Monitoring key performance indicators and established denial trend metrics for designated service area. Providing excellent customer service, resources and responsiveness to client’s needs. Identifying areas of deviance from system averages or expected best practice metrics.
Provides moderately complex to complex auto appraisal service face-to-face. High School Diploma. 2 or more years material damage estimating experience. Current insurance appraiser/adjuster license or ability to obtain within a designated number or attempts.
Communicate rate/fee development and plan design offered, and assess contract comparisons for takeover business. Applicants must meet the following qualifications: Minimal travel required for finalist and broker meetings 10 % of the Time.
An independent pharmacy is seeking a Telecommute Pharmacy Benefit Plan Design Analyst. Core Responsibilities Include: Accurately rebuilding existing pharmacy benefit plans with new plan changes. Inputting plan design coding in RxClaim AS400 promptly and accurately.
Acting as senior resource to a designated team of Provider Relations Representatives. Educating providers and office staff on insurance plans, fees and administrative plan requirements. Representing the organization or the department’s perspective at external functions as needed.