Complex Case Specialist - Special Programs

About the role

The Complex Case Specialist, Special Programs, plays a crucial role in helping channel partners and members navigate complex healthcare cases. This role focuses on educating stakeholders on products, services, and complex case solutions, particularly in areas like catastrophic injuries, benefit preservation, trusts, and objections to workers’ compensation and liability settlements.

Responsibilities

• Proactively discuss, support, and/or sell products and services, and specific settlement needs with clients.
• Develop rapport with external stakeholders to provide a concierge level of service on cases and request new referrals.
• Influence the settlement process by offering value-adds and complex case knowledge to ensure comfortability of all involved in the settlement.
• Take ownership of individual assigned subset of high-value, complex cases from initial referral to conversion.
• Follow up via phone and/or email regularly with key settlement stakeholders to discuss case status.
• Strategize monthly with Business Development Managers to overcome objections to settlement and push cases forward.
• Convert referrals to Members based on the assigned targets.
• Serve as a direct point of contact for channel partners as needed.
• Maintain a basic understanding of the types of Trusts used and the benefits they may present in each individual case.
• Attend settlement mediations or roundtable discussions per the request of clients or management.
• Keep up with best practices and industry trends.

Requirements

• An H.S. Diploma or General Education Degree (GED) is required.
• A Bachelor’s Degree in Arts/Sciences (BA/BS) is preferred.
• 1-3 years experience supporting sales efforts and serving as a direct point of contact to clients is required.
• 1-3 years experience in the trust industry and/or worker’s compensation space is required.
• Experience in articulating services and products to the multiple parties at a mediation table is required.

Qualifications

• Analytical and multitasking skills.
• Ability to problem solve and think strategically.
• Strong selling and communication skills.
• Highly motivated and target driven to convert cases.
• Knowledge of settlement process in worker’s compensation and liability claims, including catastrophic injuries.
• Detail oriented with a keen eye for identifying opportunities and solving complex problems.
• A self-starter with the ability to work independently or as part of a team.
• Proficiency in Microsoft Office Suite products is required.

Benefits

Actual salary may vary up or down depending on job-related factors which may include knowledge, skills, experience, and location. In addition, this position is eligible for incentive compensation.

Pay

The estimated salary range for this position is $50,000USD to $70,000USD.

Schedule

N/A