SCHIP Account Manager at Crawford & Company in Lake Zurich, Illinois

Job Description:

This position reports to the SCHIP Compliance Director and would be a key position on the SCHIP Compliance Team. The account manager attends new client implementation meetings, assist clients/carriers with registration with The Center for Medicaid/Medicare Services "CMS" and tracks their registration to ensure it remains active. Creates client program rules for reporting in a proprietary application. Has interaction with clients, carriers, adjusters, external vendors and CMS.

• Completion of a college or university degree in business, business administration, insurance or related field or 3-4 years experience in insurance, within a business analyst capacity, and/or claim systems or the equivalent in related work experience.
• Demonstrates a sound knowledge of basic business principles.
• Demonstrates the ability to plan projects and complete assignments timely and accurately.
• Understands the impact of decisions, actions, and technology on Broadspire's and customers business systems.
• Excellent understanding of process and systems flow.
• Displays excellent interpersonal skills.
• Displays excellent presentation and training skills.
• Displays ownership in business relationships and assignments.
• Ability to clearly present information through the spoken or written word; reads and interprets complex information; talk with customers or clients; listens well.
• Ability to stay well informed of current industry trends; learn and apply new concepts and identifies own areas of opportunity and sets and monitors self development goals.
• Ability to demonstrate a high level of service delivery; do what is necessary to ensure customer satisfaction; deals with service failures and prioritizes customer needs.
• Ability to challenge conventional practices; adapt established methods for new uses; pursues ongoing system improvement; develops new ideas to create novel solutions to problems; evaluates new technology as potential solutions to existing problems.
• Demonstrates or models behavior that rallies others around a common cause and builds a shared sense of purpose.
• Ability to develop rapport with others and recognize their concerns and feelings; builds and maintains long-term associations based on trust; helps others.

Physical Requirements:

• Demonstrates a sound knowledge of basic business principles.
• Demonstrates the ability to plan projects and complete assignments timely and accurately.
• Understands the impact of decisions, actions, and technology on Broadspire's and customers business systems.
• Excellent understanding of process and systems flow.
• Displays excellent interpersonal skills.
• Displays excellent presentation and training skills.
• Displays ownership in business relationships and assignments.
• Ability to clearly present information through the spoken or written word; reads and interprets complex information; talk with customers or clients; listens well.
• Ability to stay well informed of current industry trends; learn and apply new concepts and identifies own areas of opportunity and sets and monitors self development goals.
• Ability to demonstrate a high level of service delivery; do what is necessary to ensure customer satisfaction; deals with service failures and prioritizes customer needs.
• Ability to challenge conventional practices; adapt established methods for new uses; pursues ongoing system improvement; develops new ideas to create novel solutions to problems; evaluates new technology as potential solutions to existing problems.
• Demonstrates or models behavior that rallies others around a common cause and builds a shared sense of purpose.
• Ability to develop rapport with others and recognize their concerns and feelings; builds and maintains long-term associations based on trust; helps others.

• Meet with Crawford and Broadspire clients for new accounts or accounts that are leaving with regard to the CMS (Medicare) RRE ID - Responsible Reporting Entity to be sure the clients' are successfully registered for reporting with Medicare.
• Attend implementation meetings with Clients Services and the Implementation Team
• Managed over 400 RRE ID's and ensure the RRE ID states up to date with Medicare to meet Federal government compliance.
• Setup in a table the appropriate Program Numbers with the RRE ID, perform testing, and ensure we are reporting correctly.
• Escalate and work with Client Services Account Executives to ensure their respective clients are compliant with government regulations.
• Attain Section 111 Mandatory Insurance Reporting knowledge understanding the guidelines and regulations.
• Partner with others on the SCHIP Compliance Team on both technical matters and client issues.