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Case Manager

Allied Universal® Compliance and Investigations
locationGreenville, SC, USA
PublishedPublished: 6/14/2022
Healthcare
Full Time

Job Description

Job DescriptionOverview

Company Overview:

Advance Your Career in Insurance Claims with Allied Universal® Compliance and Investigation Services. Allied Universal® Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation and excellence, making a significant impact in the insurance industry. If you're ready to grow with the best, explore a career with us and make a difference.

Job Description

Allied Universal® is hiring a Case Manager

The Case Manager is responsible for all customer service functions and quality control of the final investigative product, also serving as the liaison between the client and the field staff who conduct the investigation. Case Managers are also responsible for meeting “reopen" sales goals on a monthly basis, creating accurate funding records for all items billable to the client, and sound management of their assigned case inventory. Case Managers must utilize discretion and independent judgment to resolve conflicts between clients and/or investigators.

ESSENTIAL JOB DUTIES AND RESPONSIBILITIES:

  • Ensure timely closing of all files on which the client requires no additional investigative activity. Upon closure of files that have unused authorization monies, a detailed description of the reasons for this unused authorization must be provided
  • Use independent judgment to define and confirm client objectives (including due dates) on all new, reopen, and investigative referral cases; objectives must be clear and completely defined in the “Client objectives" section of CAM (proprietary business software)
  • Use sound management of their assigned case inventory utilizing discretion and independent judgment to resolve conflicts between clients and/or investigators; respond to customer concerns (negotiating as needed) and forward field operation issues to appropriate Filed Manager as needed

BASIC QUALIFICATIONS:

  • Formal Education, Licenses, and Certifications Required:
    • Must possess a Bachelor's degree in Business, Business Administration, Criminal Justice, International Studies, National Security, Communications, or a related field
  • Type and Length of Specific Experience Required:
    • Must possess a minimum of two (2) years of experience conducting complex insurance investigations
    • Must possess a minimum two (2) years of experience managing or directing an insurance investigation program

BENEFITS:

  • Medical, dental, vision, basic life, AD&D, retirement plan and disability insurance
  • Seven paid holidays annually, sick days available where required by law
  • Vacation time offered at an initial accrual rate of 3.08 hours biweekly; unused vacation is only paid out where required by law

Closing

Allied Universal® is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, age, color, religion, sex, sexual orientation, gender identity, national origin, genetic information, disability, protected veteran status or relationship/association with a protected veteran, or any other basis or characteristic protected by law. For more information: www.aus.com

If you have difficulty using the online system and require an alternate method to apply or require an accommodation, please contact our local Human Resources department. To find an office near you, please visit: www.aus.com/offices.

Requisition ID

2026-1551165

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