consulting or operational transformation
    • Hands-on experience with process mapping and process modeling, including creation and validation of process documentation.
    • Demonstrated experience applying:
    • Quality management methodologies
    • Process improvement frameworks
    • Structured problem-solving techniques
    • Proven ability to implement and sustain change (change champion).
    • Experience with process governance standards, controls, and risk management practices.
    • Experience using systems and tools to collect, analyze, and interpret operational data.
    • Experience with contact center technologies, including digital and omnichannel platforms used to manage and optimize customer interactions.

    Preferred Qualifications

    • Bachelor’s degree or higher.
    • Experience in insurance environments, particularly claims operations (any line of business).
    • Leadership experience.
    • Familiarity with contact center AI technologies (e.g., conversational AI, speech analytics, automation tools).
    • Experience with Lean, Business Process Management (BPM), or similar methodologies.
    • Lean Six Sigma certification.
    • Insurance designations (e.g., AIC, CPCU, AIS).

    Work Location: Hybrid remote in San Antonio, TX 78201

    January 27, 2026

  • UX Designer

    Job Title: UX Designer

    Location: Plano, TX (Onsite 4 days, remote 1 day)
    Pay: Up to $40-50/hr, W2 Only
    Duration: 12 Months

    (Portfolio Link Must be on Resume)

    Job Description:

    We are seeking an Intermediate UX Designer to collaborate within high-performing, cross-organizational teams to enhance member experiences. The ideal candidate will be responsible for idea generation, prototyping, and delivering high-fidelity design solutions in a fast-paced environment. This role requires strong communication, collaboration, and facilitation skills, along with proficiency in industry-standard design tools.

    Key Responsibilities:

    • Apply human-centered design principles to develop effective, user-friendly experiences.
    • Design user interfaces for responsive web and native applications (iOS, Android).
    • Implement best practices in website navigation, mobile UI patterns, and information architecture.
    • Create prototypes and iterate based on user feedback.
    • Facilitate cross-functional design sessions and collaborate with stakeholders.
    • Work across multiple design teams within different product workstreams.
    • Synthesize and apply user research findings throughout the design process.
    • Deliver high-fidelity design solutions while ensuring consistency with mature Design Systems.
    • Present design work effectively to stakeholders and advocate for user needs.

    Top Skills & Experience:

    1. Human-Centered Design (4+ years) – Experience in Product Design or UX Design, aligning solutions with user needs.
    2. UI/UX Design for Digital Products (4+ years) – Experience designing for responsive web and native applications (iOS, Android).
    3. Collaboration & Facilitation (4+ years) – Ability to work within high-performing teams, lead design discussions, and build consensus.

    Technology Requirements:

    • Figma – Proficiency in advanced features such as Auto Layout.
    • Design Systems – Experience working within a mature Design System.
    • Jira – Experience using Jira for design task management (a plus).
    January 27, 2026

  • Private Lending Services (PLS) Analyst

    Job Title: Private Lending Services (PLS) Analyst
    Location: , Dallas, TX   ***On-Site Required***
    Work Type: W2 Contingent 
    Duration: 6+ Months  
    Pay Rate: $23/hour

    Role Overview

    The Private Lending Services (PLS) Analyst role sits within PWM Operations and functions as a high-impact control and middle-office team supporting the Private Lending business. The team partners closely with GS Bank USA, GS International Bank, Private Wealth Advisors, and Private Equity clients to support the origination, funding, and ongoing servicing of private loans across the Americas, EMEA, and Asia.

    This role operates in a highly regulated environment and requires strong attention to detail, risk awareness, and a client-service mindset.

    Key Responsibilities

    • Develop a comprehensive understanding of the Private Lending business through interaction with:
      • Regional Lending Managers
      • Private Lending Underwriters
      • Credit, Legal, and Global Client Financing teams
      • Operations partners across the Americas, EMEA, and Asia
    • Partner with PWM Private Wealth Advisors (PWAs) and WMPS teams to support:
      • Loan applications
      • Origination and funding
      • Ongoing loan servicing and maintenance
    • Execute strong control and risk management practices to ensure compliance with federal regulations and GS Bank USA requirements at origination, funding, and throughout the loan lifecycle
    • Support regulatory compliance while delivering a high-quality client experience to PWM and institutional clients
    • Identify and drive process improvement opportunities to reduce manual effort and enhance operational controls in a growing business
    • Handle time-sensitive, confidential tasks with urgency, accuracy, and professionalism
    • Build and maintain effective working relationships with senior stakeholders across divisions

    Required Skills & Attributes

    • Strong client service orientation with proven teamwork and collaboration skills
    • High attention to detail with strong organizational and prioritization abilities
    • Self-motivated, proactive mindset with ownership and accountability for deliverables
    • Ability to manage competing priorities in a fast-paced, regulated environment
    • Flexibility and ability to perform under pressure while maintaining control standards
    • Strong written and verbal communication skills

    Preferred Background

    • Exposure to loan operations, private lending, banking operations, or financial services
    • Experience supporting regulated financial products or middle-office/control functions
    • Bachelor’s degree required
    January 26, 2026

  • Strategic Supplier Relationship Analyst

    Job Title: Strategic Supplier Relationship Analyst
    Location: San Antonio, TX/ Onsite
    Work Type: W2
    Duration: 12 Months 
    Pay Rate: $25/hour

    Strategic Supplier Relationship Analyst

    Job Summary

    We are seeking a Strategic Supplier Relationship Analyst to join our team in Business Process Services for the Insurance sector. This role focuses on managing supplier relationships, resolving issues, validating invoices, and ensuring alignment with business needs through data-driven insights.

    Key Responsibilities

    • Manage supplier relationships with external partners and internal business team members.
    • Respond to and resolve a wide range of supplier issues, including access to information or systems, and provide business direction to optimize supplier performance.
    • Review and validate business invoices against contractual language and services provided to ensure appropriate payment.
    • Gather business needs and understand contractual deliverables, obligations, and service level agreements to ensure supplier outputs meet business requirements for existing contracts.
    • Monitor strategic account partner satisfaction, understand and apply data-driven insights to influence strategies and drive business achievement.

    Daily Duties

    Daily responsibilities include validation of invoices using Procurement Systems and Excel to ensure accuracy and compliance with contracts.

    Required Skills (Top Three in Order of Importance)

    1. Invoice Validation – 1+ years of experience
    2. Supplier Management – 1+ years of experience
    3. Communication – 1+ years of experience in professional stakeholder communication

    Required Technology Tools

    • Procurement Systems
    • Excel

    This is a contract position ideal for professionals with experience in supplier management and invoice processes in a business or insurance environment. Apply now if you have the skills to drive supplier performance and business success!

     

    January 22, 2026

  • Application Packaging/SCCM Engineer 

    Application Packaging/SCCM Engineer 
    Location: Plano, TX/McLean, VA/Richmond, VA

    Overview

    The Application Engineer will be responsible for delivering reliable, secure, and scalable desktop application solutions across a large enterprise environment. This role partners closely with application owners, developers, vendors, and support teams to design, package, deploy, and maintain applications while ensuring minimal business disruption and optimal user experience.

    Key Responsibilities

    • Engage with application owners, developers, and vendors to design and deliver appropriate technical solutions

    • Create, test, and maintain application packages in MSI and virtualized formats

    • Manage Windows updates and application deployments using Microsoft Configuration Manager (SCCM) 2012

    • Develop deployment strategies that mitigate risk, minimize conflicts, and optimize operational effort

    • Partner with desktop and support teams to communicate changes, gather feedback, and ensure operational readiness

    • Provide technical leadership and contribute to the strategic direction of the Application Delivery team

    • Own and implement process, tooling, and documentation improvements to enhance compliance and operational efficiency

    • Identify and remediate issues discovered during application testing and deployment phases

    • Deliver third-level support for application packaging, deployment, and Windows update issues

    • Provide desktop troubleshooting support during high-impact incidents and enterprise-wide events

    • Design and implement automation solutions to reduce manual intervention and improve reliability

    • Collaborate with project teams to support application packaging and deployment initiatives

    Basic Qualifications

    • Bachelor’s degree or equivalent military experience

    • Minimum 2 years of experience managing Windows desktop environments in a large enterprise setting

    • Minimum 2 years of experience with PowerShell and desktop scripting

    Preferred Qualifications

    • Bachelor’s degree in Computer Science, Engineering, or a related technical discipline

    • 2+ years of experience administering SCCM and/or MDM platforms

    • 1+ year of experience developing automation solutions and working with CI platforms such as Jenkins

    • 1+ year of experience supporting macOS environments and Apple scripting

    January 22, 2026

  • Actuarial Valuation Manager

    STRATEGIC STAFFING SOLUTIONS HAS AN OPENING!

    This is a Contract Opportunity with our company that MUST be worked on a W2 Only. No C2C eligibility for this position. Visa Sponsorship is Available! The details are below.

    “Beware of scams. S3 never asks for money during its onboarding process.”

    Job Title: Actuarial Valuation Manager
    Must be local to: San Antonio, TX/ Charlotte, NC
    Contract Length: 24+ Months

    Job ref# 244738

    Role Overview

    As the Actuarial Valuation Manager – Life & Annuity, you will lead and coordinate actuarial valuation, forecasting, and financial reporting activities for the organization’s life and annuity product portfolios. This role combines deep technical actuarial expertise with people leadership and cross-functional influence.

    You will oversee valuation processes under US GAAP (including LDTI) and statutory accounting, ensuring accuracy, regulatory compliance, and alignment with corporate planning and strategic objectives. Acting as a bridge between actuarial analysis and business decision-making, you will translate complex actuarial results into clear insights for senior leadership, finance partners, and regulators.

    This position places a strong emphasis on technical excellence, governance, process improvement, and team development, ensuring actuarial outputs are timely, robust, and decision-ready.

    Key Responsibilities

    Technical & Actuarial Valuation

    • Lead life and annuity valuation and forecasting activities using actuarial modelling platforms (e.g., Moody’s AXIS or equivalent).
    • Oversee reserve calculations, model execution, assumption setting, reconciliations, and validation across US GAAP (including LDTI) and statutory bases.
    • Ensure valuation results comply with actuarial standards of practice, accounting guidance, and regulatory requirements.
    • Review, recommend, and document assumption changes; monitor experience studies, emerging risks, and reserve adequacy.
    • Provide technical oversight to ensure modelling methodologies are sound, consistent, and well-controlled.

    Leadership & Team Development

    • Manage, coach, and develop a team of actuarial analysts and associates, fostering technical growth and professional progression.
    • Set clear performance expectations, conduct reviews, and provide ongoing feedback and mentorship.
    • Allocate resources effectively to meet valuation deadlines, reporting cycles, and operational priorities.

    Cross-Functional Collaboration

    • Partner closely with finance and accounting teams to support quarterly and annual financial reporting, reserve disclosures, and strategic forecasts.
    • Collaborate with product, risk management, and compliance stakeholders to ensure valuation approaches align with business strategy and regulatory expectations.
    • Support enterprise initiatives by providing actuarial insight into product design, risk assessments, and capital considerations.

    Process Improvement & Governance

    • Identify and implement opportunities to streamline valuation processes, improve modelling efficiency, and enhance data and workflow automation.
    • Strengthen internal controls, documentation, and governance over actuarial models and assumptions.
    • Ensure adherence to internal policies, actuarial guidelines, and state insurance regulations.

    Communication & Reporting

    • Prepare and present actuarial analyses, findings, and recommendations to senior management and executive stakeholders.
    • Support regulatory inquiries, external audits, and actuarial disclosure requirements with clear, well-supported documentation.
    • Communicate complex actuarial concepts in a clear, concise manner to both technical and non-technical audiences.

    Required Qualifications

    • Bachelor’s degree in Actuarial Science, Mathematics, Statistics, Finance, or a related quantitative discipline.
    • ASA or FSA designation from the Society of Actuaries (or equivalent experience).
    • 5–8+ years of actuarial experience in life and annuity valuation or a closely related actuarial function.
    • Hands-on experience with actuarial modelling platforms such as AXIS or comparable tools.
    • Demonstrated leadership experience managing actuarial teams and delivering complex projects.
    • Strong working knowledge of actuarial standards, regulatory frameworks, and financial reporting under US GAAP and statutory accounting.
    • Excellent analytical judgement and communication skills, with the ability to influence and advise senior stakeholders.

    Preferred Skills & Experience

    • Deep expertise in life and annuity products, including indexed annuities and living benefit features.
    • Experience with valuation frameworks such as VM-22, VM-31, or similar standards.
    • Proficiency in process automation, data analysis, and actuarial workflow optimisation.
    • Prior experience interacting with regulators, external auditors, and senior finance leadership.

     

    January 20, 2026

  • Business Analyst

    Hello,

    I’m a Sourcer with Strategic Staffing Solutions. I found your resume online and wanted to share this job opportunity with you. If interested, please respond with a copy of your most recent, updated resume (In Word Format). If you’re off the market but know someone that would be a good fit, we do offer referral bonuses so feel free to pass this information along. Thank you for your time, I look forward to hearing back from you.

    STRATEGIC STAFFING SOLUTIONS HAS AN OPENING!

    This is a Contract Opportunity with our company that MUST be worked on a W2 Only. No C2C eligibility for this position. Visa Sponsorship is Available! The details are below.

    “Beware of scams. S3 never asks for money during its onboarding process.”


    Job Title: Business Analyst
    Must be local to: Houston TX 77002
    Contract Length: 12+ Months
    Pay: 57 an hr on W2

    Job ref# 244700

    Will partner closely with Health & Medical (H&M) leadership to define, design, and deliver reporting and analytical solutions that support strategic objectives, business planning, and operational priorities. This role requires strong business analysis expertise, advanced analytics capabilities, and the ability to translate complex data into actionable insights for stakeholders at all levels.

    Key Responsibilities

    • Collaborate with the H&M Global Business Support Manager to define reporting and analytical requirements aligned to strategy and business priorities
    • Perform business analysis activities including requirements gathering, documentation, and stakeholder engagement
    • Design, develop, and maintain recurring and ad-hoc reports, dashboards, and analytical models to support key business decisions
    • Retrieve, integrate, and aggregate data from multiple internal and external sources into clear, actionable formats
    • Prioritize and manage concurrent demands arising from projects, schedules, and competing business initiatives
    • Develop metrics and mechanisms to measure stakeholder satisfaction and support continuous improvement efforts
    • Provide timely project reporting to Project Managers, including:
      • Risks and mitigation strategies
      • Issues impacting schedules
      • Scope changes and dependencies
    • Conduct data analysis and visualization to identify trends and support program recommendations
    • Develop and present analytical business cases and project plans, monitoring progress and outcomes
    • Maintain a strong understanding of customer support requirements and business processes to enable future enhancements
    • Support process improvement initiatives addressing inefficiencies and introducing new operational capabilities
    • Maintain familiarity with Health & Medical data systems and related applications
    • Communicate effectively with stakeholders across all organizational levels

    Required Qualifications

    • Bachelor’s degree, preferably in a health-related field
    • 5–7 years of experience in an analytics, business intelligence, or data analysis role
    • Experience working with health data, metrics, or healthcare-related analytics
    • Proven experience delivering advanced analytical solutions using tools such as:
      • SQL
      • Microsoft Access and Excel
      • HTML / JQuery
    • Strong depth in analytics and data storytelling, including statistics, data wrangling, and trend analysis
    • Ability to present insights clearly using visual, graphical, and verbal formats
    • Demonstrated proficiency with Power BI for reporting and visualization
    • Strong understanding of business processes and translating requirements into reporting specifications
    • Advanced proficiency in Microsoft Excel and PowerPoint, including formulas, statistical analysis, and chart development
    • Proficiency with SharePoint site design, development, and administration
    • Excellent written and verbal communication skills, including facilitation of problem-solving discussions
    • Experience working effectively with diverse, cross-functional teams

    Key Competencies

    • Analytical thinking and attention to detail
    • Strong organizational and prioritization skills
    • Stakeholder engagement and influence
    • Problem-solving in complex environments
    • Ability to operate effectively under changing priorities

     

    January 15, 2026

  • Medical Billing Audit Specialist

    Medical Billing Audit Specialist 

    Location: San Antonio, TX/ Tampa, FL (On site)
    Type: Contract | Full-time
    Pay Rate: $20-$25/hr

    Role Summary

    Acts as the primary liaison and support resource for Injury/Casualty Adjusters supporting Medical Bill Audit (MBA) operations in MedFlow. Provides hands-on claims and system support, helps reduce medical bill backlogs, improves adjuster efficiency, and ensures compliance with service level objectives and state regulations. First Party personal injury claims experience is REQUIRED.

    Required Qualifications

    • Experience handling first-party personal injury claims
    • Strong background in medical bill processing, auditing, or adjudication
    • Experience working with third-party medical bill processing vendors
    • Understanding of medical billing concepts, including CPT codes and ICD-9/ICD-10
    • Ability to analyze workflows and use data analysis to troubleshoot process issues or propose solutions
    • Proven ability to explain complex systems to non-technical audiences
    • Strong communication and stakeholder management skills
    • Comfortable working independently while coordinating across teams
    • Leadership experience or demonstrated ability to guide and influence others

    Key Responsibilities

    • Audit and review medical bills related to personal injury auto claims
    • Understand and apply coverage determinations and billing rules
    • Serve as a liaison between claims adjusters, medical bill vendors, and internal teams
    • Coordinate with vendor partners to understand workflows, system rules, and processing logic
    • Translate vendor system outputs and recommendations into clear guidance for adjusters
    • Route medical bills and exceptions appropriately within adjuster workflows
    • Identify bottlenecks, exceptions, and inefficiencies in medical bill processing
    • Troubleshoot issues related to vendor platforms (e.g., Medflow dashboards or APIs)
    • Make process improvement recommendations, including opportunities to automate workflows and reduce exceptions
    • Develop reporting and insights based on trends observed in medical billing and adjudication
    • Provide leadership and guidance to adjusters and vendor partners when issues arise
    • Address escalations and coordinate solutions across teams

    Preferred / Nice-to-Have

    • Experience with Medflow or similar medical bill ingestion platforms
      (AIS / CCCIS experience is not required)
    • Familiarity with API-based or dashboard-driven medical billing systems
    • Experience reducing manual handling, improving automation, or minimizing exceptions
    • Background working with auto insurance claims organizations
    January 15, 2026
Previous Page
1 2 3
Next Page

© 2026 Strategic Staff. All rights reserved.