Requires critical thinking, communication, influence, decision-making, analytical, and flexibility skills to make optimal decisions based on multiple variables and desired outcomes.
April 19, 2021
Develop/maintain a broad cross-section of networks.
June 24, 2021
Participate in the development of reports and tools for identifying signals that will flag misunderstanding, misconduct, fraud or other out of protocol program participant related incidents.
August 12, 2021
Provide answers to general inquiry calls submitted via telephone or web based platforms on program services, disease state or product related questions, based on information provided as part of the program materials.
October 26, 2021
Maintains contact and communicates with insurance adjusters to apprise them of case activity, case direction or receive authorization for services.
November 10, 2021
Manages cases of various product lines of at least 3-4 areas of service (W/C, Health, STD, LTD, Auto, Liability, TPA, Catastrophic, Life Care Planning).
December 30, 2021
Reviews case records and reports, collects and analyzes data, evaluates client's medical and vocational status and defines needs and problems in order to provide proactive case management services.
January 05, 2022