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Client Relations Specialist
2 months ago
Key Responsibilities:
Manage and assess approvals, eligibility, and communicate with healthcare providers while issuing Guarantees of Payment (GOPs) in accordance with policy and client authorizations.
Monitor and follow up on all cases across Latin America, ensuring timely communication with medical providers.
Offer guidance, support, and advice to international members seeking medical treatments or procedures.
Address routine phone inquiries and written correspondence related to authorizations and claims status.
Evaluate and direct complex cases to the appropriate management personnel.
Navigate various systems to gather necessary information for issuing GOPs.
Confirm payments and/or denials, as well as treatment authorization status, and inform the relevant parties accordingly.
At Insight Global, we are dedicated to fostering diverse and inclusive workplaces where individuals can express their authentic selves every day.
Qualified candidates will be considered for employment without regard to race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances.
If you require assistance or a reasonable accommodation due to a disability during the application or recruitment process, please send a request to us.
Qualifications:
- Bilingual in French or Spanish
- Experience in the medical or insurance sector
