Pharmacy Claims Consultant
Claims ConsultantA global fintech leader, Acrisure empowers millions of ambitious businesses and individuals with the right solutions to grow boldly forward. Bringing cutting-edge technology and top-tier human support together, we connect clients with customized solutions across a range of insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services and more. In the last twelve years, Acrisure has grown in revenue from $38 million to almost $5 billion and employs over 19,000 colleagues in more than 20 countries. Acrisure was built on entrepreneurial spirit. Prioritizing leadership, accountability, and collaboration, we equip our teams to work at the highest levels possible.Acrisure is seeking a Claims Consultant to join our growing team. This role acts as a strategic partner and risk advisor for all clients and service teams through a high level of service and analysis of claims data that helps shape client policies and procedures to improve overall risk management.ResponsibilitiesDevelop and maintain relationships with the Management Team, providing assistance as neededAttend and assist in facilitating department meetingsMaintain awareness of new developments or changes within the department updating training materials and team resourcesMaintain and take appropriate action on eligibility reportsMaintain and update data for billing purposes as neededAssist in weekly reporting and other various projectsAssist in managing and updating activities when neededResolve or refer all requests from the Pharmacy Service RepresentativesPerform other tasks or projects as needed/assignedAttend and complete training sessions or assignments as requiredWork directly with the Pharmacy Benefits ManagerAdhere to Acrisure service standards for the department and agencyRequirementsWillingness to participate in self-development or technical classesStrong organizational and workflow management skillsComfortable in an electronic environment with strong computer skillsStrong working knowledge of Microsoft Office ProductsExcellent verbal and written communication skills, courteous telephone skillsExcellent people skills and ability to work well in a team environmentStrong organizational skills, high attention to detail, responsive and self-motivatedTeam player and task-orientedBachelor's degree in business or related field of study or equivalent relevant experienceMinimum 2 years' claims processing/analysis/advisement experience in pharmaceuticals preferredBenefits and PerksCompetitive compensation Generous vacation policy, paid holidays, and paid sick time Medical Insurance, Dental Insurance, and Vision Insurance (employee-paid) Company-paid Short-Term and Long-Term Disability Insurance Company-paid Group Life insurance Company-paid Employee Assistance Program (EAP) and Calm App subscription Employee-paid Pet Insurance and optional supplemental insurance coverage Vested 401(k) with company match and financial wellness programs Flexible Spending Account (FSA), Health Savings Account (HSA) and commuter benefits options Paid maternity leave, paid paternity leave, and fertility benefits Career growth and learning opportunities and so much more!Candidates should be comfortable with an on-site presence to support collaboration, team leadership, and cross-functional partnership.