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    Audit and Advisory Manager - Houston, United States - Consigli Construction

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    Description
    Amazing opportunity for career progression.


    Globe Life Family Heritage Division is looking for a Claims Examiner I to join their team in the Claims Health FHL department for our corporate location in Broadview, Ohio.

    This is a full-time opportunity working remote.


    We offer a competitive salary with a great benefits package, including 401(K) match, medical, dental, and vision health plans, short-term and long-term disability, paid time off, tuition reimbursement and other career development opportunities.

    Come join our team


    Job Duties:
    Prompt and timely processing of supplemental accident, health and life claims accurately within deadlines

    Follow required department procedures and guidelines to ensure compliance with HIPAA, legal and insurance laws and regulations, and state specific policy and benefit contract provisions

    Phone correspondence with medical facilities, providers, policyholders, and agents

    Review medical records and various documentation to analyze and apply policy benefits, limitations and exclusions

    Back up phone support for the department's Call Center Unit as needed

    Assist with various department functions, projects, and assignments as directed

    Required Skills


    Knowledge, Skills, & Abilities:
    Must have a high level of quality focus on providing excellent customer service

    Ability to process a high volume of claims efficiently and accurately

    Critical problem solving, decision making, and analytical skills

    Excellent verbal, communication, and written skills

    Strong organizational and research skills

    Must be detail oriented, have ability to work well under pressure, and handle multiple tasks with deadlines

    Works well independently

    Team player

    Required Experience


    Education and Experience Required:
    Minimum of 3-5 years prior phone/customer service and office experience

    Previous experience in a Claims service environment preferred

    Medical terminology/medical office background desirable

    Proficient in Microsoft Office programs

    Bilingual - Spanish skills a plus


    Qualifications:

    Knowledge, Skills, & Abilities:
    Must have a high level of quality focus on providing excellent customer service

    Ability to process a high volume of claims efficiently and accurately

    Critical problem solving, decision making, and analytical skills

    Excellent verbal, communication, and written skills

    Strong organizational and research skills

    Must be detail oriented, have ability to work well under pressure, and handle multiple tasks with deadlines

    Works well independently

    Team player


    Key Responsibilities


    • Maintain a strong network within local A/E/C community
    • Continuously evaluate target geography/market sectors to stay up to date on trends and opportunities
    • Manage an opportunity pipeline that is both broad in scope across market sectors and matches the value proposition of the Consigli CM model
    • Will gain an understanding of Account Plan strategies for key clients using knowledge of market, competitors and client's needs
    • Will support the team in identifying qualified opportunities through the development of strategic relationships with architects, developers, owners and owner project managers (OPMs)
    • Facilitate the Go/No Go analysis/decision through a firm understanding of the opportunity value and fit for the Consigli CM model
    • Lead the proposal process and determine the correct resources and timing of deliverables to keep the proposal on track
    • In partnership with Operational Leads, prepare interview team for a successful interview experience
    • Ensure alignment with Regional Office Business Plans and support where needed in the business planning process
    • Mentor more junior members of the Business Development team to ensure success of the team in the future
    • Participate in industry organizations and Trade Shows towards extending the Consigli brand and growing a network of contacts and potential clients
    • Actively manage and update the Customer Relationship Management (CRM) database to reflect real-time status of opportunities within the sales pursuit life-cycle and actions needed to win work
    • Maintain memberships in professional organizations and attend industry events

    Required Skills:


    • Bachelor's Degree required
    • Business Development experience (prefer 5 years) in the construction industry with a successful track record of building relationships and achieving results.
    • Proven ability to establish profitable relationships with decision makers at companies and organizations.
    • Outstanding presentation and relationship building skills.
    • Ability to travel as needed.
    • Be seen as a partner with the leadership team and operations partners

    An Affirmative Action / Equal Opportunity Employer


    Consigli provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

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