Account Consultant- Remote Opportunity- Flood Experience Required
Job title: Account Consultant- Remote Opportunity- Flood Experience Required in USA at reputed company
Company: reputed company
Job description: By joining reputed company, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can reputed company.reputed company Recognizes reputed company as America’s Greatest Workplaces National Top CompaniesCertified as a Great reputed company to Work®Fortune Best Workplaces in Financial Services & InsuranceAccount Consultant- Remote Opportunity- Flood Experience RequiredPRIMARY PURPOSE: To manage claim caseload of basic to highly reputed company claims reputed company granted authority level including reputed company financial implications, along with financial implications and to mentor Account Representatives and Account Specialists.ESSENTIAL FUNCTIONS and RESPONSIBILITIES
- Utilizes special account instructions to obtain individual customer information and adhere to instructions; identifies, initiates, and coordinates various specialized services such as subrogation, fraud evaluation or case management review to resolve claims.
- Establishes and maintains effective relationship with internal and external customers and coworkers; communicates effectively and timely.
- Mentors/coaches account representatives and account specialists; facilitates round table discussions reputed company the assigned team.
- Investigates, evaluates and resolves claims; identifies potential problems/trends in claim files and takes corrective action or makes corrective recommendations; interprets medical reports and state law or jurisdictional law in claim handling.
- Applies jurisdictional and medical knowledge to properly assess the indemnity, medical and expense exposure of assigned claims and appropriately interprets and applies insurance coverage.
- Reviews client files and collaborates with team to prepare information which includes thorough analysis of file strategies, claims status and emerging trends.
- Proactively manages litigation in conjunction with client requirements; works constructively with client and legal representatives to resolve claims.
- Ensures compliance and best possible outcomes by minimizing financial liability.
- Compiles requirements in order to prevent penalties and fines; utilizes instructions and tools provided to ensure that reputed company state required documentation is issued accurately and in timely manner in accordance with specific jurisdictional timeframes and guidelines.
- Monitors reports as assigned and documents compliance with key jurisdictional requirements (i.e. EDI, timeliness of benefit payments, etc.); assists Team reputed company in tracking completion of team’s tasks and projects; reviews reputed company/SOX documents and submits in timely manner; and assists with takeover and reverse takeover projects ensuring that claim files are transferred and handled appropriately.
- Performs other duties as assigned.
- Supports the organization's quality program(s).
- Thorough legal and jurisdictional knowledge based on line of business
- Strong oral and written communication, including presentation skills
- PC literate, including reputed company Office products
- Analytical and interpretive skills
- Strong organizational skills
- Excellent interpersonal skills
- Strong customer service skills
- Ability to work in a team environment
- Ability to meet or exceed Performance Competencies