{"id":2391687,"url":"https://alion.io/job/medrisk-technical-operator-iii","title":"Technical Operator III","company":{"id":2152188,"name":"MedRisk","domain":"medrisknet.com","url":"https://alion.io/company/medrisknet","size_band":"501-1000","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"ADP","truth_index":{"grade":"A","score":88,"open_postings":3,"ghost_share":0,"stale_share":0.667,"repost_share":0,"time_to_fill_p50_days":18,"computed_at":"2026-10-22T06:10:10Z"}},"role":"Field & Service","role_family":"Field & Service","seniority":"middle","employment_type":"full_time","work_mode":"on_site","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":{"min":21,"max":24,"currency":"USD","period":"hour","gross":null,"usd_annual":48000},"salary_estimate":null,"experience_years_min":2,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"Microsoft Office","optional":false}],"status":"live","first_seen_at":"2026-10-12T12:37:00Z","employer_posted_date":"2026-10-12","last_verified_at":"2026-10-22T10:48:18Z","board_verified":true,"closed_at":null,"days_open":10,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":10},"description":"Job Title: Negotiation Specialist (Technical Operator III)\nDepartment: IQ Analysis\nReports To: IQ Analysis Manager\nLocation: Remote\nJob Type: Full-Time\nJob Summary:\nThe Negotiation Specialist is responsible for evaluating, negotiating, and settling workers’ compensation claims in compliance with applicable laws and internal policies. This role involves working closely with providers, adjusters, and internal teams to ensure cost-effective and fair outcomes while maintaining a high standard of service.\nKey Responsibilities:\nReview and analyze medical bills, treatment records, and claim documentation to determine appropriate settlement values.\nNegotiate with medical providers, and other parties to reach fair and timely resolutions.\nEnsure compliance with all applicable state workers’ compensation laws and regulations.\nMaintain accurate and up-to-date documentation of negotiations and outcomes in the claims management system.\nIdentify potential cost-saving opportunities and work toward minimizing claim exposure.\nCommunicate clearly and professionally with both internal and external contacts.\nMonitor claims to identify trends and report on potential areas of concern.\nQualifications:\n2-5 years of experience in workers’ compensation claims handling, bill review, or negotiation (or equivalent combination of education and experience).\nStrong knowledge of workers’ compensation regulations and fee schedules.\nStrong understanding of medical billing codes (CPT, ICD-10, HCPCS), state fee schedules, and PPO discounts\nExcellent communication and negotiation skills, both written and verbal\nStrong attention to detail and ability to manage multiple cases independently\nExcellent negotiation, communication, and analytical skills.\nAbility to work independently and manage multiple priorities in a fast-paced environment.\nProficient with claims management systems and Microsoft Office Suite.\nPreferred Qualifications:\nExperience in a TPA, insurance carrier, or medical cost containment company","description_format":"text","description_chars":2000,"description_truncated":false,"requirements":{"experience_years_min":2,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":null,"security_clearance":false,"languages":[]},"benefits":[],"hiring_locations":[],"hiring_excludes":[],"relocation_offered":false,"industries":["Physiotherapy & Rehabilitation","Care Coordination & Population Health"],"lifecycle":[{"event":"open","at":"2026-10-12T21:27:32Z"}],"visa":[],"liveness":{"score":83,"band":"hot","label":"Hiring now","p_open":1,"p_active":0.879,"p_room":0.945,"age_days":9,"expected_fill_days":18,"reasons":["conf:3","velocity","win:mid"],"computed_at":"2026-10-22T06:10:10Z"},"pay":{"stated_usd_annual":48000,"is_top_pay":false},"html_url":"https://alion.io/job/medrisk-technical-operator-iii","json_url":"https://alion.io/job/medrisk-technical-operator-iii.json","meta":{"generated_at":"2026-10-22T14:33:36Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":14130,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-10-23T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":2152188},"rest":"https://alion.io/mcp/rest/get_company?id=2152188"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fmedrisk-technical-operator-iii"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Fmedrisk-technical-operator-iii"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Fmedrisk-technical-operator-iii"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/medrisk-technical-operator-iii\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fmedrisk-technical-operator-iii"}]}