Insurance Specialist II

4 weeks ago


Chicago, Illinois, United States AbbVie Full time
Job Title: Insurance Specialist II

AbbVie is seeking a highly skilled Insurance Specialist II to join our team. As a key member of our Access Support team, you will play a critical role in ensuring patients have access to our innovative medicines and solutions.

Key Responsibilities:
  • Act as the primary point of contact for healthcare providers and patients, addressing complex patient access challenges and providing accurate explanations of medical and/or pharmacy benefits, financial assistance, and access questions.
  • Provide subject matter expertise and best-in-class customer service for all inbound and outbound customer calls, driving first call resolution and ensuring a positive service image at all times.
  • Investigate and problem-solve for patients experiencing escalated issues, such as disadvantaged or complex access, savings card/copay card challenges, or non-preferred formulary issues.
  • Maintain an understanding of current business procedures, deviations, and case processing for all brands and channel sources, supporting the Insurance Specialist I role as needed.
  • Accurately communicate insurance details to healthcare providers and patients via phone, electronic communication methods, and fax, adhering to established policies and procedures.
  • Identify potential Adverse Event situations for reporting to Pharmacovigilance, ensuring AbbVie meets FDA regulations.
  • Support changing business priorities by being flexible in executing or overseeing completion of specific tasks to support patients, products, or services.
  • Liaise between healthcare providers, insurance companies, AbbVie Patient Access Support field reps, Ambassadors, filling pharmacies, and patients to administer the Patient Support Service programs.
  • Educate healthcare providers, AbbVie Patient Access Support field representatives, filling pharmacies, and patients on access processes specific to their patient's insurance plan.
  • Meet or exceed department standards relative to performance metrics, maintaining a work environment that upholds privacy standards required by law and AbbVie policy.
Requirements:
  • High school diploma or GED equivalent required; degree preferred.
  • 2-4 years of work experience in a healthcare or reimbursement setting; previous experience in a call center environment, healthcare office, or specialty pharmacy preferred.
  • Understanding and knowledge of commercial and government pharmacy and medical insurance programs, billing, alternate funding resources, reimbursement processes, prior authorization, and appeal filings, and specialty pharmacy operations preferred.
  • Experience and knowledge in Medicare Part D, Medicaid, and alternate funding resources, private payers, pharmacy benefits, and medical benefits preferred.
  • Demonstrated ability to lead and participate within a team, manage multiple priorities, and meet associated timelines while maintaining accuracy.
  • Proven leadership skills, professional written and verbal communication skills, and ability to maintain a positive service image at all times.
  • Ability to maintain a work environment that upholds privacy standards required by law and AbbVie policy.
What We Offer:
  • A comprehensive package of benefits, including paid time off, medical/dental/vision insurance, and 401(k) to eligible employees.
  • A short-term incentive program.
  • A commitment to operating with integrity, driving innovation, transforming lives, serving our community, and embracing diversity and inclusion.

AbbVie is an equal opportunity employer and is committed to operating with integrity, driving innovation, transforming lives, serving our community, and embracing diversity and inclusion.



  • Chicago, Illinois, United States AbbVie Full time

    Job SummaryWe are seeking a highly skilled Insurance Specialist II to join our team at AbbVie. As a key member of our Access Support team, you will be responsible for providing exceptional customer service to healthcare providers and patients, addressing complex patient access challenges, and ensuring timely resolution of insurance-related issues.Key...


  • Chicago, Illinois, United States HomeServices Insurance Full time

    Job SummaryWe are seeking a highly skilled Insurance Risk Assessment Specialist to join our team at HomeServices Insurance. As a key member of our sales team, you will be responsible for assessing client risk exposure on personal and/or commercial property, making appropriate recommendations, and placing coverage to address those risks.Key...


  • Chicago, Illinois, United States Heartland Human Care Serv Full time

    Job Title: Security Specialist IIAt Heartland Human Care Services, we are seeking a highly skilled Security Specialist II to join our dedicated team in Youth Residential Services. As a key member of our team, you will play a crucial role in ensuring the safety and well-being of vulnerable populations, including unaccompanied minors.Key...


  • Chicago, Illinois, United States Bank of America Full time

    Job Title: Production Specialist IIJob Summary:Bank of America is seeking a Production Specialist II to join our team. As a key member of our operations team, you will be responsible for handling complex files and preventing client escalations. You will assist with client escalations and related issues, perform various production and support functions, and...


  • Chicago, Illinois, United States The University of Chicago Medicine Full time

    Job Title: Perinatal Sonographer II SpecialistAt The University of Chicago Medicine, we are seeking a highly skilled Perinatal Sonographer II Specialist to join our OB/GYN department. This role is responsible for performing advanced ultrasound imaging for patients with high-risk and routine pregnancies, and complex and routine gynecological conditions.Key...


  • North Chicago, Illinois, United States AbbVie, Inc Full time

    Job Title: Senior Quality Specialist, CAPA IIAt AbbVie, we are committed to delivering innovative medicines and solutions that address serious health issues. We are seeking a highly skilled Senior Quality Specialist, CAPA II to join our team.Job Summary:The Senior Quality Specialist, CAPA II will be responsible for overseeing the plant CAPA Quality System by...


  • Chicago, Illinois, United States Bank of America Full time

    Job Title: Sampling and Test Development Specialist IIBank of America is seeking a highly skilled Sampling and Test Development Specialist II to join our team. As a key member of our Global Risk Analytics and Enterprise Independent Testing teams, you will be responsible for developing and implementing testing scripts to evaluate the effectiveness of our...


  • Chicago, Illinois, United States Jennette Torres - State Farm Agent Full time

    Insurance Account SpecialistWe are seeking a highly motivated and organized Insurance Account Specialist to join our team at Jennette Torres - State Farm Agent. As an Insurance Account Specialist, you will be responsible for managing client insurance accounts, updating information, and providing exceptional customer service.Responsibilities:Manage client...

  • Account Executive II

    3 weeks ago


    Chicago, Illinois, United States Aon Full time

    Job Title: Account Executive II - Risk Insurance LeaderAbout the Role:We are seeking a highly skilled and experienced Account Executive II - Risk Insurance Leader to join our team at Aon. As a key member of our organization, you will be responsible for leading our risk insurance business and driving growth through strategic partnerships and innovative...


  • Chicago, Illinois, United States Bank of America Full time

    Job Description:At Bank of America, we are committed to delivering exceptional customer service and ensuring the smooth operation of our banking systems. As a Production Specialist II, you will play a critical role in handling complex transactions and resolving client escalations in a timely and professional manner.Key Responsibilities:Assist with client...


  • Chicago, Illinois, United States The Judge Group Full time

    Job Title: Insurance Operations SpecialistJob Type: ContractLocation: Chicago, IL & Boston, MADuration: 6+ MonthsWe are seeking a highly organized and detail-oriented Insurance Operations Specialist to join our team at The Judge Group. As an Insurance Operations Specialist, you will play a critical role in maximizing the success of Marsh by optimizing the...


  • Chicago, Illinois, United States DeSimone Consulting Engineers Full time

    BIM Senior Specialist II Job DescriptionThis position is classified as salaried, exempt. The hiring salary range for this role is anticipated to be $85,000 - $110,000 dependent upon experience and qualifications.Job Summary:DeSimone Consulting Engineers is seeking a BIM Senior Specialist II to provide competency in BIM modeling to support development,...


  • Chicago, Illinois, United States US Tech Solutions Full time

    Job Summary:As a skilled Pharmacist II Specialist at US Tech Solutions, you will play a vital role in ensuring the accuracy and quality of prescription medications. Your expertise will be utilized to review prescriptions issued by physicians, determine formulas and ingredients needed, and direct pharmacy workers in mixing, packaging, and labeling...


  • Chicago, Illinois, United States Travelers Insurance Full time

    Job Title: Property Risk Control SpecialistAt Travelers Insurance, we're committed to delivering exceptional products and services to our customers. As a Property Risk Control Specialist, you'll play a critical role in helping us achieve this goal.Job Summary:We're seeking a highly skilled and experienced Property Risk Control Specialist to join our team. In...


  • Chicago, Illinois, United States Best Rate Insurance Unltd Inc Full time

    Job SummaryBest Rate Insurance Unltd Inc is seeking a skilled Customer Service Representative to provide exceptional support to policyholders. The ideal candidate will possess excellent communication and problem-solving skills, with a strong ability to build rapport and maintain composure in challenging situations.Key Responsibilities:Respond to policyholder...


  • Chicago, Illinois, United States Shedd Aquarium Full time

    Job SummaryThe Operations and Maintenance Specialist II assists departmental colleagues with the maintenance and operation of base building and life support systems or other building machinery and equipment as assigned.Key ResponsibilitiesAssists with the maintenance and operation of base building and life support systems or other building machinery and...


  • Chicago, Illinois, United States Erie Insurance Full time

    About the RoleErie Insurance is seeking a highly skilled Senior Property Claims Specialist to join our team. As a key member of our Claims Department, you will be responsible for handling large commercial and personal property claims assignments in a designated region.Key ResponsibilitiesInvestigate and/or direct the investigation of commercial property...


  • Chicago, Illinois, United States Kristian Navarro - State Farm Agent Full time

    **Life Insurance Specialist Opportunity**Kristian Navarro - State Farm Agent is seeking a qualified professional to market life insurance services and products to benefit clients and their families.As a customer-oriented expert, you will provide the needed security for times of distress and vulnerability. Your sales experience equips you to continually grow...


  • Chicago, Illinois, United States Shedd Aquarium Full time

    Job SummaryThe Operations and Maintenance Specialist II (3rd Shift) is responsible for assisting departmental colleagues with the maintenance and operation of base building and life support systems or other building machinery and equipment as assigned. This role requires a strong commitment to safety and a willingness to work in a fast-paced environment.Key...


  • Chicago, Illinois, United States Kristian Navarro - State Farm Agent Full time

    Job DescriptionJob DescriptionROLE DESCRIPTION:Kris Navarro State Farm Insurance is seeking a qualified and empathetic professional for the role of Life Insurance Specialist. As a customer-oriented expert, you will market the best Life insurance services and products to benefit clients and their families. Your sales experience equips you to continually grow...