Arthur J Gallagher Risk Management Services, Inc
Location
Carrollton, TX | United States
Job description
Step into the world of Gallagher Bassett, where risk management becomes a canvas of possibilities. Join our growing team of dedicated professionals who guide those in need to the best possible outcomes for their health and wellbeing. As a steward of trust, you'll be part of a resilient team, armed with cutting-edge technology and a relentless pursuit of a better way. Together, we will redefine the boundaries of excellence and elevate the industry to unprecedented heights. GUIDE. GUARD. GO BEYOND.
We believe that every candidate brings something special to the table, including you! So, even if you feel that you're close but not an exact match, we encourage you to apply.
How you'll make an impact Primarily focused on coordinating various programs that may include; oversight of medical bill processes (eBill interfaces and bill review), PPO/Specialty Networks, pharmacy processes, case management processes (UR/TCM/FCM, eInvoice, nurse note, and Electronic Referral), customer service/litigation issues, vendor security and various other programs. Responsible for maintaining continuous communication with the managed care vendor(s) to insure all service program expectations are identified and maintained, managing questions/issues from internal and external users relating to managed care programs (scanning, medical bill review, case management, pharmacy, etc.), managed care processes (eBill, eInvoice, auto referral), and/or MC Interfaces, and resolving and troubleshooting service issues through appropriate channels. Essential duties include developing and enhancing existing managed care workers compensation programs and participating in client and/or vendor meetings. Serves as a communications liaison between managed care vendors and Servicing Branches.We offer competitive salaries and benefits, including: medical/dental/vision plans, life and accident insurance, 401(K), employee stock purchase plan, educational expense reimbursement, employee assistance program, flexible work hours (availability varies by office and job function), training programs, matching gift program, and more.
At Arthur J. Gallagher, we fiercely protect our culture. Without it, we are just another company. Every day we live by, "The Gallagher Way", 25 business tenets from which we draw our strength. A multi-national, multi-billion dollar insurance brokerage and risk management services firm, our employees are fueled by teamwork, creativity, responsiveness and doing the right thing simply because it's the right thing.
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