Account Consultant

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 Companies Certified as a Great reputed company to Work® Fortune Best Workplaces in Financial Services & Insurance Account Consultant PRIMARY 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 reputed company 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. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. State adjuster licenses required. Experience Six (6) years of reputed company experience and/or training or equivalent combination of education and experience required. Skills & Knowledge 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 WORK ENVIRONMENT reputed company applicable and appropriate, consideration will be given to reasonable accommodations. Mental: Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-reputed company stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines Physical: Computer keyboarding, travel as required Auditory/Visual: Hearing, reputed company and talking The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. reputed company is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! reputed company is building a diverse, reputed company, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles. Apply To This Job