Careers at Avizent
Our success is built upon our history of quality service and dedication. As a leader in the risk and claims management business, we take pride in the fact that we have the finest group of risk and claims professionals on our team.
Avizent has developed competitive benefit packages which include health, dental, vision and life insurance. We also offer a 401K plan, paid time off, tuition reimbursement and a flexible spending plan for medical and dependent care expenses.
We want to help our associates make the most of their career with us. At Avizent, we encourage associates to grow and learn by gaining new knowledge and expanding on the experience they already have.
Job Descriptions
Claims Assistant
El Dorado Hills, CA
Description:
To provide clerical support to the technical claims staff in an effort to maintain compliance with both State law and internal procedures. Assumes responsibility for the accurate and timely completion of assigned administrative tasks to support quality claims handling by the technical claims staff.
Experience:
High School Diploma or Equivalent, Intermediate typing speed, Computer literate in Windows environment with proficiency in Word, Excel and PowerPoint a plus, Excellent interpersonal communications skills, Excellent organizational skills, Excellent customer service phone skills, Demonstrated willingness to engage in and apply ongoing education and professional development
Claims Examiner
El Dorado Hills, CA
Description:
To provide technical support, claim services and products for customers in California. Will ensure that production and quality control standards set by the company are met on a daily basis. Responsible for monitoring the assigned claim files and ensure that service standards and quality control standards set by the company are met. Perform all aspects of the job in an accurate and highly motivated fashion.
Experience:
o A minimum of 3 to 5 years experience in workers' compensation or a general liability field as an adjuster or a related risk management position is required.
o Must have technical and operational knowledge of the legislation, regulation, and compliance requirements of the industry.
o Technical knowledge of medical terminology, procedures, systems and their impact on claim handling is required.
o An ability to interface with attorneys, hearing board members, state regulatory agencies, and customers is an important part of this job.
o Must also be able to interpret state and federal law in addition to contracts and policies.
Adjuster II
Dublin, OH
Description:
To provide technical support, claim services and products for customers. Will ensure that production and quality control standards set by the company are met on a daily basis. Responsible for monitoring the assigned claim files and ensure that service standards and quality control standards set by the company are met. Perform all aspects of the job in an accurate and highly motivated fashion.
ESSENTIAL DUTIES & RESPONSIBILITIES
o Investigate, manage, and resolve indemnity claims as assigned.
o Manage and direct all aspects of insurance claims litigation.
o Must possess a understanding of all products and services. Understand the impact/relationship these products have on the team and technological support system. As such, must be able to provide technical expertise relative to system, legal, and compliance issues as they arise.
o Monitor regulatory compliance to ensure such requirements are met within defined parameters.
o Have an understanding of all legislative requirements and is able to effectively interpret those requirements in a prudent business manner.
o Determine liability and total value of the claims.
o Negotiate the settlement of claims with clients.
o Make recommendations regarding hearings or litigation of claims
o Maintains a license for all states and products serviced.
o Organize and update all reference material to reflect current legislation and regulatory compliance.
o Comply with all quality control standards set by the company for the handling of claims. Comply with all procedures set forth by the company for performing the job as it relates to the various components of claim administrative services.
o Immediately notify Management of any unusual lawyer inquiries, insurance carrier inquiries, or department of insurance inquiries.
o Have a thorough understanding of all E & O liabilities and keep current and accurate documentation to support claims paying practices and decision-making authorities.
o Understand all facets of system automation.
o Understand the operation of a personal computer and take the appropriate steps to expand current understanding of the technology available as a means to increase personal and operational efficiencies.
o A thorough understanding of managed care products and services, and understand the impact such products have on claim administration and individual claim filing handling. Able to effectively interface with service vendors, claimants, and providers to successfully resolve open issues and bring resolution to the claim file.
o The goal is to maintain the minimum monthly corporate standard average pending file count.
o Monitor workload closely and take appropriate measures to ensure claim files are closed within parameters set by the company.
o Utilize the technology available to effectively support their workload and eliminate manual processing of claim administration.
o Assist with the identification and correction of problems and errors. Provide ideas and suggestions, which increase the quality of products.
o Be aware of the quality control standards set by the company and take positive steps to ensure that performance and products produced meet these standards.
o Ensure that all correspondence, regulatory filings and internal documents are free of error.
o Provide excellent telephone services to claimants, clients, contacts, and outside vendors. On an ongoing basis, improve service knowledge and recognize the importance of providing superior customer service to our customers.
o Ensure that all inquiries are responded to in a timely manner. Demonstrate good written and oral communication skills.
o Provide ongoing feedback to the team leader on issues and concerns impacting our customers and recommend corrective action whenever deemed appropriate.
o Calculate the full and average weekly wage and issue compensation payments according to State WC guidelines.
Experience:
o High School Diploma or equivalent required. College degree preferred.
o A minimum of 2-3 years experience in workers’ compensation or general liability field in a claims department or related risk management position is preferred.
o Must have technical and operational knowledge of the legislation, regulation, and compliance requirements of the industry.
o Technical knowledge of medical terminology, procedures, systems and their impact on claim handling is required.
o An ability to interface with attorneys, hearing board members, state regulatory agencies, and customers is an important part of this job.
o Must also be able to interpret state and federal law in addition to contracts and policies.
o Able to maintain patience and professional demeanor working with difficult or sensitive situations and people.
o Consistent attention to detail and data resolution.
o Communicate effectively and professionally in writing, by telephone, or in person. Communication effectiveness is demonstrated by conveying necessary information accurately, listening effectively and asking questions when clarification is needed.
o Strong proficiency in keyboarding and data entry skills.
o Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.
o Must be able to foster and maintain positive internal and external customer service relationships.
o Must be able to be depended upon to plan and organize work effectively and ensure its completion.
o Must be able to demonstrate reliability by arriving to work on time and taking breaks in expected time frames.
o Will be expected to meet all productivity and quality requirements.
o Must be able to demonstrate team behavior and must be willing to promote a team-oriented environment.
o Must be able to demonstrate initiative, strives to continually improve processes and relationships.
o Highly effective in working objectively with a diverse group of people and must demonstrate communication, organizational, administrative and office skills.
o Must be a team player willing to accept and promote organizational goals and function with minimal supervision.
o The ability to organize and manage multiple priorities.
o Must be able to type accurately, enter information into a computerized system, and operate a ten-key adding machine. Prior computer/PC experience using other word processing, spreadsheets, and computerized billing systems is required.
o Excellent customer service skills (friendly, courteous and helpful)
o Must have a strong desire for professional growth.
o Expected to represent the organization professionally at all times.
o Will exercise necessary cost control measures.
o Strong desire for growth.
o Other duties as assigned.
Adjuster III
Charleston, WV
Description:
To provide technical support, claim services and products for customers. Will ensure that production and quality control standards set by the company are met on a daily basis. Responsible for monitoring the assigned claim files and ensure that service standards and quality control standards set by the company are met. Perform all aspects of the job in an accurate and highly motivated fashion.
o Investigate, manage, and resolve claims of all values. Most claims will be indemnity claims with complexity and severity issues.
o Manage and direct all aspects of insurance claims litigation.
o Determine liability and total value of the claims.
o Negotiate the settlement of claims with clients.
o Must possess a thorough understanding of all products and services. Understand the impact/relationship these products have on the team and technological support system. As such, must be able to provide technical expertise relative to system, legal, and compliance issues as they arise.
o Monitor regulatory compliance to ensure such requirements are met within defined parameters.
o Have a thorough understanding of all legislative requirements and is able to effectively interpret those requirements in a prudent business manner.
o Make recommendations regarding hearings or litigation of claims
o Maintains a license for all states and products serviced.
o Organize and update all reference material to reflect current legislation and regulatory compliance.
o Comply with all quality control standards set by the company for the handling of claims. Comply with all procedures set forth by the company for performing the job as it relates to the various components of claim administrative services.
o Immediately notify Management of any unusual lawyer inquiries, insurance carrier inquiries, or department of insurance inquiries.
o Have a thorough understanding of all E & O liabilities and keep current and accurate documentation to support claims paying practices and decision-making authorities.
o Understand all facets of system automation.
o Understand the operation of a personal computer and take the appropriate steps to expand current understanding of the technology available as a means to increase personal and operational efficiencies.
o A thorough understanding of managed care products and services, and understand the impact such products have on claim administration and individual claim filing handling. Able to effectively interface with service vendors, claimants, and providers to successfully resolve open issues and bring resolution to the claim file.
o The goal is to maintain the minimum monthly corporate standard average pending file count.
o Monitor workload closely and take appropriate measures to ensure claim files are closed within parameters set by the company.
o Utilize the technology available to effectively support their workload and eliminate manual processing of claim administration.
o Assist with the identification and correction of problems and errors. Provide ideas and suggestions, which increase the quality of products.
o Be aware of the quality control standards set by the company and take positive steps to ensure that performance and products produced meet these standards.
o Ensure that all correspondence, regulatory filings and internal documents are free of error.
o Provide excellent telephone services to claimants, clients, contacts, and outside vendors. On an ongoing basis, improve service knowledge and recognize the importance of providing superior customer service to our customers.
o Ensure that all inquiries are responded to in a timely manner. Demonstrate good written and oral communication skills.
o Provide ongoing feedback to the team leader on issues and concerns impacting our customers and recommend corrective action whenever deemed appropriate.
Experience:
o High School Diploma or equivalent required. College degree preferred.
o A minimum of 5-7 years experience in workers’ compensation or general liability field in a claims department or related risk management position is preferred.
o Must have technical and operational knowledge of the legislation, regulation, and compliance requirements of the industry.
o Technical knowledge of medical terminology, procedures, systems and their impact on claim handling is required.
o An ability to interface with attorneys, hearing board members, state regulatory agencies, and customers is an important part of this job.
o Must also be able to interpret state and federal law in addition to contracts and policies.
o Able to maintain patience and professional demeanor working with difficult or sensitive situations and people.
o Consistent attention to detail and data resolution.
o Communicate effectively and professionally in writing, by telephone, or in person. Communication effectiveness is demonstrated by conveying necessary information accurately, listening effectively and asking questions when clarification is needed.
o Strong proficiency in keyboarding and data entry skills.
o Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.
Adjuster III
Schaumburg, IL
Description:
To provide technical support, claim services and products for customers. Will ensure that production and quality control standards set by the company are met on a daily basis. Responsible for monitoring the assigned claim files and ensure that service standards and quality control standards set by the company are met. Perform all aspects of the job in an accurate and highly motivated fashion.
o Investigate, manage, and resolve claims of all values. Most claims will be indemnity claims with complexity and severity issues.
o Manage and direct all aspects of insurance claims litigation.
o Determine liability and total value of the claims.
o Negotiate the settlement of claims with clients.
o Must possess a thorough understanding of all products and services. Understand the impact/relationship these products have on the team and technological support system. As such, must be able to provide technical expertise relative to system, legal, and compliance issues as they arise.
o Monitor regulatory compliance to ensure such requirements are met within defined parameters.
o Have a thorough understanding of all legislative requirements and is able to effectively interpret those requirements in a prudent business manner.
o Make recommendations regarding hearings or litigation of claims
o Maintains a license for all states and products serviced.
o Organize and update all reference material to reflect current legislation and regulatory compliance.
o Comply with all quality control standards set by the company for the handling of claims. Comply with all procedures set forth by the company for performing the job as it relates to the various components of claim administrative services.
o Immediately notify Management of any unusual lawyer inquiries, insurance carrier inquiries, or department of insurance inquiries.
o Have a thorough understanding of all E & O liabilities and keep current and accurate documentation to support claims paying practices and decision-making authorities.
o Understand all facets of system automation.
o Understand the operation of a personal computer and take the appropriate steps to expand current understanding of the technology available as a means to increase personal and operational efficiencies.
o A thorough understanding of managed care products and services, and understand the impact such products have on claim administration and individual claim filing handling. Able to effectively interface with service vendors, claimants, and providers to successfully resolve open issues and bring resolution to the claim file.
o The goal is to maintain the minimum monthly corporate standard average pending file count.
o Monitor workload closely and take appropriate measures to ensure claim files are closed within parameters set by the company.
o Utilize the technology available to effectively support their workload and eliminate manual processing of claim administration.
o Assist with the identification and correction of problems and errors. Provide ideas and suggestions, which increase the quality of products.
o Be aware of the quality control standards set by the company and take positive steps to ensure that performance and products produced meet these standards.
o Ensure that all correspondence, regulatory filings and internal documents are free of error.
o Provide excellent telephone services to claimants, clients, contacts, and outside vendors. On an ongoing basis, improve service knowledge and recognize the importance of providing superior customer service to our customers.
o Ensure that all inquiries are responded to in a timely manner. Demonstrate good written and oral communication skills.
o Provide ongoing feedback to the team leader on issues and concerns impacting our customers and recommend corrective action whenever deemed appropriate.
Experience:
o High School Diploma or equivalent required. College degree preferred.
o A minimum of 5-7 years experience in workers’ compensation or general liability field in a claims department or related risk management position is preferred.
o Must have technical and operational knowledge of the legislation, regulation, and compliance requirements of the industry.
o Technical knowledge of medical terminology, procedures, systems and their impact on claim handling is required.
o An ability to interface with attorneys, hearing board members, state regulatory agencies, and customers is an important part of this job.
o Must also be able to interpret state and federal law in addition to contracts and policies.
o Able to maintain patience and professional demeanor working with difficult or sensitive situations and people.
o Consistent attention to detail and data resolution.
o Communicate effectively and professionally in writing, by telephone, or in person. Communication effectiveness is demonstrated by conveying necessary information accurately, listening effectively and asking questions when clarification is needed.
o Strong proficiency in keyboarding and data entry skills.
Corporate Claims Analyst
TBD
Description:
o Coordinate all aspects of external audit process from dates/locations to audited materials, travel, on-site resource for external auditors as well as all internal functional areas to support the audit process.
o Schedule, coordinate and evaluate claims submitted for the claim committee process.
o Chair Claim Committees on complex losses.
o Is a member of the claims Quick Response Team (QRT).
o Perform claims training as necessary.
o Perform claims audits per contractual agreements.
o Communicate Quality Awareness to internal associates and external clients via written articles, training presentations, etc.
o Develop and implement new processes and facilitate continued process improvement.
o Prepare analyses and recommendations for presentation and approval.
o Initiate, coordinate, and oversee a process pilot to test the implementation of a new or revised process
o Ability to read and apply contractual and "service level agreement" language to audit obligations.
o Lead cross functional teams to coordinate response efforts for carrier and client audits.
o Build and maintain positive relationship with customers and other team members.
Experience:
o Minimum of 5 + years experience in Workers Compensation and or Liability.
o Three + years experience supervision/management experience preferred.
o Ability to manage and work multiple projects concurrently within established timelines.
o Ability to understand financial impacts of projects and initiatives.
o Extensive experience in meeting planning, facilitation, and public speaking.
o Prepare analyses and recommendations for presentation and approval.
o Strong claims technical and audit background preferred.
o Knowledge of claims procedures best practices as well as applicable client special handling instructions.
o Excellent Microsoft Office proficiency required, Word, Excel, Outlook a plus and knowledge of Risk Management systems is desired.
o Excellent interpersonal communication skills with the ability to communicate to all management levels within the company as well as across the business unit. Both oral and written with strong technical, analytical and problem solving skills.
o Demonstrated organizational skills.
o Demonstrated willingness to engage in and apply ongoing education and professional development.
o Ability to work effectively in a team environment; ability to independently perform individual tasks within a project.
Nurse Case Manager
El Dorado Hills, CA
Description:
Seeking a qualified case manager for an El Dorado Hills office. Must have a California state RN license, case management experience and basic computer skills. Must be CCM eligible. The ideal candidates will have direct or related experience in workers' compensation case management
Telephonic Nurse Case Manager
Dublin, Ohio
Description:
Seeking a qualified case manager to work with multiple client accounts. Must have an Ohio State RN license, case management experience and basic computer skills. Must have CCM or be eligible. The ideal candidates will have direct or related experience in Ohio Self-Insured workers' compensation case management.
IT Technical Call Center Manager
Dublin, Ohio
Description:
o Responsible for the leadership role of the Technical Call Center within the organization including participating as a manager and customer call representative
o Establishing unit staffing based on request volume
o Develop new processes and procedures to enhance efficiency within the Technical Call Center
o Monitoring productivity of customer service representatives
o Generating reports and reporting to management in a timely manner and consistent
o Reviewing data to monitor the customer experience and subordinate statistics
o Monitoring call center results to identify and act on both positive and negative performance trends to insure attainment of performance targets
o Answering questions to address customer complaints as well as implementing solutions for resolution
o Communication and follow up to insure representatives are fully informed of all new information related to products, procedures, customer needs, and company related issues, changes or actions
o Determines work procedures, prepares work schedules, and expedites workflow
o Studies and standardizes procedures to improve efficiency
Experience:
o BS in Computer Science, Information Technology or related technology field
o 4-6 years related work experience in Information Systems and Call Center management
o Management experience in development of staff and reporting to senior level management
o Must possess the ability to develop and document processes associated with Call Center environment
o Must deliver the demonstrated ability to effectively manage all aspects of call tracking and resolution
o Experience in developing call flow and developing a knowledgebase
o Strong analytical and problem solving skills
o Strong written and verbal communication skills, the ability to working well in a high paced team environment ability to multi-task and demonstrate a commitment to growing with the company
Nurse Case Manager
Anaheim, CA
Description:
Avizent is currently seeking a Nurse Case Manager: RN, CCM with 3 or more years of case management experience a must.
Adjuster III
Anchorage, AK
Description:
We are currently seeking a qualified candidate to provide technical support, claim services and products for customers. Will ensure that production and quality control standards set by the company are met on a daily basis. Responsible for monitoring the assigned claim files and ensure that service standards and quality control standards set by the company are met. Perform all aspects of the job in an accurate and highly motivated fashion.
Experience:
Experience Required - High School Diploma or equivalent required. College degree preferred. A minimum of 5-7 years experience in workers' compensation or general liability field in a claims department or related risk management position is preferred. Must have technical and operational knowledge of the legislation, regulation, and compliance requirements of the industry. Technical knowledge of medical terminology, procedures, systems and their impact on claim handling is required. An ability to interface with attorneys, hearing board members, state regulatory agencies, and customers is an important part of this job. Must also be able to interpret state and federal law in addition to contracts and policies. Able to maintain patience and professional demeanor working with difficult or sensitive situations and people. Consistent attention to detail and data resolution. Communicate effectively and professionally in writing, by telephone, or in person. Communication effectiveness is demonstrated by conveying necessary information accurately, listening effectively and asking questions when clarification is needed. Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Must be able to foster and maintain positive internal and external customer service relationships. Must be able to be depended upon to plan and organize work effectively and ensure its completion. Must be able to demonstrate initiative, strives to continually improve processes and relationships. Highly effective in working objectively with a diverse group of people and must demonstrate communication, organizational, administrative and office skills. Must be a team player willing to accept and promote organizational goals and function with minimal supervision. The ability to organize and manage multiple priorities. Excellent customer service skills. Expected to represent the organization professionally at all times.