Managed Care​/Claims

Position: Managed Care /Claims Managed Care Specialist - Hybrid Nashville, TN 12 Months + Contract 5 Openings | No Duplicate Submissions Our client offers a hybrid work environment, combining remote work with in-office days based on position, department, and business needs. Training:

• Up to 6 weeks of pre-scheduled, comprehensive training
• Conducted virtually and/or in-office (as directed by supervisor)
• Attendance is mandatory throughout training to ensure proficiency
• No pre-planned PTO will be approved during training

No duplicate submissions Our Client provides their workforce with a hybrid work environment. Most positions have a combination of work from home and work in the office, which varies by position, department, and business need. Training is extensive, up to 6 weeks prescheduled, virtual / in-office (by supervisor request), and contractors must attend training every day to build proficiency. No Preplanned PTO will be approved during training weeks. All candidates MUST be local to middle TN and able to commute to our Client's office in Nashville, TN as needed. The work hours and schedule are M-F with standard 7.5 hours per day/max, 37.5 hours per week.

Key Responsibilities

• Determine individual and family eligibility for our Client's care programs.
• Assist in coordinating and communicating schedules to internal/external Clients.
• Conduct client interviews, collect facts and information, and compile case data to provide recommendations to an attorney.
• Timely management of casework, including proper documentation and case resolution.
• Provide legal research, analysis of legal papers, and draft legal documents. Document findings accurately.
• Work efficiently / effectively in multiple databases to extract information.
• Attend workgroup meetings and participate in discussions.
• Assist leadership team, as necessary.

Requirements and Skills

• Must have a bachelor's or associate degree.
• A background in Paralegal studies is a plus.
• Work experience in a Legal environment a plus.
• Customer service or call center experience a plus.
• Proven technical skills (e.g., Microsoft Word, Excel, Outlook, PowerPoint, SharePoint, etc.).
• Excellent time management skills with the ability to prioritize work to meet specific deadlines with minimal supervision.
• Excellent verbal and written communications skills.
• Keen attention to detail and adherence to deadlines.
• Strong time management, note-taking, email organization, and distribution skills.
• Critical thinking and problem-solving skills.

Other Important Information

• The position is a hybrid position in downtown Nashville, TN. The contractor will work onsite and remotely based on the team's schedule.
• The position is contract for 12 months with an opportunity to be extended.

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