Coverage Verification SpecialistThis is an on-site position located in Roslyn, NY. This position assists and supports the underwriting function by ensuring requests for claims histories and/or coverage verifications for all lines of business are provided timely and accurately, as well as other duties as requested.Important Note: The Coverage Verification Specialist role is a temporary-to-hire employment opportunity. During the three-month trial period, skills, performance, and compatibility with the organization will be evaluated.
If both parties find the role suitable after this period, an offer may be extended for regular full-time employment as an Coverage Verification Specialist.Essential Duties & Responsibilities:Process requests for claims histories and/or coverage verifications from brokers, insureds or third partiesReview requests for completeness, including proper authorization from insured(s), and request additional information needed; search providers in eOasis CIS and determine all applicable policy typesInform Account Manager of loss run requests when appropriatePrepare and send claims history and/or coverage verification reports within 5 days of request receivedGenerate SAP report for Physician and Healthcare Facility policies as requestedPrepare reports manually for Healthcare Facility policies, adding data retrieved from eOasis regarding policy coverage and claims; follow guidelines for certain hospitals/facilities prior to providing informationSend reports via email to requestors; include original request and authorization document (if applicable)Enter data regarding requests for Physician policies in the Diary in eOasisUpload e-mail with reports to OnBase and/or corresponding Healthcare Facility files.Answer calls regarding COIs and Dec pages, both from automated prompts and operatorProcess requests for copies of COIs and Dec pages; send documents to insureds electronicallyIssue all new COIs to hospitals and facilities at insureds' requestsAdd COIs to insureds' policies as requested via eServices or e-mail; provide electronic copies to insuredsEnter data received for electronic delivery of COIs to Certificate Holders into eOasisAssist with sorting of incoming mailResponsible for weekly/monthly mass mailings of renewal declarations pages, COIs and other projectsMaintain highest level of customer service and produce accurate workUnderstand and achieve productivity requirements to meet underwriting objectivesRespond in a timely and professional manner to internal and external queries and requests received from our brokers and clients regarding requestsDemonstrate a sense of urgency and consistently meet processing deadlines per underwriting service standardsOther duties as assigned by managementEducation & Qualifications :Associate degree and minimum of 2-3 years office related experience required. Customer service background preferredMust be proficient in Microsoft Office SuiteParticipate in assigned projects and departmental efforts as an active and positive team memberMust demonstrate ability to maintain an effective working relationship with other departments, employees, management and clientsExcellent verbal and written communication skillsMust be detail oriented and have good organizational skillsAbility to work without direct supervision, make independent decisions and meet specific deadlinesThe actual compensation for this position will be determined by experience and other factors permitted by law.