Managed Care Coordinator II – Bilingual, Spanish Speaking

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🏖️ New Jersey – Remote

🏖️ New Jersey – Remote

💵 $50.1k - $67.1k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💬 Bilingual

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NJM Insurance Group

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1913

Insurance

NJM Insurance Group is a well-established insurance provider offering a range of personal and commercial insurance products. Their services include auto, homeowners, renters, condo, commercial auto, and business insurance, with a focus on exceptional customer satisfaction and claims experience. NJM is recognized for its outstanding auto claims experience by J. D. Power and is committed to serving customers in states like Connecticut, Maryland, New Jersey, Ohio, and Pennsylvania. The company prides itself on being straightforward and customer-focused, without jingles or mascots, offering trusted insurance solutions and multiple discount opportunities for various policies.

📋 Description

• Supports the Clinical Operations functions and acts as a liaison between members, physicians, delegates, operational business members and member service coordinators • Responsible for providing leadership and guidance to non-clinical team and handle escalated issues/problems • Performs review of service requests for completeness of information • Collect and collate information required to handle escalated inquiries • Assists members with finding providers and answering questions regarding services • Makes outbound calls to engage members in Case Management

🎯 Requirements

• High School Diploma/GED required • Prefer 3-5 years customer service experience • Requires knowledge of medical terminology • Requires good oral and written communication skills • Prefer knowledge of contracts, enrollment, billing & claims coding/processing • Prefer knowledge of Managed Care principles

🏖️ Benefits

• Comprehensive health benefits (Medical/Dental/Vision) • Retirement Plans • Generous PTO • Incentive Plans • Wellness Programs • Paid Volunteer Time Off • Tuition Reimbursement