• Managed Care Specialist

    Location US-MO-Fenton
    Posted Date 3 months ago(8/23/2018 8:15 AM)
    Job ID
    23995
    # Positions
    1
    Category
    Claims
  • Overview

    Headquartered in Fenton, Missouri, a suburb of St. Louis, Vanliner Insurance Company is a member of Great American Insurance Group. For over 30 years, Vanliner has grown to become the country’s top insurance provider for the moving and storage, parcel and home delivery industries. Our mission since day one, has been to provide first-class insurance products and unparalleled customer service to all of our customers. Our success is driven by the expertise, innovation and commitment to customer service that our employees provide. If you are ready to join an engaging and driven team such as ours, we would love to hear from you!

    Responsibilities

    • Monitors and facilitates each claimant's medical treatment to ensure appropriate, effective, cost-efficient and quality care.
    • Coordinates with vendors of rehabilitative services to ensure that services are consistent with the diagnosis and the goal of returning the claimant to employability and / or normal activities.
    • Coordinates attendant care supervision, including the selection of appropriate care facilities. Assigns cases to vendors for utilization review.
    • Provides professional advice and expertise to Claims staff in developing and providing medical and cost control procedures.
    • Provides technical advice to lower level associates and other functional areas.
    • Leads the work of others (mentors, prioritizes, delegates and reviews assignments).
    • Performs other duties as assigned.

    Qualifications

    Education: Bachelor's Degree or equivalent; R.N. (Registered Nurse) or L.P.N. (Licensed Practical Nurse) preferred.
    Field of Study: Business, Biology, Nursing or a related discipline.
    Experience: 6 or more years of related experience, including Case Management experience.

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