Product Coordinator, Automated Medicare Solutions (Finance)
The Product Operations Coordinator ensures that the products we deliver are implemented and functioning as intended for our clients. The primary responsibilities are implementing new clients and ensuring DDMSA, MSA Link and Section 111 Data Population are working as intended.
- Manage MSA Link claim initiation
- Including filtering of MSA Link report and using automation to send e-mails while full automation is built.
- When automation is live, review daily and monthly files. This includes
- Fix any files where there is a missing adjuster or other missing information.
- If the MSA Link job fails, or any individual files fail, fix file and reload file. If unable to the file, then notify team and work with IT team for a resolution.
- Monitor and document responses from clients. This includes
- Clients who have to give permission to proceed.
- Clients who have to provide settlement amount to determine appropriate service.
- Monitor client volumes
- When client volumes deviate from expected, perform analysis to determine cause.
- Set-up and turn on new clients
- Test new client set-ups to ensure working properly
- Pull lookback reports for Sales for new clients
- Data-Driven MSA
- Set-up DDMSAs in Crosspoint
- Perform initial review of referrals including:
- Insuring all required data is received
- ICD codes are consistent with ICD codes in the S.111
- Move DDMSAs to projection milestone.
- For Section 111 Data Population clients
- Coordination of new client set-up
- For manual clients (CNA) request settlement documents, place settlement documents in DNav, and QA results.
- Maintain Client Tracker documentation sheet
- Ensure Tracker is up-to-date with new clients
- Ensure Trigger documentation is accurately reflect Trigger rules and is updated with new clients and changes to existing clients
- Serve as a back-up and provide coverage for CP Link Product Operations Coordinator including:
- Review daily and monthly CP Link and Trigger files. This includes
- Fix any files where there is a missing adjuster, Part C/D plan information, or other missing information.
- If the CP Link job fails, or any individual files fail, fix file and reload file. If unable to the file, then notify team and work with IT team for a resolution.
- Handle monthly conversion client files
- Review daily and monthly CP Link and Trigger files. This includes
- Experience with data analysis and manipulation using Excel (v look-up, pivot tables)
- Well organized and able to prioritize work independently
- Excellent written and oral communication with internal team members
- Team player open to working with other departments within Verisk
- Ability to learn new concepts quickly
- Bachelor's Degree preferred
- At least 2 years of experience in a corporate office/customer facing environment
About Us
For over 50 years, Verisk has been the leading data analytics and technology partner to the global insurance industry by delivering value to our clients through expertise and scale. We empower communities and businesses to make better decisions on risk, faster.
At Verisk, you'll have the chance to use your voice and build a rewarding career that's as unique as you are, with work flexibility and the support, coaching, and training you need to succeed.
For the eighth consecutive year, Verisk is proudly recognized as a Great Place to Work® for outstanding workplace culture in the US, fourth consecutive year in the UK, Spain, and India, and second consecutive year in Poland. We value learning, caring and results and make inclusivity and diversity a top priority. In addition to our Great Place to Work® Certification, we've been recognized by The Wall Street Journal as one of the Best-Managed Companies and by Forbes as a World's Best Employer and Best Employer for Women, testaments to the value we place on workplace culture.
We're 7,000 people strong. We relentlessly and ethically pursue innovation. And we are looking for people like you to help us translate big data into big ideas. Join us and create an exceptional experience for yourself and a better tomorrow for future generations.
Verisk Businesses
Underwriting Solutions - provides underwriting and rating solutions for auto and property, general liability, and excess and surplus to assess and price risk with speed and precision
Claims Solutions - supports end-to-end claims handling with analytic and automation tools that streamline workflow, improve claims management, and support better customer experiences
Property Estimating Solutions - offers property estimation software and tools for professionals in estimating all phases of building and repair to make day-to-day workflows the most efficient
Extreme Event Solutions - provides risk modeling solutions to help individuals, businesses, and society become more resilient to extreme events.
Specialty Business Solutions - provides an integrated suite of software for full end-to-end management of insurance and reinsurance business, helping companies manage their businesses through efficiency, flexibility, and data governance
Marketing Solutions - delivers data and insights to improve the reach, timing,relevance, and compliance of every consumer engagement
Life Insurance Solutions - offers end-to-end, data insight-driven core capabilities for carriers, distribution, and direct customers across the entire policy lifecycle of life and annuities for both individual and group.
Verisk Maplecroft - provides intelligence on sustainability, resilience, and ESG, helping people, business, and societies become stronger
Verisk Analytics is an equal opportunity employer.
All members of the Verisk Analytics family of companies are equal opportunity employers. We consider all qualified applicants for employment without regard to race, religion, color, national origin, citizenship, sex, gender identity and/or expression, sexual orientation, veteran's status, age or disability. Verisk's minimum hiring age is 18 except in countries with a higher age limit subject to applicable law.
https://www.verisk.com/company/careers/
Unsolicited resumes sent to Verisk, including unsolicited resumes sent to a Verisk business mailing address, fax machine or email address, or directly to Verisk employees, will be considered Verisk property. Verisk will NOT pay a fee for any placement resulting from the receipt of an unsolicited resume.
