Expert en sinistres responsable d'enquêter sur les réclamations d'assurance, évaluer les dommages, et négocier les règlements. Poste basé à Victoriaville, QC au sein de ClaimsPro.
About the role
- Insurance Educator role at DaVita to educate patients on health insurance options. Involves direct interaction with patients and teammates while fulfilling compliance parameters.
Responsibilities
- Responsible for patient education while staying within established compliance parameters for the company and program
- Identifies and effectively communicates opportunities to better the insurance status of the patients, alleviating financial risk and burden
- Provides information to patients to help them find and/or secure options for insurance coverage and other financial assistance programs as necessary
- Completes insurance assessments/evaluations for patients
- Accurately documents and classifies patient education sessions
- Provides a high-level of customer service to patients to ensure educational needs are met
- Acts as a liaison between patients, facility teammates, billing office and the corporate office to resolve patient insurance issues and/or concerns
- Attends team meetings, phone conferences, and trainings as needed
- Works closely with supervisor/manager to meet objectives, deadlines, and reporting/measurement requirements as they pertain to patient education
- Builds and maintains relationships with field partners (e.g. Insurance Counselors, Facility Administrators, Social Workers, Administrative Assistants etc.) to ensure seamless patient support.
Requirements
- High School Diploma or equivalent is required
- Minimum of two (2) years' experience in customer service, healthcare organization, insurance company or related field - Preferred
- Intermediate computer skills and proficiency in MS Word and Outlook
- Beginner proficiency in MS Excel and PowerPoint
- Experience in the healthcare industry/healthcare organization working with a clinical team and patients - Preferred
- Demonstrate extensive understanding of insurance plans and benefits (PPO, HMO, POS, EPO, Indemnity), COBRA benefit options, medical leave options, American with Disabilities Act, Coordination of Benefits, Federal and State level health coverage benefits as they relate to ESRD - Preferred
- Experience in case management and/or social work - Preferred
- Fluency in Spanish - Strongly Preferred.
Benefits
- Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out
- Support for you and your family: Family resources, EAP counseling sessions, access Headspace®, backup child and elder care, maternity/paternity leave and more
- Professional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita’s online training platform StarLearning.
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