Case Coordinator Resume Samples

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NE
N Ernser
Nia
Ernser
6808 Fay Streets
Detroit
MI
+1 (555) 213 6777
6808 Fay Streets
Detroit
MI
Phone
p +1 (555) 213 6777
Experience Experience
Detroit, MI
Case Coordinator
Detroit, MI
Quitzon, Harris and Torp
Detroit, MI
Case Coordinator
  • Utilize workflows to efficiently and accurately make nonclinical decisions and complete authorization and/or handoff process
  • Co-coordinates interviews, provides assistance during interviews, and transcribes interview notes
  • Participate in Altegra Health staff and operational development programs as assigned. Performs other duties as assigned
  • Manages and tracks specific resolution deadlines and provides status updates to relevant parties
  • Participate in Altegra Health staff and operational development programs as assigned
  • Answering Care Allies Customer and Provider calls and processing Care Allies Fast Cert Authorizations
  • Answering and processing provider calls for Cigna East and TruCare
Boston, MA
Msla-case Coordinator
Boston, MA
Haag, Stamm and Schaefer
Boston, MA
Msla-case Coordinator
  • Develop and maintain relationships with providers in assigned areas(s)
  • Schedules provider training (mentoring) with QAS or Operations Manager
  • Work with Clinic Operations Supervisor to ensure MSLA clinics are properly staffed on day of Veteran’s examination
  • Provide excellent customer service
  • Maintain maximum security while implementing and enforcing HIPPA with medical providers, Veterans and VA employees
  • All other duties assigned by Management
  • Contacts providers / office staff to schedule cases
present
Chicago, IL
Utilization Review Case Coordinator
Chicago, IL
Ryan, Bayer and Powlowski
present
Chicago, IL
Utilization Review Case Coordinator
present
  • Assures discharge planning is reviewed at the time of admission and updated to facilitate effective discharge planning
  • Implements an effective tracking system to track upcoming reviews
  • Develops and maintains effective working relationships with Assessment staff
  • Promptly and accurately obtain data from individuals conducting initial assessment to initiate pre-authorization procedures
  • Follows-up on tasks or assignments requiring further attention
  • Advises doctor of any third party payers requiring direct contact from a physician for admission and concurrent reviews
  • Is pro-active and independent in gathering information for reviews from the patient record
Education Education
Bachelor’s Degree in Respect
Bachelor’s Degree in Respect
Indiana University
Bachelor’s Degree in Respect
Skills Skills
  • Proven ability to be a team player with strong interpersonal skills
  • Ability to research, identify a problem and provide input to finding a solution
  • Excellent communication skills, oral and written
  • Over 3 years of operational experience related to a complex processing environment with the ability to deliver exceptional service
  • Ability to influence, convince, direct and persuade others
  • Evidence of ability to achieve thoroughness and accuracy when completing a task
  • Evidence of excellent written and oral communication, and human relations/interpersonal skills
  • Attention to detail
  • Knowledge of individual life insurance is an asset
  • Knowledge of life insurance terminology and products is an asset
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15 Case Coordinator resume templates

1

Case Coordinator, Processing Resume Examples & Samples

  • Review and audit correspondence, applications, legal documents and reports to proceed with appropriate processing
  • Meet the department’s production standards for measuring the quality and quantity of work processed
  • Communicate and correspond with agents or insured/s to obtain supplemental information or to explain legal requirements in accordance to company regulations, state laws, and NASD, or SEC regulations, as required
  • Refer issues involving risk to underwriter for evaluation
  • Follow-up on administrative requirements
  • Enter, update and verify information contained in the application is in the computer system
  • Research customer and agent inquiries
  • Review, update and issue policies ensuring accuracy
  • 1 year + work experience using administrative systems in office management, order processing, or customer service
  • Basic PC knowledge inclusive of Word
  • Efficient typing skills
  • Good problem solving and customer service skills
  • Ability to effectively communicate and process customer information necessary to process several millions of dollars of face amount and premiums
2

Case Coordinator Resume Examples & Samples

  • Takes an active role in creating an environment of innovation, collaboration, transparency, accountability and trust
  • Receive, review and communicate new insurance applications for missing information, i.e., forms, signatures, policy criteria, etc
  • Review of all compliance related activities based on individual regulations for clients
  • Conduct regular follow-up via phone (primary) and email/fax (secondary) on outstanding requirements
  • Organize and prioritize workload to ensure case is processed, issued, and placed in a timely manner, while maintaining frequent communication to manage customer expectations
  • Act as a conduit for all issues associated with a case to include coordination with all internal departments
  • Follow up with insurance agents on policy delivery requirements, including application amendments, health statements, insurance premium, etc., to ensure policy is placed within specified timeframe
  • Answer inbound calls and provide customer service to external and internal customers
  • One year of work experience using administrative systems in office management, order processing, or customer service
  • PC proficiency using MS Word
  • Basic typing skills
3

Case Coordinator Entry Resume Examples & Samples

  • Order requirements as needed
  • Review issued insurance policy for accuracy before mailing to the agency/agent as required
  • Meet the department’s production standards for measuring quality and quantity of work processed
  • Exp using Excel
  • Perform rating calculations as assigned to pending applications by underwriter and calculates premium amounts
  • Assist in researching, recommending and documenting improvements in service and productivity for the area to ensure quality service
  • Assist in special projects as assigned and provide support to various teams when needed
  • Demonstrate a solid understanding of unit’s workflows and procedures in order to develop and participate in recommending administrative efficiencies
  • Associates degree or equivalent education and experience
  • One year related work experience using administrative systems in office management, order processing, or customer service
  • Familiarity with multiple company and industry forms
  • Comprehension of state laws and regulations, NASD & SEC regulations and State Insurance requirements
  • Good customer service and communication skill
4

NCR Case Coordinator Resume Examples & Samples

  • Process all NCRs in which an Internal/External Party is at fault; ensure that costs for materials and labor can be successfully recovered through Invoicing, Insurance claims, or Cost-Trading
  • Verify completeness and accuracy of all Internal/External NCRs, and that all costs related to Internal/External NCRs have been recorded
  • Ensure that Labor Hours and Materials Consumption can be substantiated by back-up documentation provided by the Project Site and/or Transport Department
  • Establish and maintain an effective working relationship with Vestas Americas and Customers, Contractors, Sub-Contractors, and Transport Companies, Factories as well as Group Risk through professional communications and problem resolution
  • Assist Financial Controllers in invoicing of NCR costs to Internal/External Parties
  • Oversee Documentation Control-Sites (DCSs) in presenting Notification of Fault as well as finalized Construction Reports to Customers, Contractors, Factories and Sub-Contractors detailing NCR costs of damages for which they will be invoiced
  • Serve as a main point of contact for Project Managers, Financial Controllers, and the Transport and Legal Departments, as well as anyone else needing information regarding claims against Internal/External NCR fault groups, and for all NCR related insurance claims and financial procedures
  • Prepare regular, up-to-date reports of Internally/ Externally caused NCRs to Project Managers
  • Initialize NCRs related to Transport damage in SAP and the VAME NCR System,
  • Track damages occurring during the transportation of Components to Project Site; forecast materials and labor required to complete repairs of damages, and promptly report costs associated with correction of Transport damages to the Transport department and/or Group Risk
  • Assist in identifying causes of recurring Transport issues, and assist Transportation NCR Quality Coordinator in the implementation of Corrective/Preventative Actions
  • Assist in identifying causes of recurring VWS issues, and assist QSE NCR Quality Coordinator in the implementation of Corrective/Preventative Actions
  • Attend weekly Project Update Meetings to keep Project Teams informed regarding NCR Costs on Project Sites
  • High School diploma or GED required; Bachelor Degree or equivalent in Finance, Business, or related field preferred
  • 3-5 years of administrative experience, construction or manufacturing environment preferred, with understanding of quality and cost issues and non-conforming report process
  • Excellent analytical skills and ability to think systemically
  • Excellent interpersonal skills with strong ability to represent the company with customers and sub-contractors
  • Interact effectively with employees at all professional levels
  • Strong computer skills, specifically with MS Office products
  • Strong background in working with ERPs (Enterprise Resource Planning) systems such as SAP
  • Strong communication, including oral and writing skills; proficient in written and spoken English
  • Experienced and efficient in enterprise resource or database system and transactions (SAP preferred)
  • Ability to travel up to 50% of time; ability to obtain a passport for travel
5

Case Coordinator Resume Examples & Samples

  • Process and monitor the New Business underwriting process, which includes ordering necessary medical requirements, obtaining updates and missing information and providing constant correspondence with the Advisor and the Insurance Company to ensure that the policies are underwriting in a timely manner
  • Processing of In Force requests on existing insurance policies
  • Respond to incoming telephone advisor calls, email inquiries and faxes and provide customer service
  • Maintains accurate records of transactions in order to interact effectively with distribution channels and/or clients
  • Identify continuous improvement opportunities in streamlining workflows and improving service to our advisors
  • Positively enforces accuracy, minimizes risk associated to privacy issues
  • Bilingualism in English and French is preferred
  • Over 3 years of operational experience related to a complex processing environment with the ability to deliver exceptional service
  • Proven customer service experience, with the ability to communicate effectively and professionally with all levels of management. High level of phone confidence and professionalism while interacting with internal and external customers
  • Excellent communication skills, oral and written
  • Proven ability to be a team player with strong interpersonal skills
  • Ability to identify when exceptions are required and to appropriately escalate in order to provide superior customer service
  • Ability to research, identify a problem and provide input to finding a solution
  • Knowledge of individual life insurance is an asset
6

New Business Case Coordinator Resume Examples & Samples

  • Bachelor's degree or equivalent work related experience required
  • Must develop a broad understanding of insurance operations, products and concepts
  • Must have strong computer skills, aptitude, and proficiency at keyboarding
  • Must exhibit quick judgment, excellent organizational skills, and accurate and precise written and verbal communication
  • Must exhibit strong relationship building with internal and external customers and be able to respond to a difficult situation that requires tact and diplomacy
  • Must exhibit good decision-making when working on complex casework and making exceptions during new business processing
  • Must exhibit the ability to prioritize work, maintaining service standards in the face of peak times and heavy workloads, and frequent interruptions
  • Able to multi-task in a fast paced changing environment with high accuracy and within established turnaround times
  • Must be an effective team player and a positive influence within the organization
  • Must develop solid product knowledge across all lines
  • Must work professionally and diplomatically with very demanding and diverse distribution channels
7

New Business Case Coordinator Resume Examples & Samples

  • Bachelor's degree or equivalent work related experience required (i.e., Life insurance, banking, financial services, etc.)
  • If dealing with variable life products, must become an associated person of Princor Financial Services Corporation, which requires fingerprinting, and a full background check
  • Participation in industry continuing education is strongly recommended (i.e. LOMA, ACS (Associate Customer Service), HIAA)
8

New Business Case Coordinator Resume Examples & Samples

  • Process new business applications for life & health
  • Review all incoming applications for life and health and related document to ensure that they are complete, accurate and meeting compliance requirements within set standards
  • Order the appropriate medical and underwriting requirements based on the age/amount guidelines
  • Create the client and pending policy records onto SmartOffice
  • Scan all applications and related documents and upload onto SmartOffice
  • Perform regular follow-ups by checking the insurance carrier websites, or calling the insurance carrier to ensure requirements are completed and decision reached
  • Regularly communicate updates/decisions to IC/MA via email
  • Review newly issued life and health policy contracts for accuracy by comparing to the application and illustration submitted
  • Send the policy contract and list of delivery requirements to the IC/MA within 24 hours via courier
  • Follow-up with the IC/MA for the completion and submission of the delivery requirements
  • Ensure copies of the contract and settlement documentation (i.e. delivery receipt, etc.) are uploaded onto SmartOffice
  • Follow-up with the carrier to ensure the case is settled and commission is received
  • Process new business applications for investments
  • Review all incoming segregated funds and GIA applications to ensure that they are complete, accurate and compliant
  • Create the client and policy records onto SmartOffice
  • Scan copies the application and relevant documents and upload onto SmartOffice
  • Review the “New Purchase” report from Mutual Fund Operations to ensure that all new accounts have an application received
  • Send the application to the fund company for their records
  • Provide support to the field by
  • Responds to inquiries from the field on application administration or underwriting
  • Provide back-up for other Case Coordinators when away
  • Perform Relationship Management
  • Build and maintain strong relationships with various carrier Case Co-ordinators through ongoing liaison with them on their cases
  • Build and maintain strong business relationship with advisors by providing excellent support to their business needs
  • Contribute to the effective functioning of the SMW Insurance team by
  • Building effective working relationships across the team and with various business line and corporate function contacts
  • Actively share knowledge and experience to enhance the development of all team members
  • Developing and executing a meaningful employee development plan
9

Case Coordinator for HIV Related Diseases Resume Examples & Samples

  • In addition to defined technical requirements, accountable for consistently demonstrating service behaviors and principles defined by the Kaiser Permanente Service Quality Credo, the KP Mission as well as specific departmental/organizational initiatives. Also accountable for consistently demonstrating the knowledge, skills, abilities, and behaviors necessary to provide superior and culturally sensitive service to each other, to our members, and to purchasers, contracted providers and vendors
  • Minimum two (2) years of experience working with patients with terminal diagnoses or comparable health related diseases in a medical setting
  • Experience with patients with HIV related diseases strongly preferred
  • Patient population management. Experience gathering and interpreting data and statistical information preferred
  • Program development. Identifying trends and changes in care continuum. The ability to interpret trends, statistics, and data and develop appropriate programs to ensure department goals and patient outcomes are met
  • Ability to interact, coordinate care, access resources, assist with program development, and advocate for Kaiser Permanente members through participation with outside Aids Service Agencies, Colorado Department of Public Health and Environment, Denver HIV Resources Planning Council, and other Ryan White funded resources
  • Knowledge of community resources preferred
  • Experience with adherence counseling and risk reduction strategies preferred
  • 6 Experience with coaching and engaging patients in care proffered
  • Patient teaching and patient education experience. Being able to develop curriculum and effectively teach (knowing how to assess for readiness to learn, etc.)
  • Knowledge of effective prevention strategies. PEP and PrEP program education and management. Oversight and primary resource for PrEP program preferred
  • Quality assurance monitoring. (Reviewing nursing interactions for patients receiving PrEP and provide feedback and education)
  • Sufficient knowledge and understanding of HIV infection to be considered an internal regional resource for patients and providers preferred
  • Cultural sensitivity and experience with diverse patient populations preferred
  • Ability to problem solve complex psycho-social issues preferred
10

Analyst, Rate Case Coordinator Resume Examples & Samples

  • Coordinate Company’s rate case filing preparation with internal constituents. Prepare, or assist with planning of activities necessary to develop, track and meet all critical delivery milestones
  • Engage with Regulatory and Legal on all rate case plans to understand, translate and communicate the requirements within the Customer team to support all filings
  • Manage the internal trackers and KPI’s to assure delivery of required tasks and information
  • Drive the responsiveness to all regulatory inquiries to assure on time responsiveness
  • Leverage cross company and organization findings and data and responses to enable best practice and consistency in testimony and responses
  • Develop and maintain a set of rate case data that can support rate cases and inquiries on an ongoing basis
  • Lead necessary Hub reviews to engage teams on recognition of risks and ways to correct course to meet milestones
  • Bachelor’s degree in accounting, business, economics, finance, engineering, or related field required. An advanced degree is preferable
  • 5 or more years of related experience in utility core delivery areas, gas or electric,project management experience, finance, or accounting preferred
  • Strong organizer and communicator w/ project management skills
  • Strong analytical and problem solving ability. Proficient in collecting and analyzing data, evaluating information, and drawing logical conclusions
  • Familiarity with customer billing systems is helpful
  • Proficiency with spreadsheet and word processing applications
11

Homecare Case Coordinator Resume Examples & Samples

  • 1+ year of prior experience working in a similar capacity in the Home Care setting
  • Prior experience in a Home Care Scheduler role
  • Bachelor's Degree in Human Services or a related field
12

Msla-case Coordinator Resume Examples & Samples

  • Schedule Veterans examinations and diagnostic testing
  • Answer and address inbound and outbound phone calls
  • Ensure all pertinent information is documented in database
  • Develop and maintain relationships with providers in assigned areas(s)
  • Work with Clinic Operations Supervisor to ensure MSLA clinics are properly staffed on day of Veteran’s examination
  • Provide excellent customer service
  • All other duties assigned by Management
  • Able to follow routine procedures consistently and efficiently
  • Self - motivated and Adaptable
  • Associates Degree in Healthcare or Business related program
13

Case Coordinator Resume Examples & Samples

  • Planning of technical field staff resources and spare parts
  • Answer customer calls, log calls and dispatch calls to technical staff / 1st. Line Telephone-support
  • Create new cases including the WorkOrders
  • Follow-up that all cases are handled in due time
  • Closing correctly WorkOrders and cases
  • Hardware and Software Case handling
  • You have strong planning skills
  • You have good negotiation and communication skills
  • You have excellent language skills: fluent in local language(s) in region and English. The group must cover: English, French, German, Spanish and Italian
  • Having a basic understanding of full product portfolio is a plus
  • You are service-minded and able to respond in a fast and pro-active way to customer requests
  • You are customer oriented – build relationship with customers and ESKO service people
  • You take ownership: “Customer’s problem is my problem”
  • You can stay calm under pressure
  • You are able to motivate and convince people
  • You create authority and respect among customers and internally. A bit of a tough person who can guide people in a friendly way
14

Case Coordinator, Fcm Resume Examples & Samples

  • Assists the Program Manager and Case Managers with case coordination and routine clerical tasks
  • Maintains program participant case records on the computer system by performing data entry
  • Maintains files and other related documentation
  • Issues family participant identification cards to be used solely for Company identification, check-in for appointments and other general tracking services
  • Assists participants with transportation logistics. Identifies and secures appropriate and cost-effective transportation for the final destination
  • Facilitates access to available volunteer community service opportunities for participants. Provides families with information about local community groups and resources including relevant church services, ethnic community groups, or other organizations
  • Assists parents of school age children with the acquisition of basic school supplies
  • Facilitates participant transportation needed to meet appearance and reporting obligations related to their immigration cases
  • Informs participants of the full range of public transportation options in the metropolitan area where they reside
  • Arranges for transportation in emergency situations where public transportation options are inadequate
15

Case Coordinator Resume Examples & Samples

  • Health care experience preferred
  • Scheduling and data entry experience a plus
  • Ability to communicate with all levels of staff and clients
  • Ability to coordinate many activities at once
16

Member Services Rep / Case Coordinator Resume Examples & Samples

  • Conducts telephonic outreach activities for members who have been prescreened as potentially eligible for the Medicare Savings Programs
  • Contribute to the department’s success by succeeding at departmental production and quality goals
  • Comply with all company and department operational guidelines and policies
  • Participate in Altegra Health staff and operational development programs as assigned
  • Demonstrates patience and empathy
  • High commitment to accuracy, high quality work, and detail-oriented
17

NAT Case Coordinator Resume Examples & Samples

  • Provide exceptional customer service, collaborating closely with inpatient Care Coordinators, Care Managers, facilities and individual providers to ensure proper access and utilization of benefits
  • Responsible for validating HIPAA, verifying eligibility, quoting benefits, providing referrals, and completing authorization and handoff process
  • Utilize workflows to efficiently and accurately make nonclinical decisions and complete authorization and/or handoff process
  • Handing cases off when the do not meet Fast Cert criteria
  • Processing electronic OBH and Banner auth requests
  • Answering Care Allies Customer and Provider calls and processing Care Allies Fast Certs
  • Integrating with medical when appropriate
  • Participating in work groups
  • Bachelor’s degree, with a minimum of one year of related work experience
  • Strong interpersonal skills with capacity to project warmth and empathy
  • Effective listening & organizational skills
  • Experienced and skilled in working with multiple PC systems and applications , efficient in responding to requests while simultaneously maneuvering various computer screens among multiple systems while able to meet metrics and adhere to IEX scheduling requirements
18

Case Coordinator Resume Examples & Samples

  • Home health care experience preferred
  • One year of billing and payroll experience preferred
  • Scheduling and data entry experience is required
19

Case Coordinator Resume Examples & Samples

  • Meets quality standards by ensuring proper phone etiquette and adherence to scripts, make accurate and descriptive MMS documentation and properly complete cases. Ensuring accurate and descriptive MMS documentation is made on all cases and case document tab is updated for all documents received
  • Acknowledge, follow-up, and close out correspondence and/or inquiries as assigned
  • Stay informed with current knowledge of state and federal regulatory requirements
  • Must have a High School diploma or GED. Associates degree preferred with a focus in Health Care Administrative, Business, or a related field from an accredited college or university. Verifiable experience which demonstrates the ability to perform the functions of the position
  • Must have 4+ years of professional call center experience
  • Business demeanor and skills with the ability to communicate effectively (verbal, written and listening skills)
  • Professional behavior with courteous, polite and energetic qualities
  • Experience with the health care industry. Prefer general knowledge of Medicare, Medicaid, and Managed Care
  • Bilingual is a plus (English/Spanish)
20

Case Coordinator Resume Examples & Samples

  • Requires current unrestricted license as a Licensed Vocational Nurse (LVN),
  • Minimum 5 years employment clinical experience
  • Requires exceptional customer service skills
  • Must have strong computer skills using MS office products including Word, Excel, and Outlook
  • Must have reliable transportation, a valid and unrestricted driver’s license and proof of insurance
  • Previous STAR+PLUS experience
  • Case Management experience with Medicare or Medicaid populations a plus
  • Experience managing members with chronic disease processes
21

Msla-case Coordinator Resume Examples & Samples

  • Contacts providers / office staff to schedule cases
  • Follows up with providers / office staff to check on status, dictations and reports
  • Sends preliminary letters with rates appropriate for area and within our pricing guidelines
  • Maintain ongoing relationships with recruited providers
  • Maintains accurate and up - to - date documentation in database throughout recruitment process
  • Understands all aspects of case load and scheduling needs
  • Works in tandem with QA to ensure on - time delivery of reports
  • Works in tandem with MSLA’s schedulers to obtain timely appointments from MSLA in - house doctors
  • Responsible for searching for quality providers to match with cases
  • Negotiate rates appropriate for cases as needed
  • Sends agreements / sample reports as needed
  • Schedules provider training (mentoring) with QAS or Operations Manager
  • Occasionally recruit new providers
  • Problem solves when provider / claimant challenges arise
  • Practices sense of urgency as well as due diligence during demanding deadlines
  • Demonstrates effective time management and organizational skills in a fast - paced environment
  • Documents and maintains detailed notes within the case management system
  • Consistently meets scheduling deadlines
  • Can produce successfully in a demanding and high - energy environment
  • Keeps all departmental and company information confidential
  • Experience scheduling appointments
  • Proficiency with Windows and MS Office suite
  • College degree or relevant experience in the industry
  • Self-motivated, detail - oriented, organized and adaptable
  • Typing speed: 40 wpm
22

ISP Case Coordinator Resume Examples & Samples

  • Must have a BA/BS degree
  • Must have a minimum of 3 years of administrative experience
  • Must be able to work independently and effectively
  • Must be proficient in Microsoft Office including MS Word, Excel, and Outlook
  • Must be able to communicate effectively and possess strong organizational skills
  • Experience working in a college environment and/or a multicultural setting
23

Utilization Review Case Coordinator Resume Examples & Samples

  • Maintains contact with Assessment staff to stay abreast of admissions
  • Promptly and accurately obtain data from individuals conducting initial assessment to initiate pre-authorization procedures
  • Information is organized and presented in a manner, which facilitates third party payer pre-certification process
  • Advises Assessment staff when clinical criteria have been inadequately documented
  • Develops and maintains effective working relationships with Assessment staff
  • Advises doctor of any third party payers requiring direct contact from a physician for admission and concurrent reviews
  • Is pro-active and independent in gathering information for reviews from the patient record
  • Takes initiative to seek information from members of the treatment team monitors documentation to treatment plan goals and alerts team members when documentation is lacking
  • Attends treatment team meetings to discuss patients who are approaching a review from the third party payer
  • Implements an effective tracking system to track upcoming reviews
  • Conducts the reviews in an articulate manner at the appropriate day or at a specified time
  • Submits any written materials requested by third-party payers within the designated timeframe
  • Responds to staff requests for information and clarification on UR issues
  • Effectively maintains records of denied days and statistics on a computer
  • Prepares any reports assigned or requested by the Director and/or CEO
  • Assists physicians and staff with medical records questions, problems and requests
  • Consistently respects the confidential nature of patient and organization information follows release-of-information policies and procedures refrains from improperly divulging patient or organization information
  • Demonstrates effective time-management skills organizes work so that critical assignments may be completed promptly, accurately and thoroughly
  • Follows-up on tasks or assignments requiring further attention
  • Contacts and utilizes corporate resources
  • Ensures that patients attend the appropriate level of care or program as indicated on treatment plan or as needed when there are changes in the patient status
  • Assures discharge planning is reviewed at the time of admission and updated to facilitate effective discharge planning
  • Effectively schedules all aftercare appointments and documents follow-up appointments on the Interdisciplinary Discharge Plan prior to patient discharges
  • Facilitates placement referrals for discharge as appropriate
24

New Business Case Coordinator Resume Examples & Samples

  • Process new business insurance applications
  • Ensure that all applications and related documents are reviewed for good order within set standards
  • Order medical and underwriting requirements based on the age/amount guidelines
  • Enter the client and pending application onto SmartOffice
  • Set follow-up schedule and perform regular follow-ups by checking the insurance carrier websites, calling the insurance company or receipt of electronic feed updates
  • Update SmartOffice underwriting requirements as they are received from the paramedical companies and insurance carriers
  • Send the original application (if in good order) to the insurance carrier within set standards
  • Update status of pending cases as they progress from submission to approval to issue to delivery
  • Communicate updates/decisions to Insurance Consultant via email
  • Administer policy issues and delivery
  • Review all policy contracts for completeness and accuracy by comparing to the application and illustration submitted
  • Scan copy of the policy face page and upload to SmartOffice
  • Send the policy contract and list of delivery requirements to the Insurance Consultant within 24 hours via courier
  • Set follow-up schedule and follow-up with the Insurance Consultant for the delivery requirements
  • Review all settlement requirements for completeness and accuracy
  • Scan copies of settlement requirements and upload onto SmartOffice
  • Submit the original settlement requirement including cheques to insurance carrier
  • Follow-up to ensure settlement at the carrier and payment of commission
  • High school diploma or higher
  • Minimum of 3 years of experience of Life Insurance Industry distribution
  • LOMA, AIAA, ACS, FLMI Designations are assets
  • Good working knowledge of Microsoft Office
  • Good communication skills, both verbal and written
  • Knowledge of Insurance carrier websites, Email communication and Internet
  • Ability to take initiative, prioritize and work well with minimal direction and multi-task
25

Case Coordinator Resume Examples & Samples

  • Evaluate referrals, coordinate scheduling with referral sources, conduct intakes and assessments
  • Develop and implement treatment plans and meet regularly with students to evaluate learning goals and progress toward graduation
  • Monitor student attendance and outreach to absent students
  • Process required documentation (billing, client notes, treatment plans, timesheets, etc.) in a timely manner
  • Act as a liaison to inpatient facilities, case managers, psychiatrists, families and other supports to maintain communication and coordination for staff and students
  • Provide crisis intervention services and collaborate with Emergency Services during program business hours
  • How To Apply
26

Case Coordinator Resume Examples & Samples

  • Interacts with students, faculty, managers, administrators, and employees at all levels of the University in performing investigative and informal resolution duties
  • Responds to and triages direct, telephone, and electronic information reported about unlawful discrimination and harassment
  • Assists with the intake of complaints and assesses appropriate resolution process and procedural protocol to be followed
  • Oversees interim, continuing interim, and other mitigating measures during and after the investigation
  • Prepares and provides information about the complaint process to Complainants, Respondents, and Witnesses
  • Facilitates, within specific time constraints, informal resolution of protected class complaints, when appropriate. Documents efforts and conclusion of informal resolution
  • Co-coordinates interviews, provides assistance during interviews, and transcribes interview notes
  • Manages and tracks specific resolution deadlines and provides status updates to relevant parties
  • Collaborates with other campus offices (i.e., Dean of Students, Office of Student Rights and Responsibilities, ECU Police Department, Human Resources, Office of Internal Audit, Office Of University Counsel), as appropriate
  • Updates and maintains the complaint databases and confidential personnel files in accordance with University policies and procedures
  • Co-coordinates preventative and prescriptive training and educational programs for students and employees. Tracks and manages training compliance by respondents and units
  • Collaborates with OED staff to provide content for marketing, communication, education and training
  • Bachelor's degree with relevant education and experience. All degrees should be from appropriately accredited institutions
  • Ability to work in a culturally diverse environment and interact with culturally diverse individuals at all levels of the organization
  • Evidence of strong organizational and administrative skills
  • Evidence of excellent written and oral communication, and human relations/interpersonal skills
  • Evidence of ability to achieve thoroughness and accuracy when completing a task
27

Case Coordinator, Manulife Securities Resume Examples & Samples

  • Build relationships with advisors by being a consistent point of contact for them during the New Business and Policy Service process and
  • Pro-actively follow-up on all pending cases to ensure service standards are being met
  • Anticipate the needs of their customers and perform outbound calls, e-mails or case updates to keep them informed of the details that are important to them
  • Assume ownership of the files assigned, understand any urgency and assist to solve the problems that may prevent a file from moving through the process as quickly as possible
  • Maintain accurate records of transactions in order to interact effectively with distribution channels and/or clients
  • Bilingualism in French & English is preferred
  • Proven customer service experience, with the ability to communicate effectively and professionally with all levels of management
  • Must be adaptable and able to deal with ongoing change management
  • Ability to influence, convince, direct and persuade others
  • Some post- secondary education required
  • Knowledge of life insurance terminology and products is an asset
28

Case Coordinator Resume Examples & Samples

  • Participate in implementing tasks related to increasing holistic approach to management of customer cases including meaningful engagement, aftercare follow-up planning and integration of services with matrix partners
  • Answering calls as they come in the queue
  • Handing cases off when they do not meet Fast Cert Authorization criteria
  • Processing electronic auth requests
  • Answering and processing provider calls for Cigna East and TruCare
  • Answering Care Allies Customer and Provider calls and processing Care Allies Fast Cert Authorizations
  • Integrating with medical when appropriate through referrals
  • Researching complicated cases, i.e. eligibility, escalated cases,etc
  • Participating in assigned work groups and opportunities for stretch assignments
  • Attending and participating in team meetings
  • Bachelor’s degree plus 1 year of applicable experience required
  • Experienced and skilled in working with multiple PC systems and applications, efficient in responding to requests while simultaneously maneuvering various computer screens among multiple systems while able to meet metrics and adhere to IEX scheduling requirements
  • Strong keyboarding and computer skills
  • Must be available to work the following work schedule: Mon-Fri 10:30AM-7:00PM CST
29

Case Coordinator Resume Examples & Samples

  • Develop, implement, coordinate and assure that a program participant's program meets his/hers needs, optimizing his/her potential to be integrated into community
  • Organize and chair program participant conference
  • Fulfill a liaison role for the family with staff and provide them with a main contact at the Center as requested
  • Is responsible for development, coordination, carry-through of and follow-up on Discharge planning as directed by the Rehabilitation Team members
  • Attends regularly scheduled supervision meetings with full-time Program Coordinator
  • Reviews with designated program participant and assists him/her as needed to understand overall goals and programs being implemented in the process as requested
  • Assist in internal communication to team members relative to case-specific issues
  • Attend clinical team meetings as required
  • Reviews designated program participant's reports (evaluation, progress, and discharge) for consistency and coordination of goals
  • Reviews monthly bills for designated program participants after receipt from accounting staff. Identifies any discrepancies to accounting staff
  • Communicates with community resources and persons outside of CCS to assure quality program participant care for all assigned program participants
  • Ensures the appropriate documentation/record keeping of designated program participants
  • Ensures the provisions of appropriate services to designated CCS program participants
  • Coordinates utilization with Case Manager relative to Program Participant incentive accounts
30

New Business Case Coordinator Resume Examples & Samples

  • Are you a motivated office professional looking to utilize your strong multi-tasking abilities with a great company?
  • Do you enjoy being challenged on a daily basis while building strong relationships and providing excellent client service?
  • Do you possess the necessary time management skills as well as a strong attention to detail that in turn make you an effective problem solver?
31

New Business Case Coordinator Resume Examples & Samples

  • Working in tandem with our sales offices to install group benefits for businesses such as life, disability, vision and dental products
  • Facilitating the processing of new business cases from initial receipt to final implementation for our distribution partners
  • Managing information going back and forth between the sales office and the team to ensure all necessary documentation has been received each new case is installed accurately and timely
  • Bachelor's degree or 8 years of work related experience required
  • Strong computer skills, aptitude, and proficiency at keyboarding
32

Altegra Case Coordinator Resume Examples & Samples

  • Review correspondences and/or inquiries from the health plan members to determine needs and accelerate the process based on circumstances
  • Completes MSP applications for members and insure that application packages are prepared for mailing to member on daily basis
  • Follows up with members to encourage them to return completed application, required verifications, and notices of actions from the state
  • Receive and review all incoming correspondence from the member, determine completeness of package, determine if additional information is needed, assemble package and submit to QA for final review
  • Completes applications and correct discrepancies
  • Reach team and individual career growth objectives
  • Ability to successfully market, and promote company services in an outbound call center (production driven) environment
  • Must be driven and motivated to exceed individual and team goals
  • Able to learn and adapt to changing environments, applications and software
  • Knowledge of MS Word, Excel and Outlook
33

Case Coordinator Resume Examples & Samples

  • Must have strong knowledge of medical terminology, anatomy and physiology, medications and laboratory values
  • Must be able to add, subtract, multiply, and divide in all units of measure, using whole numbers and decimals; Ability to compute rates and percentages
  • Must be able to operate a general computer, fax, copier, scanner, and telephone
  • Ability to follow instructions and respond to upper managements’ directions accurately
  • Demonstrates accuracy and thoroughness. Looks for ways to improve and promote quality and monitors own work to ensure quality is met
  • Must demonstrate exceptional communication skills by conveying necessary information accurately, listening effectively and asking questions where clarification is needed
  • Must be able to work independently, prioritize work activities and use time efficiently
  • Demonstrates reliability and abides by the company attendance policy
34

Msla-case Coordinator Resume Examples & Samples

  • Properly authenticate each caller before verifying or releasing any information
  • Place outgoing and receive incoming calls to and from Veterans regarding Compensation & Pension exams
  • Schedule Veteran examinations and diagnostic testing
  • Confirm and reschedule Veteran appointments and diagnostic testing as necessary
  • Ensure all pertinent information is documented correctly and appropriately in MSLA’s database
  • Explain the purpose of attending the Compensation & Pension exams, explain approximate time frames for returning reports to the VA and explain the process for travel reimbursement
  • Explain policies and procedures of MSLA and Veterans Affairs to Veterans who are not familiar with MSLA or the VA process
  • Listen to Veterans comments, concerns and suggestions, relaying that information internally, while ensuring Veteran satisfaction
  • Maintain maximum security while implementing and enforcing HIPPA with medical providers, Veterans and VA employees
  • Respond timely to e-mail sent by Veterans
  • Communicate with MSLA VA Departments when needed
  • Minimum 1 year of experience performing customer service related duties
  • Able to consistently follow through
  • Ability to maintain a positive and professional attitude
  • Ability to work in a high paced environment
35

LTD Case Coordinator Resume Examples & Samples

  • Processes Permanent Total Disability claims and claims in non-payment status
  • Provides appropriate documentation to LTD Manager for reporting purposes
  • Refers cases to LTD Supervisor, LTD Manager, or Project Manager as appropriate
  • Communicates status on decisions to client, claimant and supervisor
  • Maintains and updates LTD data
  • Prepares LTD files for claims management processing
  • Excellent oral and written communication, including presentation skills