• A diverse, inclusive, professional work environment
• Flexible work schedules
• Company match on 401(k)
• Competitive Paid Time Off policy
• Generous Employer contribution for health, dental and vision insurance
• Company paid short term and long term disability insurance
• Paid Maternity and Paternity Leave
• Tuition reimbursement
• Company paid life insurance
• Employee Assistance program
• Wellness programs
• Fun employee and company events
• Discounts on travel insurance

Who are we?

Generali Global Assistance is proudly part of the Europ Assistance Group brand and our products utilize a number of corporate and product brands. The brands for our North American team include the following:

• CSA: US travel insurance brand for retail and lodging partners. Learn more here.
• Generali Global Assistance (GGA): The primary Corporate brand in the United States for our travel insurance, travel assistance, identity and cyber protection, and beneficiary companion products. Learn more here.
• GMMI: the industry standard for global medical cost containment and medical risk management solutions. Learn more here.
• Iris, Powered by Generali: identity and digital protection solution. Learn more here.
• Trip Mate: US travel insurance brand for tour operator, cruise and airline partners. Learn more here.

What you’ll be doing.

Job Summary:

Works closely with various departments to ensure claims support and administrative functions are optimized in order to support Client Accounts.

Principal Duties and Responsibilities:

• Acts as a Liaison between the company and the HMO vendors

• Works in collaboration with Claims Examiners

• Works closely with Account Management and Client Service Coordinators on HMO assigned claims

• Is responsible for the updated maintenance of the UHI file

• Provides support functions to HMO assigned Claims Examiners and Account Management

• Responsible for uploading provider claims to the HMO Client Portal

• Monitors uploaded HMO claims to ensure claims are returned to the company

• Responsible for initiating internal adjustments on claims

• Responsible for initiating and following-up on investigations to resolve claims discrepancies via HMO Client Portals

• Attends biweekly meetings, if initiated by HMO vendor

• Monitors aging report for HMO claims

• Schedules training sessions for Claims Examiners on HMO processes

• Responsible for uploading member statements to the HMO Client Portal

Requirements:

• Knowledge and experience in healthcare and insurance field or any other field related to the industry.

• Proficient in GMMI Policies and Procedures

• Proficient in HMO Client Portals

• Basic knowledge of all aspects of processing claims

• Extended knowledge of medical bill screen & network repricing system

• Proficient in client eligibility websites and listings for assigned clientele

• Ability to manage and prioritize multiple tasks

• Excellent interpersonal skills necessary to interact positively with clients, providers and professional staff

• Must represent the organization in a professional and knowledgeable manner.

• Computer skills essential to manage correspondence, database maintenance, spreadsheet analysis and for information entry / retrieval from the CostCare system.

  
  

Where you’ll be doing it.

This is a hybrid role based out of our Pembroke Pines, FL office. As a hybrid role, you will be working onsite 2-3 days a week and working from home 2-3 days a week.

When you’ll be doing it.

While there is some flexibility in the hours, this position will be Monday-Friday during regular business hours (approximately 8:00am-5:00pm). Occasional overtime may be required according to business need.

Apply today to begin your next chapter.

Don’t meet every single requirement? At Generali Global Assistance, we are dedicated to building a diverse, inclusive and enriching workplace, so if you’re excited about this role but your past experience doesn’t align perfectly with every qualification in the job description, we encourage you to apply anyways. You may be just the right candidate for this or other roles.

California Residents - Privacy Notice for California Residents Seeking Employment with Generali Global Assistance is available here: https://us.generaliglobalassistance.com/privacy-notice-for-california-residents-seeking-employment/

The Company is committed to providing equal employment opportunity in all our employment programs and decisions. Discrimination in employment on the basis of any classification protected under federal, state, or local law is a violation of our policy. Equal employment opportunity is provided to all employees and applicants for employment without regard age, race, color, religion, creed, sex, gender identity, gender expression, transgender status, pregnancy, childbirth, medical conditions related to pregnancy or childbirth, sexual orientation, national origin, ancestry, ethnicity, citizenship, genetic information, marital status, military status, HIV/AIDS status, mental or physical disability, use of a guide or support animal because of blindness, deafness, or physical handicap, or any other legally protected basis under applicable federal, state, or local law. This policy applies to all terms and conditions of employment, including, but not limited to, recruitment and hiring, classification, placement, promotion, termination, reductions in force, recall, transfer, leaves of absences, compensation, and training. Any employees with questions or concerns about equal employment opportunities in the workplace are encouraged to bring these issues to the attention of Human Resources. The Company will not allow any form of retaliation against individuals who raise issues of equal employment opportunity. All Company employees are responsible for complying with the Company’s Equal Opportunity Policy. Every employee is to treat all other employees equally and fairly. Violations of this policy may subject an employee to disciplinary action, up to and including termination of employment.