Job Summary: 

• Proactively manage a portfolio of customers across several sectors, providing the highest standards in customer relationships
• Provide a 360-degree review of customer cases and maintain adequate solutions in the interest of the business
• Deliver excellence in customer service and maintain all telephony standards and targets set
• Meet compliance standards for role, ensuring full compliance with all internal and external regulatory, operational and administrative procedures
• Develop positive and professional working relationships with key internal and external teams
• Act as an experienced point of contact, support for staff and colleagues

Skills on Resume: 

• Customer Management (Soft Skills)
• Case Review (Hard Skills)
• Service Delivery (Hard Skills)
• Compliance Knowledge (Hard Skills)
• Relationship Building (Soft Skills)
• Internal Coordination (Soft Skills)
• Support Guidance (Soft Skills)
• Telephony Standards (Hard Skills)

Job Summary: 

• Interfacing with Personal Insolvency Practitioners and the client to ensure that objectives and time frames are met
• Ensure that actions are in line with all relevant internal and/or legislative policies (as well as Private Equity client requirements)
• Drafting succinct credit applications for discussion and review with the client
• Act as the point of contact for PIPs and clients for the Personal Insolvency cases
• Maintenance and delivery of accurate and robust MI

Skills on Resume: 

• Client Coordination (Soft Skills)
• Policy Compliance (Hard Skills)
• Credit Drafting (Hard Skills)
• Case Management (Hard Skills)
• Stakeholder Communication (Soft Skills)
• Insolvency Knowledge (Hard Skills)
• Data Accuracy (Hard Skills)
• Information Delivery (Soft Skills)

Job Summary: 

• Manages high-profile and often complex customer complaint cases
• Reviewing and discerning relevant issues and coordinating research with health care providers, Care Delivery and health plan managers
• Develops appropriate verbal and/or written customer responses upon compilation of pertinent information
• Provides clear and concise written case summaries, which are made available for both internal audits and audits by state and federal regulatory agencies
• Collaborates with providers, managers and customers to negotiate satisfactory complaint resolution
• Communicates with and diffuses angry customers in highly charged, sometimes emotional situations
• Provides information for trending and specific complaint resolution interventions
• Provides feedback and input on CCRC policies and procedures
• Works with department managers and performance auditors specifically to create training programs and tools, processes and interventions which are effective in improving compliance with documentation and resolution of complaints
• Participates in preparation for Member Relations/CCRC internal, regulatory and accreditation audits and special projects and assignments 
• Implements any corrective actions necessary to address internal and external audit findings

Skills on Resume: 

• Complaint Management (Hard Skills)
• Issue Analysis (Hard Skills)
• Response Development (Hard Skills)
• Case Summarization (Hard Skills)
• Conflict Resolution (Soft Skills)
• Customer Communication (Soft Skills)
• Policy Feedback (Soft Skills)
• Audit Preparation (Hard Skills)

Job Summary: 

• Acts as liaison between residents, families, service providers and the community for all DCFS case management domains
• Ensure that all intakes are completed in such a manner that meets the needs of the individuals/families and the program
• Interface and network with outside agencies (Regional Centers, DCFS, school districts, etc.) and community programs to create a consistent referral and intake system of collaboration and support
• Work closely with mental health clinicians and other case managers to ensure that NSP goals and objectives are implemented, monitored, and revised
• Identify appropriate community resources and linkages to support needs and service plan goals and objectives

Skills on Resume: 

• Case Liaison (Soft Skills)
• Intake Management (Hard Skills)
• Agency Networking (Soft Skills)
• Goal Monitoring (Hard Skills)
• Resource Linkage (Hard Skills)
• Team Collaboration (Soft Skills)
• Service Coordination (Hard Skills)
• Community Support (Soft Skills)

Job Summary: 

• Service-oriented approach that is focused on early intervention and the interests of workers and employers
• Ensure that active and timely intervention occurs to improve recovery and return to work outcomes
• Provide workers' compensation advice to stakeholders such as workers, employers and providers
• Assist the worker and employer with the claim process and provide support in the completion of relevant documents to ensure timely access to required services to support return to work and injury recovery
• Pro-actively proceed with appropriate case management to achieve the optimum outcome of early, sustainable return to work for workers with reasonable claim costs
• Develop and maintain relationships with customers, third parties, suppliers, and other areas of the business
• Manage a portfolio of new and review cases, providing an end-to-end customer journey, including rehabilitation support and claims assessment
• Confidently discuss complex and sensitive medical information in depth with customers whilst providing an exceptional standard of customer service
• Request and interpret medical, financial, and occupational information, as necessary for assessment of the claim and to provide the right support at the right time

Skills on Resume: 

• Early Intervention (Hard Skills)
• Return Planning (Hard Skills)
• Claims Support (Hard Skills)
• Stakeholder Advice (Soft Skills)
• Case Management (Hard Skills)
• Relationship Building (Soft Skills)
• Medical Communication (Soft Skills)
• Claims Assessment (Hard Skills)

Job Summary: 

• Review and assign all incoming cases- triage, assess risks and escalate
• Assist and project manage the investigation process and platform design enhancements
• Provide quality assurance to maintain consistent and complete standards of reporting within JLL’s global reporting platform
• Track open investigations to ensure proper process is followed and cases are properly closed out and documented in line with company standards
• Coordinate the anti-retaliation framework and monitor closed cases to ensure the timely fulfillment of corrective actions and the identification of potential signs of retaliation
• Provide support and guidance to the local Legal and Compliance and HR teams managing cases on a day-to-day basis
• Help to remove roadblocks, suggest solutions and identify relevant stakeholders
• Assist with the design and delivery of relevant training programs to meet the needs of the Ethics and Compliance and Investigations teams
• Support a broad range of ethics-related investigations
• Assisting development of investigation plans, review and analysis of information, interview support, preparation of investigation reports and presentations and maintenance of investigation records
• Analyse reporting metrics to identify trends, emerging risks and prepare reports, including for senior management, Audit Committee and public reporting
• Work independently and collaboratively with global and/or cross-functional teams on improvement initiatives, time-sensitive investigations and other activities
• Provide support for various Global Ethics and Compliance initiatives and projects

Skills on Resume: 

• Case Triage (Hard Skills)
• Risk Assessment (Hard Skills)
• Process Management (Hard Skills)
• Quality Assurance (Hard Skills)
• Retaliation Monitoring (Hard Skills)
• Team Guidance (Soft Skills)
• Training Delivery (Soft Skills)
• Data Analysis (Hard Skills)

Job Summary: 

• Manage and develop a relationship with customers
• Confidently discuss sensitive medical information in depth with customers
• Work together with the team to help simplify the claims journey to ensure the best outcomes
• Analyse and interpret numerical data
• Pull on expert support to effectively manage the claim
• Provide short-term, community-based case management to youth and their families
• Assist with a warm handoff to long-term behavioral health providers and supports
• Work collaboratively with other members of the MRSS team to further support youth and families throughout the stabilization and transition phases
• Function as part of an interdisciplinary team and develop and maintain effective relationships with community professionals

Skills on Resume: 

• Customer Relations (Soft Skills)
• Medical Communication (Soft Skills)
• Team Coordination (Soft Skills)
• Data Analysis (Hard Skills)
• Expert Consultation (Soft Skills)
• Case Management (Hard Skills)
• Behavioral Support (Hard Skills)
• Community Collaboration (Soft Skills)

Job Summary: 

• Communicating with 3rd party medical service providers to ensure that Service Level Agreements (SLA) are met
• Working on VitalityLife systems including SAM UW, Salesforce and AdviserHub
• Dealing with multiple queries from VitalityLife intermediaries through to resolution
• Ensuring excellent quality service to all stakeholders
• Routing enquiries to the correct departments to ensure the progression of the new business opportunity
• Proactively manage a pipeline of applications and manage the expectations of the intermediaries which the business has a relationship
• Provide brokers with accurate case updates at all points in the process
• Assist underwriters by providing the required information as they progress
• Liaise with colleagues to keep knowledge of new and existing products up to date
• Take responsibility to manage own personal development and ensure product, process and market knowledge is always accurate and up to date

Skills on Resume: 

• Provider Communication (Soft Skills)
• System Navigation (Hard Skills)
• Query Resolution (Soft Skills)
• Service Delivery (Hard Skills)
• Inquiry Routing (Hard Skills)
• Pipeline Management (Hard Skills)
• Broker Support (Soft Skills)
• Product Knowledge (Hard Skills)

Job Summary: 

• Provide weekly individual, family and group mental health Medicaid billable and case management services to high-risk families
• Providing parents and caregivers with knowledge, modeling, and in-home mental health services that assist them with managing the mental health needs of the children living in their home or currently in out-of-home care
• Services are provided primarily in the parent/caregiver’s home setting and also in the community
• Create and maintain individual family goals through the participation of the parents and the County JFS worker
• Create Individual Treatment Plans (ITPs) with clients and their families
• Link clients with community resources and effectively collaborate with school or community professionals, DJFS staff and other service providers

Skills on Resume: 

• Mental Health (Hard Skills)
• Family Support (Soft Skills)
• In-Home Services (Hard Skills)
• Goal Setting (Soft Skills)
• Treatment Planning (Hard Skills)
• Resource Linkage (Hard Skills)
• Professional Collaboration (Soft Skills)
• Client Engagement (Soft Skills)

Job Summary: 

• Works as part of the Care Team to identify prenatal patients in need of services and communicates with the provider as to progress
• Meets initially with each prenatal patient and follows up with visits as required by patient needs or referrals
• Assists prenatal patients with arrangements for transportation, translation, and other barriers to attending appointments
• Assists prenatal patients with completion of medical, prescription, and service forms and with requests to other providers and agencies
• Assists patients with applications to charity care at Clara Maas Medical Center, Emergency Medicaid and PW Medicaid, NJ Family Care, WIC and other benefits or insurances
• Updates PRAspect file as insurance changes from PEPW, Medicaid, HMO, 3rd trimester, and final birth data required for Birth Certificate production
• Facilitates the first Newborn visit with Zufall Health Providers
• Acts as an advocate for patients and their families with community organizations and other agencies
• Conducts Spanish-speaking classes relative to Prenatal patients as trained/directed by the Prenatal Coordinator
• Educates patients on acquiring a Breast pump through Insurance or WIC

Skills on Resume: 

• Care Coordination (Hard Skills)
• Patient Follow-Up (Soft Skills)
• Appointment Support (Soft Skills)
• Form Assistance (Hard Skills)
• Benefits Navigation (Hard Skills)
• Data Updating (Hard Skills)
• Newborn Scheduling (Hard Skills)
• Patient Advocacy (Soft Skills)