[Hiring] Proactive Injury Coverage Coordinator @Katch

Role Description

The role of a Proactive Injury Coverage Coordinator is to pursue financial savings on behalf of our customer using the legal theories of Coordination of Benefits with Automobile insurance and administering workers compensation and other coverage exclusions. May include initiating telephone calls to members, providers and other insurance companies to gather coordination of benefits. Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance.

Responsibilities

• Investigate, coordinate, and resolve all types of claims as well as coordinating and resolution for health plans, commercial customers, and government entities (40%)
• Initiate phone calls to members, providers, and other insurance companies to gather coordination of benefits (30%)
• Ensure adherence to state and federal compliance policies, reimbursement policies, and contract compliance (15%)
• Perform other duties as assigned (15%)

Qualifications

• Healthcare experience required
• Prior Injury Coverage Coordination or Claims Management experience
• Intermediate Excel experience. Ability to use MS Excel to sort, filter, formulate and display data

Preferred Qualifications

• Knowledge of Healthcare Subrogation process
• FACETS Claims Platforms experience
• In depth knowledge of SubroNow platform

Location Eligibility Requirement

This position offers remote work flexibility for candidates who reside in one of our eligible hiring states: Georgia, Florida, Pennsylvania, Kentucky, Texas, Wisconsin, or Michigan. Due to this location requirement, applicants must be located in and legally authorized to work from one of these states at the time of hire and throughout their employment.

Benefits

• Comprehensive medical, dental, and vision coverage
• Wellness program with resources for healthy living
• Health Savings Account (HSA) and Flexible Spending Account (FSA) for tax-free savings
• Tuition reimbursement opportunities
• Generous PTO so you can recharge
• Paid holidays and sick time
• Leave options to support life’s biggest moments
• Life and Disability insurance through Unum
• Voluntary coverage options for added peace of mind (Critical Illness, Accident, Hospital Indemnity, Legal, and Identity Protection)
• Employee Assistance Program (EAP) for free, confidential counseling and support
• Remote work options available for many roles
• Flexible schedules in select positions