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Benefits Case Manager


Lowell, AR - JB Hunt Corporate



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Job Title:
Benefits Case Manager

Department:
Human Resources

Country:
United States of America

State/Province:
Arkansas

City:
Lowell

Full/Part Time:
Full time

Job Summary:
In coordination with Sr. Case Manager, Benefit Management staff and vendor partners, identify and make recommendations for care coordination with benefit program resources; monitor, and prepare data for reporting of various program engagement and cost; With Sr. Case Management oversight, work closely with vendor contacts to build and maintain working relationships; provide and coordinate program education initiatives to support department staff.

Job Description:

Key Responsibilities:

  • Identify candidates for care under applicable benefit programs
  • Support facilitation of care process with insured member, plan administrators, and provide support for clinical transitions, as necessary, as it relates to benefit coverage, authorizations, etc.
  • Maintain and gather data in preparation for management development and reporting of cost data associated with applicable benefit program administration
  • Gather details in effort to identify and communicate potential finaical exposure associated with chronic care needs or potential high claim cases.
  • Assist with claim appeal process; gather information and prepare for review and evaluation in keeping with applicable benefit plan guidelines, and present claim appeals to the Appeal Review Board, providing clinical insight specific to each case
  • Assist in claimant response, keeping with applicable benefit plan guidelines
  • Provide guidance, as needed, in effort to maintain compliance with applicable plan documents
  • Provide targeted, personalized service based on a holistic view of the member, benefits, health information, and through engagement.
  • Handle customer service inquiries and problems via telephone, internet, web-chat or written correspondence.
  • Utilize all relevant information to effectively influence member engagement and provide consult based upon the member’s unique needs and preferences
  • Provide education for understanding of benefit plans, tools and resources to help guide members in accessing benefits and appropriate resources.
  • Provide appropriate support in vendor audits when required.
  • Document and tracks all contacts, events, and outcomes using appropriate systems and processes

Qualifications:

Minimum Qualifications:

  • Bachelor’s degree (B.A.) or equivalent from four-year college or university; two years related experience and/or specific training; or equivalent combination of education and experience and one year management experience; experience in a clinical setting.
  • Ability to research data and know where to obtain data. 
  • Ability to deal effectively and tactfully with customers and vendors, dealing with highly sensitive and confidential information. 
  • Ability to make decisions in a timely and professional manner, plus have analytical ability, initiative and problem-solving ability.

Education:
Bachelors: Human Resources Management, Bachelors: Business Administration/Management, Masters: Human Resources Management, Masters: Business Administration/Management, Masters: Communications Studies/Speech Communication and Rhetoric

Work Experience:
Human Resources

Job Opening ID:
00429435 Benefits Case Manager (Open)


“This job description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.”


Posted 4 Days Ago

Full time

00429435


About Us



Fortune 500 experience. Career advancement. Nationwide relocation possibilities.


Headquartered in Northwest Arkansas, J.B. Hunt is a dominant force in transportation and logistics, offering exciting career opportunities both at corporate and at field locations across the country. There are a variety of job types that support our business, so no matter your passion, J.B. Hunt is the place to jumpstart your career.


Why J.B. Hunt?

J.B. Hunt is a leading transportation and logistics company for one simple reason – our people. The career possibilities and benefits of working at J.B. Hunt are endless. From competitive salary and benefits packages, to defined career paths and growth opportunities, we take care of our people and take great pride in our efforts to build and sustain an inclusive workplace for all employees.


What are we looking for?

J.B. Hunt welcomes high-energy, forward-thinking people of all backgrounds and experience levels to join our team. We offer full-time, entry level, professional and management opportunities across all departments. Whether you are fresh out of school or bring years of industry experience, a role at J.B. Hunt could take your career to the next level.





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