Medical Management Analyst

 

CLAIMS DEPARTMENT

 

Safety National is an alternative market insurance provider that offers a broad range of risk funding products through insurance agents and brokers. Founded in 1942, Safety National is the leading provider of excess workers’ compensation coverage to self-insured employers and groups nationwide, and has provided that type of coverage longer than any other company in the United States. The company continues to expand and adapt its product lines to better meet the needs of today’s employer. Safety National recently celebrated its third year of being named a “Best Place to Work” by Business Insurance magazine.

 

JOB SUMMARY:

Responsible for assisting Claims Department personnel with medical related issues on their claims.

 

ESSENTIAL FUNCTIONS:

At Safety National, we live by the following five core values: Relationships, Integrity, Teamwork, Balance, and Stability. Our Core Values serve as the fundamental foundation of our corporate culture and drive our interactions, both internally and externally. An essential function of all Safety National positions is to fully embrace and represent these core values in our daily work life and relationships.

Responsible for the medical management and oversight of high risk developmental (HRD) and catastrophic claims.

Assist Claims Analysts with medical management issues on assigned claims to include:

Communicate directly with self-administered account or TPA regarding claim medical management status

Direct and advise TPA and Field Nurse Case Manager as to desired claim handling

Document claim file as necessary regarding medical management activity

Refer claims to Best Doctors and other vendor partners for intervention

Travel on an “as needed” basis for TPA, Client and Broker meetings and presentations, seminars and conferences

 

ADDITIONAL RESPONSIBILITIES:

Assist with ongoing training and in-service for Claims Department

Identify opportunities for ongoing training and information for claims team related to medical issues.

Assist as resource for Claims Analysts with medical information

Assist with Best Doctors partnership:

Assist with Best Doctor referral process

Discuss the Best Doctor’s program and benefits to TPA or Self-Administered Adjusters and clients regarding possible referral of a claim.

Participate in Best Doctor’s calls and document in claim file as needed.

Ensure all assigned claims are noted in Best Doctors report log.

Special projects and assistance as required by the Senior Vice President – Claims

QUALIFICATIONS:

Education: RN, BSN

Minimum 10 years nursing experience (ER, OR, ICU, or Rehab, etc)

Workers Comp Nurse Case Management experience, minimum 5 years.

Excellent written and oral communication skills.

Ability to communicate technical medical information to non-medical audiences.

Computer skills including Microsoft Word, Excel, Outlook and Internet search.

Must be able to think fast, and work in multiple task environment

Highly organized, maintaining large case assignment

Strong sense of customer service.

Professional appearance and attitude

NOTE:

In order to meet the needs of the Corporation, employees may be assigned other duties in addition to, or in lieu of, those described above.

 

For consideration, please submit your resume along with a completed and signed employment application (found on the right hand side of this page).

 

If you have any issues submitting your information via this website, please email: SNCCrecruitment@safetynational.com.

 

Safety National will only accept resumes and applications from qualified applicants for particular job postings. Resumes and applications submitted that are not identified with a specific job posting will not be reviewed. Safety National reserves the right to unilaterally determine whether or not a particular applicant is qualified for any position with the Company.

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Outstanding Medical, Dental and Vision Coverage. Employee and Children covered at no cost, low cost for Spousal coverage.

Medical Deductible Reimbursement Plan

Life/AD&D Insurance, Short Term Disability and Long Term Disability provided at no cost to employee.

401k Savings and Profit-Sharing Plan

Pre-Tax Dependent Care Assistance Plan

Tuition Reimbursement

Paid Leave and Holidays

Alternate Work Schedules

Business Casual Dress Policy

 

EEO STATEMENT

Safety National is an Equal Employment Opportunity Employer and will not discriminate against or harass any applicant or employee on any grounds prohibited under any federal, state or local law including race, creed, color, religion, sex, national origin, age, disability, sexual orientation, marital status or membership in any other legally protected class. None of the questions in our application are intended to elicit information regarding any protected characteristics, nor imply any limitation, illegal preferences or discrimination based upon non-job related information or protected characteristics.

 

Location: St. Louis
Date: October 13, 2017
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