Medical Case Manager, NorAm at InSpectre Solutions, Inc – Dana Point, California
InSpectre Solutions, Inc
Dana Point, California, 92629, United States
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About This Position
About InSpectre Solutions, Inc
Built on integrity, expertise, and unparalleled professionalism, InSpectre Solutions International is a full-service investigative and medical case management agency specializing in international worker’s compensation, Defense Base Act, war hazard claims in over 150 countries.
InSpectre Solutions is an Equal Opportunity Employer and makes all employment decisions without regard to race, religion, color, sex (including pregnancy, sexual orientation, and gender identity), national origin, disability, age, genetic information, or any other status protected under applicable federal, state, or local laws.
About the role
InSpectre Solutions is seeking a motivated and enthusiastic individual to fill the opening of Medical Case Manager (MCM). Using discretion and independent judgment, this MCM is responsible for executing the delivery of quality and complete case materials. This position requires skill in planning and organizing how to carry out a case assignment from their director. This position applies advanced skills in maintaining records and charts, preparing written reports, and maintaining effective working relationships with others. This position combines the activities of direct and indirect care to claimants while managing others.
What you'll do
- Maintain and manage claims with field agents and managers, to ensure claims remain up to date with relevant information and active
- Manage and lead a team of field agents and managers
- Complete assigned objectives in a timely manner
- Provide regular weekly/monthly updates for the client
- Compile and provide receipts monthly for the client
- Ensure the claim narrative is up to date with accurate and relevant information that captures time, expenses, and appropriately reflects the services performed
- Create and provide estimated budgets for the client
- Manage field agent funds and pay bimonthly
- Review claims, reports, requests, and invoices weekly
- Performs other duties relevant to claims as required/necessary.
Qualifications
- H.S. diploma or equivalent
- Bachelor’s degree (preferred)
- Experience within the industry (preferred)
- Clear report writing skills
- Two years in a similar role
- Bilingual in any language is a plus
The pay range for this role is:
65,000 - 68,000 USD per year(HQ)
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Job Location
Dana Point, California, 92629, United States
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