Workers Compensation Expert

7 days ago


Rolling Meadows, Illinois, United States Gallagher Full time

About the Role

Gallagher is seeking a highly skilled and experienced Insurance Claims Specialist to join our team. As a key member of our managed care team, you will play a critical role in guiding our clients and claimants to the best possible outcomes for their health and wellbeing.

Key Responsibilities

  • Maintain and develop various programs, including medical bill processes, PPO/Specialty Networks, pharmacy processes, case management processes, and customer service/litigation issues.
  • Sustain continuous communication with managed care vendors to ensure all service program expectations are identified and maintained.
  • Manage questions/issues from internal and external users relating to managed care programs, processes, and interfaces.
  • Resolve and troubleshoot service issues through appropriate channels.
  • Develop and enhance existing managed care workers compensation programs.
  • Direct vendor activity, including authorization of fee application and impact to clients funding mechanisms.
  • Participate in client and/or vendor meetings.
  • Exercise decision-making authority on client fees and credits of significant value.

Requirements

  • Bachelor's 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, with the ability to prioritize workload and manage multiple tasks simultaneously.
  • Ability to travel up to 20%.

Preferred Qualifications

  • Proficiency in computer applications, including Outlook, Excel, Word, PowerPoint, and Access.
  • Familiarity with Access or enterprise database programs.

Benefits

  • Competitive salary.
  • Great teams and exciting career opportunities.
  • 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.
  • Digital mental health services (Talkspace).
  • Flexible work hours.
  • Training programs.
  • Gallagher Thrive program.
  • Charitable matching gift program.

About Gallagher

Gallagher is a leading provider of insurance and risk management solutions. We value inclusion and diversity, and are committed to creating a workplace that is welcoming and inclusive for all employees. We believe that all persons are entitled to equal employment opportunity and prohibit any form of discrimination based on protected characteristics.



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