Grundy Workforce Job Board Services: Submission #4466

Job Description Case manager insurance specialists assist with a special component of case management ensuring claims are opened, policy limits are requested, and health insurance subrogation has been set up properly. This position assists in determining the value of a case and ensures that subrogation reflects the injury. The insurance specialist makes it possible for successful case outcomes for all clients through their role.
Execute and facilitate directives and casework assigned by AJZ, ensuring efficient workflow and case progression.

Open liability, med pay, and UM/UIM claims with all applicable insurance carriers upon case assignment.
Gather and verify all necessary documentation for claim initiation, including insurance details, accident reports, and client coverage.
Communicate with insurance adjusters to confirm claim setup, obtain claim numbers, and ensure timely updates. Ensure policy limits are retrieved.
Set up and manage health insurance subrogation with private insurers, Medicare, or Medicaid, including sending required documents.
Track the status of open claims and subrogation files, resolving issues and delays proactively.
Maintain thorough documentation of all insurance-related communications in Neos and hard file where applicable.
Coordinate closely with case managers and attorneys to align insurance handling with case strategy and timelines.
Alert the team to potential claim issues that may affect settlement or require litigation escalation.
Where needed, offer backup to intake team and case managers on inbound phone calls.
Other duties as assigned by AJZ
Health Insurance coverage is available 60 days after hire. New Employees receive Zayed Law Offices clothing after 4 weeks of employment. PTO, both vacation and sick days are available after 6 months of employment. Annual paid time off consists of 2 weeks of vacation, 2 days of sick leave and 4 flex hours. Working lunches are provided on occasion to support employee health and productivity.