Respond to client inquiries and concerns ensuring timely service delivery of excellent customer satisfaction Create and assign work orders to multiple technicians, subcontractors, and/or vendors Effectively communicate work order details with technicians, subcontractors, and/or vendors, and effectively provide up to date reports on work order statuses Experience working w

Coach and motivate agents to achieve or exceed sales targets with a focus on quality and compliance Supervise the daily activities of the team by reviewing and analyzing calls / reports, assessing areas of opportunity, managing work assignments and assuring agents are providing a positive consumer experience Develop staff by providing one on one coaching, conducting role

Works to underwrite cases where general and some complex underwriting principles will be applied and a solid command of the rating tools is required Frequency of case review will be based on team lead's decision and in accordance to case level review policies Obtains Field Office staff acceptance of expense and reserve levels necessary to achieve planned expense recovery

Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, least restrictive level of care Identify and initiate referrals for social service programs; including financial, psychosocial, community and state supportive services Manage the care plan throughout the continuum of care as a single point of contact Com

Identify potential health care business customers Develop business relationships with agents and/or brokers in order to increase sales Promote sales of health care products to small and medium sized businesses (51 300 employees) customers, through brokers. This includes educating and keeping brokers up to date on products and pricing; evaluating and discussing with broker

Determine that the case is assigned to the appropriate team for review (e.g., Medicare, Medicaid, Commercial) Validate that cases/requests for services require additional research Identify and utilize appropriate resources to conduct non clinical research (e.g., benefit documents, evidence of coverage, state/federal mandates, online resources) Prioritize cases based on ap

Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, at least restrictive level of care Identify and initiate referrals for social service programs; including financial, psychosocial, community and state supportive services Manage the care plan throughout the continuum of care as a single point of contact

Financial management of Lease accounting prepare, document and record lease transactions, including transactions that require technical accounting Fixed asset accounting and asset management close out projects, create assets, maintain appropriate useful life of asset, manage depreciation schedules, evaluate capitalization versus expense A suite of real estate based balanc

Full oversight of the specialty sale at the direction of the AE/SAE to achieve health plan market sales goals and maintain profitability Advocate for specialty voluntary products to support increase in enrollment and size of sale and negotiate based on broker/customer feedback with underwriting; leveraging rate bank, product discount programs and packaged savings to lever

Customer retention, based on established annual goals Strategic planning for multi year initiatives to identify opportunities to better manage healthcare trends Responsible for communicating and managing escalated issues and problem resolution as appropriate Maintains appropriate documentation including action plans, meeting notes, Strategic Customer Business Plans, Sales

Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care Identify and initiate referrals for social service programs; including financial, psychosocial, community and state supportive services Manage the care plan throughout the continuum of care as a single point of contact Com

Perform thorough telephonic nursing assessment and clinical review to determine appropriate triage protocol to utilize for nurse care advice. Ensure member is directed to appropriate level of care at contracted facilities. Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, least restrictive level of care

Receive assigned medical charts to code Review medical charts electronically Abstract and code diagnosis and documentation information Document requested information from the medical record Perform ongoing analysis of medical record charts for the appropriate coding compliance The key challenge of this role centers around your ability to work quickly, accurately and indep

Assess, plan and implement care management interventions that are individualized for each patient and directed toward the most appropriate, least restrictive level of care Identify and initiate referrals for both healthcare and community based services; including but not limited to financial, psychosocial, community and state supportive services Develop and implement care

Serve as a liaison for post transition concerns Aid members who lose nursing facility level of care or are ready for discharge from a nursing facility to ensure a successful discharge or transfer to another residential setting Work with the Member Advocate Coordinator and other member focused departments Outreach to and engage a member transitioning between programs to co