Core Responsibilities of this position include: Managing a desk with a pending file load of 85 -90 files. Investigating and gathering information to determine the exposure on the claim. Negotiating settlement of claims within designated authority. Qualifications Include:
Consulting with members who require help/guidance/actions regarding benefits. Documenting member conversations, follow-ups and resolutions. Working directly with supervisor to handle escalated and/or high profile issues. Position Requirements Include:
Possession of, or ability to attain, required licensing within 3-6 months. Bachelor's degree or equivalent work experience. Claims financial management and excellent desk management skills. Must be detail oriented with good negotiation and decision making skills.
Work in a team setting and need to be willing to help out wherever needed. Skills and Requirements Include: 5+ Years of Individual Life Underwriting Experience. Must currently be with a Carrier Company. Minimum of $1M Sign Off. Designation in progress. Open to Internal Promotions.
Helping this team identity AR 'trends' within their biggest accounts. Tracking and recording certain trends within their patient account systems. Tracking large amount of data (denials and appeals mainly) and making decisions based off that data. Qualifications for this position include: