Behavior Consultant providing in - community behavioral health support to youth ages 2 - 21 in Pennsylvania. Leading assessments, developing treatment plans, and collaborating with families and service providers.
About the role
- Senior Claims Consultant providing claims analysis and resolution for HUB's clients while supporting Producers and Account Managers. Facilitating negotiations and ensuring smooth claims handling processes within HUB's best practices.
Responsibilities
- Claims advocate and facilitator on behalf of the client
- Consultation with clients on claims issues
- Review and recommend solutions to coverage, quantum and claim handling management issues
- Negotiates with insurers, adjusters and lawyers to expedite and obtain fair settlement of claims
- Participate in sales presentations to prospective clients
- Assist the client in preparing special claims servicing instructions, focusing on the client’s specific needs and taking into consideration the structure of their insurance programs
- Review and comment on policy wording for account teams
- Review of claims with clients/insurers/loss adjusters regularly
- Work with clients to ensure efficient, prompt and smooth flow of claims handling and established processes are followed
- Provide guidance to client as to claim process along with direction regarding likely outcome and timelines
- Liaise with carriers and representatives through claim process
- Appropriately documents conversations with clients and carrier representatives and updates all HUB computer systems and automated agency management systems when necessary
- Ensures the accuracy of data in those systems
- Answer basic coverage questions
- Review and interpret policy language with the ability to propose coverage solutions in questionable/disputed situations
- Accurate electronic filing of claims, as deemed appropriate
- Attend Critical Path, prospecting, stewardship and client meetings as requested, including participation in presentations
- Works closely with Producers and other HUB personnel on all claims aspects for our clients, while adhering to HUB’s best practices and standard procedures
- Stays abreast of changes in the insurance industry and other external conditions that may impact their clients
- Makes appropriate recommendations to clients in response to those changes independent of manager approval
- Travels on company business as required
- Prepares reports for management as required
- Attends industry related continuing education training and courses
- Performs other duties and projects as assigned
Requirements
- Minimum 5 years of applicable claims handling experience
- Exceptional written and verbal communication skills
- Superior customer service and problem solving skills.
- Proficiency with Microsoft Office Suite (PowerPoint, Word, Excel, Outlook)
- Detail-oriented self-starter
- Ability to work in a team environment
- Significant skill in handling competing demands and projects
- Excellent organizational skills and ability to prioritize and delegate responsibility
- Relevant Insurance licenses per state/regional statutes
- Associate in Claims (AIC) or CPCU designation preferred
Benefits
- Competitive salaries and benefits offerings
- Medical/dental/vision insurance and voluntary insurance options
- Health Savings Account funding
- 401k matching program
- Company paid Life and Short-Term Disability Plans
- Supplemental Life and Long-Term Disability Options
- Comprehensive Wellness Program
- Generous PTO Package - Vacation, Holiday, Sick, and Personal Time Off
- Great work/life balance, because that’s important for all of us!
- Focus on creating a meaningful environment through employee engagement events
- The ability to be a part of a motivated, winning team with the opportunity to learn from colleagues who are amongst the top talent in the industry!
- Growth potential - HUB is constantly growing and so can your career!
- A rewarding career that helps local businesses in the community
- Strong community support and involvement through HUB Gives
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
Behavioral Consultant ABA providing in - community behavioral health support for youth in Pennsylvania. Leading assessments and developing individualized treatment plans in collaboration with families and educators.
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