Process, investigate, evaluate, reserve, adjust, and negotiate medical expense and Med Pay claims. Maintain Medicare reporting information, respond to correspondence, support claims personnel, handle phone inquiries, and develop relationships with medical professionals, attorneys, vendors, and court personnel. The role requires claims experience, analytical and communication skills, strong organization, attention to detail, and the ability to work independently.

Develop and maintain pricing and competitive models for property and casualty insurance products. Perform rate reviews, reserving analyses, loss and expense reserve studies, predictive modeling, budget forecasting, and actuarial research. Ensure rating manuals and premium rules comply with insurance regulations while supporting product development and cross-functional management initiatives.