We help the world see new possibilities and inspire change for better tomorrows. Our analytic solutions bridge content, data, and analytics to help business, people, and society become stronger, more resilient, and sustainable.

The Lead Lien Specialist on the Lien Services team is primarily responsible for personnel and queue/work management of an assigned coordinator group. The Lead Lien Specialist is also responsible for timely communicating to Lien Services management updates on all direct reports, queue/work status, and any issues or production blockers.  The Lead Lien Specialist will also be expected to assist with daily conditional payment work and will have their own set of goals. The Lead Lien Specialist is responsible for processing incoming mail, conditional payment reporting, outreach for Proof of Representation documents, Medicare Advantage Plan Affidavits and HIPAA releases. Additionally, the Lead Lien Specialist is responsible for outreach to Medicare Advantage Plans, Medicaid and Part D companies if applicable. Each Lead Lien Specialist is responsible for successful communication, timely responses and providing overall excellent customer service. If you thrive in a fast-paced environment that emphasizes individual accountability with the support of a team structure, come join us!

About the Day to Day Responsibilities of the Role

• Oversee and supervise the assigned Coordinator group, ensuring their adherence to established processes and guidelines.
• Collaborate with department and team management to meet production goals and address client service needs.
• Identify opportunities for service improvement and implement efficient processes.
• Serve as a Subject Matter Expert, providing training to new employees and assisting current staff with their professional development needs.
• Oversee and perform reporting and follow up on a variety of processes including outreach to CMS, Medicare Advantage Plans, Medicaid and Part D companies.
• Oversee and perform outreach and follow up on a variety of tasks, including Letters of Authority, Proof of Representation, Medicare Advantage Affidavits, HIPAA releases, Conditional Payment Letters and other documents as necessary.
• Responsible for overseeing and delivering designated documents such as $0 Conditional Payment letters and case closed letters.
• Assist with referral set-up in the database.
• Conduct comprehensive review, analysis, and dispute of assigned Medicare Advantage, Part D, Medicaid letters if applicable for the Coordinator group.
• Communicate effectively, professionally, and comprehensively in internal emails, client inquiries, case status requests, case updates, and general subject matter questions.
• Provide assistance to attorneys, staff, and account management as requested.
• Support in handling incoming mail when needed.

About You and How You Can Excel in This Role

• Minimum of 3 years of experience in the MSP (Medicare Secondary Payer) field.
• Prior experience in a supervisory or leadership role is preferred, demonstrating leadership abilities.
• Strong knowledge of Medicare Advantage, Part D, Medicaid, and Medicare processes.
• Advanced customer service and communication skills, both verbal and written, to effectively interact with clients and team members.
• Ability to work independently, demonstrate self-direction, and maintain a high level of motivation.
• Desire to thrive in a fast-paced, professional environment and adapt to changing priorities.
• Flexibility and adaptability to handle various tasks and responsibilities.
• Strong problem-solving skills and ability to analyze complex situations.
• Attention to detail, exceptional organizational skills, and a strong focus on quality.
• Ability to multitask and meet deadlines efficiently.
• Proficiency in Microsoft Office tools.
• Proficiency in Crosspoint software is preferred.

In 2022, Verisk received Great Place to Work® Certification for our outstanding workplace culture for the sixth year in a row and second-time certification in the UK, Spain, and India. We’re also one of the 38 companies on the UK’s Best Workplaces™ list and one of 18 companies on Spain’s Best Workplaces™ list.

For over fifty years and through innovation, interpretation, and professional insight, Verisk has replaced uncertainty with precision to unlock opportunities that deliver significant and demonstrable impact. From our historic roots in risk assessment, we’ve grown to provide analytic insights that help transform industries focused on some of the world’s most critical areas. Today, the insurance industry relies on Verisk to be, and to make the world, more productive, resilient, and sustainable.

Verisk works in collaboration with our customers and at the intersection of people, data, and advanced technologies. Through proprietary platformed analytics, advanced modeling, and interpretation, we deliver immediate and sustained value to our customers and through them, to the individuals and societies they serve, with greater speed, precision, and scale.

We’re 9,000 people strong, committed to translating big data into big ideas. We help others see new possibilities and empower certainty into big decisions that impact individuals and societies. And we relentlessly and ethically pursue innovation to help move our customers, and the world, toward better tomorrows.

Everyone at Verisk—from our chief executive officer to our newest employee—is guided by The Verisk Way, to Be Remarkable, Add Value, and Innovate.
• Be Remarkable by doing something better each day in service to our customers and each other
• Add Value by delivering immediate and sustained results that drive positive outcomes
• Innovate by redefining what’s possible, embracing challenges, and pushing boundaries

Verisk Businesses

Underwriting Solutions — provides underwriting and rating solutions for auto and property, general liability, and excess and surplus to assess and price risk with speed and precision

Claims Solutions — supports end-to-end claims handling with analytic and automation tools that streamline workflow, improve claims management, and support better customer experiences

Property Estimating Solutions — offers property estimation software and tools for professionals in estimating all phases of building and repair to make day-to-day workflows the most efficient

Extreme Event Solutions — provides risk modeling solutions to help individuals, businesses, and society become more resilient to extreme events.

Specialty Business Solutions — provides an integrated suite of software for full end-to-end management of insurance and reinsurance business, helping companies manage their businesses through efficiency, flexibility, and data governance

Marketing Solutions — delivers data and insights to improve the reach, timing, relevance, and compliance of every consumer engagement

Life Insurance Solutions – offers end-to-end, data insight-driven core capabilities for carriers, distribution, and direct customers across the entire policy lifecycle of life and annuities for both individual and group.

Verisk Maplecroft — provides intelligence on sustainability, resilience, and ESG, helping people, business, and societies become stronger

At Verisk you can build an exciting career with meaningful work; create positive and lasting impact on business; and find the support, coaching, and training you need to advance your career. We have received the Great Place to Work® Certification for the 7th consecutive year. We’ve been recognized by Forbes as a World’s Best Employer and a Best Employer for Women, testaments to our culture of engagement and the value we place on an inclusive and diverse workforce.  Verisk’s Statement on Racial Equity and Diversity supports our commitment to these values and affecting positive and lasting change in the communities where we live and work.

Verisk Analytics is an equal opportunity employer.

All members of the Verisk Analytics family of companies are equal opportunity employers. We consider all qualified applicants for employment without regard to race, religion, color, national origin, citizenship, sex, gender identity and/or expression, sexual orientation, veteran's status, age or disability.

http://www.verisk.com/careers.html

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