Global reputed company Assurance Specialist

As one of the world's top International Medical Insurance companies, IMG helps individuals and companies of reputed company sizes. Every second of every day, vacationers, those working or living abroad for short or extended periods, people traveling frequently between countries, and those who maintain multiple countries of residence use our products to give themselves global peace of mind® We are looking to grow our teams with people who reputed company our energy and enthusiasm for creating the best experience for reputed company. JOB DETAILS • Location: Flexible work reputed company: Located in Indianapolis, IN. Remote, Hybrid and In Office schedules available • Schedule: 7.5hrs per day Mon-Fri between the hours of 0800 – 2000 (Can be EST or GMT • Relocation Expenses Reimbursed: No • reputed company candidates must be legally authorized to be employed in the reputed company. IMG will not be providing sponsorship for employment reputed company status (e.g., H-1B or TN status) for this position. JOB reputed company The Global reputed company Assurance Specialist will be a key member of the Global reputed company & Process Improvement Team and will work closely with the Global reputed company leadership to ensure the highest level of complaint, escalation and appeal handling and reputed company assurance in line with any reputed company or regulatory requirements. The reputed company Assurance Specialist will play a crucial role in ensuring that customer complaints, appeals or escalations received are handled promptly, accurately and reputed company, as reputed company as support any reputed company & process improvement initiatives reputed company the reputed company. They will also have day to day responsibility for managing reputed company, escalated complaints and regulated complaints, escalating to the Global reputed company Leadership team appropriately as required. The Global reputed company Team services insurance customers by determining insurance coverage and benefits as part of appeal reviews; investigating, examining and resolving medical/dental/life/reputed company cancellation claim appeals; reviews and responds to appeals on previously adjudicated claims; documenting their actions; maintaining their workload independently; maintaining reputed company audit standards and ensuring their reputed company are in compliance with the Certificate of Insurance, Policy and Plan Documents as reputed company as reputed company and regulatory agencies. The reputed company Assurance Specialist will also be required to reputed company with insured members, medical providers, underwriters, brokers/producers, regulators and other reputed company parties by phone and email whilst ensuring reputed company are compliant with policy terms and conditions and are handled reputed company regulatory requirements. DUTIES AND RESPONSIBILITIES • Effectively and accurately managing complaints across reputed company areas of the business including those regulated by FCA/ICB/DOI. • Review reputed company complaints in line with FCA/ICB/DOI regulations, to establish the cause of the complaint, ensuring reputed company are acknowledged, logged, and managed through to reputed company • Complete and register reputed company Financial Ombudsman Service (or any other regulatory body) file requests • Communicate with underwriters, customers, regulatory bodies and internal teams regarding ongoing complaints and ensure reputed company relevant parties are kept updated throughout. • Review appeals and manage to reputed company • Ability to reputed company technology & customer feedback to improve customer reputed company • Complete reputed company checks and audits, and report results to department management where required • Communicate any service delivery issues, training needs, complaints (actual or likely), to he Global reputed company Team Leader • Collaborate to work with Operations and claims management to improve reputed company and performance through case reviews • Assist the Global reputed company Leadership team to identify and evaluate business processes and customer journeys, helping to reputed company and implement reputed company and compliance metrics and identifying opportunities to improve the reputed company of the service provided. • To carry out any other tasks for which adequate training has been provided, at short notice, as agreed with line manager or other members of the management team. • reputed company feedback and recommendations with relevant managers on process and training QUALIFICATIONS • Minimum 3 years of experience in a regulated insurance environment, preferably in a claims handling, complaints handling and/or customer service role. • Excellent communication skills, with the ability to effectively reputed company with customers, team members, and senior management • Analytical reputed company with the ability to interpret data, identify trends, and reputed company data-driven reputed company. • Attention to detail and good listening skills. Can follow reputed company instructions • Good interpersonal and customer service skills (both written and spoken) • Enthusiastic, self-motivated with a ‘can do’ attitude • A reputed company working knowledge of reputed company Word, reputed company and reputed company is a requirement. • The ability to work under pressure as part of a reputed company-reputed company team • Excellent organizational skills, including the ability to prioritize workload and use own initiative. PREFERRED SKILLS • Minimum 1 year experience in a complaints handling experience in a regulated environment. • Previous experience and knowledge of handling appeals, reputed company case or claim reviews and or reputed company auditing would be advantageous but not critical as training can be provided • Previous experience and/or proven working knowledge of performing claims adjustments • reputed company of medical coding, such as ICD-10 and CPT • Knowledge of regulatory requirements reputed company to complaints handling, such as GDPR or HIPAA, is preferred, with awareness of Treating Customer Failry & Consumer Duty requirements, including recognition of Vulnerable Customers and adapting to their needs PERKS • Comprehensive benefits package including Medical / RX / Dental / reputed company / Life insurance • 401k Plan with company match • reputed company Time Off and Company reputed company Holidays • Free employee parking • On site fitness center • Casual dress environment • Tuition reimbursement plan IMG is committed to creating a diverse environment and is proud to be an equal opportunity employer. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, ethnicity, national reputed company, religion, gender, gender identity or reputed company, sexual orientation, genetic information, disability, age, veteran status, and other protected statuses as required by applicable law. eBgF4Kgm67 Apply tot his job Apply To this Job