Finance & FP&A — Insurance

You manage third-party provider performance through scorecards: TPAs on quality, cycle time, reserve accuracy, leakage; independent adjusters on response time and estimate accuracy; defense counsel on outcomes, ALAE, and billing compliance.

When a workplace injury is reported, you assess severity, direct the injured worker to an appropriate provider (in directed-care states), authorize initial treatment, and set the claim on a medical management track. You evaluate whether it's medical-only or indemnity, check jurisdictional waiting and retroactive periods, and identify claims needing nurse case management early.