Claim Intake Specialist

Introduction:

Join our growing team of dedicated professionals at Gallagher Bassett, who guide those in need to the best possible outcomes for their health and wellbeing. You'll be part of a resilient team that works together to redefine the boundaries of excellence. At our organization, we value collaboration and making a positive impact in the lives of our clients and claimants, offering you the opportunity to join a team where your skills and dedication can truly make a difference. GUIDE. GUARD. GO BEYOND.

We believe that every candidate brings something special to the table, including you So, even if you feel that youre close but not an exact match, we encourage you to apply.

How you'll make an impact:
Primarily focused on maintaining various programs that may include; oversight of medical bill processes (eBill interfaces and bill review), PPO/Specialty Networks, pharmacy processes, case management processes (UR/TCM/FCM, eInvoice, nurse note, and Electronic Referral), customer service/litigation issues, vendor security and various other programs. Responsible for sustaining continuous communication with the managed care vendor(s) to insure all service program expectations are identified and maintained, managing questions/issues from internal and external users relating to managed care programs (scanning, medical bill review, case management, pharmacy, etc.), managed care processes (eBill, eInvoice, auto referral), and/or MC Interfaces, and resolving and troubleshooting service issues through appropriate channels. Essential duties include developing and enhancing existing managed care workers compensation programs, directing vendor activity including authorization of fee application and impact to clients funding mechanisms, and participating in client and/or vendor meetings. Exercises decision making authority on client fees and credits of significant value, often directing other departments and vendors to complete these objectives-approves/denys allocation of fines and penalties. Serves as a communications liaison between managed care vendors and Servicing Branches. Demonstrates Managed Care expertise and experience by independently directing vendor activity which directly impacts client expenditures and GB revenue. Develops and directs client specific initiatives including customization of claim intake, scanning and bill review services
Identifies and implements workflows and processes to streamline operations and improve efficiencies.

About you:
Required: Bachelors' degree; 3 years' of direct insurance industry experience. General knowledge of workers compensation managed care industry. Excellent written and oral communication skills. Strong organizational skills-must be able to prioritize workload and manage multiple tasks simultaneously. Ability to travel up to 20%.

Preferred: Proficiency in computer applications, including risxfacs.com, Outlook, Excel, Word, PowerPoint, and Access. Familiarity with Access or enterprise database programs is a plus.

Behaviors: Ability to work under pressure under minimal guidance. Must be a team player.

Compensation and benefits:

On top of a competitive salary, great teams and exciting career opportunities, we also offer a wide range of benefits.

Below are the minimum core benefits youll get, depending on your job level these benefits may improve:

• Medical/dental/vision plans, which start from day one
• Life and accident insurance
• 401(K) and Roth options
• Tax-advantaged accounts (HSA, FSA)
• Educational expense reimbursement
• Paid parental leave

Other benefits include:

• Digital mental health services (Talkspace)
• Flexible work hours (availability varies by office and job function)
• Training programs
• Gallagher Thrive program elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing
• Charitable matching gift program
• And more...

We value inclusion and diversity

Click Here to review our U.S. Eligibility Requirements

Inclusion and diversity (I&D) is a core part of our business, and its embedded into the fabric of our organization. For more than 95 years, Gallagher has led with a commitment to sustainability and to support the communities where we live and work.

Gallagher embraces our employees diverse identities, experiences and talents, allowing us to better serve our clients and communities. We see inclusion as a conscious commitment and diversity as a vital strength. By embracing diversity in all its forms, we live out The Gallagher Way to its fullest.

Gallagher believes that all persons are entitled to equal employment opportunity and prohibits any form of discrimination by its managers, employees, vendors or customers based on race, color, religion, creed, gender (including pregnancy status), sexual orientation, gender identity (which includes transgender and other gender non-conforming individuals), gender expression, hair expression, marital status, parental status, age, national origin, ancestry, disability, medical condition, genetic information, veteran or military status, citizenship status, or any other characteristic protected (herein referred to as protected characteristics) by applicable federal, state, or local laws.

Equal employment opportunity will be extended in all aspects of the employer-employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination. In addition, Gallagher will make reasonable accommodations to known physical or mental limitations of an otherwise qualified person with a disability, unless the accommodation would impose an undue hardship on the operation of our business.

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