10+ years of experience successfully managing and leading functional support teams. Prior experience in a clinical environment with working knowledge of medical terminology and responsibility for coding guidelines.
Licensing as required by jurisdiction. In-depth working knowledge of various types of vehicle construction and repair techniques. Ability to read and interpret technical reference material. Good verbal and written communication skills. Mathematical ability.
Technical knowledge of statutory regulations and medical terminology. Excellent written and verbal communication skills, including ability to convey technical details to claimants, clients and staff. Ability to interact with persons at all levels in the business environment.
Provide underwriting with timely and complete underwriting survey reports. Submit technically sound recommendations to improve risk desirability and help control loss experience. Skills and Requirements Include: Knowledge of/experience with PC-based computer software.
Extract and compile information from various systems to support executive decision-making. Applicants must meet the following qualifications: Bachelor's Degree in Mathematics, Statistics, or Economics. 1-2 years of relevant experience. Must have passed at least 2 actuarial exams.
Provide branch and account support including new business calls, Keep branch appraised of audit progress. Qualifications for this position include: Travel - Yes, 25 % of the Time. A minimum of five (5) years' experience delivering premium audit service to National Accounts.
Must be able to: Conduct insurance claims investigations. Complete multiple types of complex claims investigations. Review assignments and supporting documentation to determine case objectives and client expectations. Position Requirements Include: Travel time & mileage compensation.
Analyze the patients clinical record to find the information needed to support prior approval for a procedure. Utilize insurance expertise to complete required tasks. Required Skills: Minimum 1-2 years experience in obtaining precertification authorization within the past year.
Act as a technical resource for Underwriters. Provide value-added services to assist in overall policyholder risk reduction strategies. Applicants must meet the following qualifications: Flexibility for necessary travel and occasional overnight stays.
General computer skills (including use of Microsoft Office, Outlook, internet search), familiarity with health care documentation systems. Ability to prepare and present in depth written technical assessment of medical reimbursement issues relating to claims processing and clinical editing.