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Medical Case Manager

Medical Case Manager

AmeriLifeNewport Beach, California, USA
4 days ago
Job type
  • Full-time
Job description

Our Company

Explore how you can contribute at AmeriLife.

For over 50 years AmeriLife has been a leader in the development marketing and distribution of annuity life and health insurance solutions for those planning for and living in retirement.

Associates get satisfaction from knowing they provide agents marketers and carrier partners the support needed to succeed in a rapidly evolving industry.

Job Summary

We are seeking an experienced Medical Case Manager with a background in high-net-worth cases to join our team. This role involves assessing medical records for new business applications and working closely with clients advisors carrier medical underwriters case managers and internal teams to deliver customized underwriting solutions. The ideal candidate will bring a minimum of 5 years of experience in medical underwriting within a carrier environment with a demonstrated track record of handling high-net-worth clients and complex cases.

Job Description

Key Responsibilities :

  • Risk Assessment : Review and evaluate medical information history and lifestyle factors to assess risk accurately for new business applications ensuring alignment with company guidelines and risk appetite.
  • High Net-Worth Client Underwriting : Apply expertise in high-net-worth client underwriting providing tailored assessments and recommendations for sophisticated cases with large policy values.
  • Collaboration with Advisors and Agents : Work closely with sales agents brokers and advisors to discuss underwriting decisions alternative solutions and provide education on medical underwriting considerations.
  • Decision-Making : Make informed independent underwriting decisions backed by solid analysis and within authorized limits; escalate complex cases as necessary.
  • Documentation and Compliance : Maintain accurate records of underwriting decisions ensuring full compliance with company policies procedures and regulatory requirements.
  • Continuous Improvement : Stay updated on industry trends medical advancements and changes in underwriting guidelines and contribute insights for policy updates and risk management strategies.

Qualifications :

  • Experience : Minimum of 5 years in medical underwriting ideally within a life insurance carrier environment with demonstrated expertise in new business underwriting for high-net-worth clients.
  • Medical Knowledge : Strong understanding of medical terminology conditions and risk factors with the ability to apply this knowledge to high-stakes underwriting cases.
  • Analytical Skills : Strong analytical skills with the ability to evaluate complex medical and financial information effectively.
  • Communication Skills : Excellent verbal and written communication skills with the ability to explain underwriting decisions to both technical and non-technical stakeholders.
  • Attention to Detail : High degree of accuracy and attention to detail in assessing risk and documenting decisions.
  • Compliance Knowledge : Familiarity with industry regulations compliance standards and underwriting best practices.
  • Equal Employment Opportunity Statement

    We are an Equal Opportunity Employer and value diversity at all levels of the organization. All employment decisions are made without regard to race color religion creed sex (including pregnancy childbirth breastfeeding or related medical conditions) sexual orientation gender identity or expression age national origin ancestry disability genetic information marital status veteran or military status or any other protected characteristic under applicable federal state or local law. We are committed to providing an inclusive equitable and respectful workplace where all employees can thrive.

    Americans with Disabilities Act (ADA) Statement

    We are committed to full compliance with the Americans with Disabilities Act (ADA) and all applicable state and local disability laws. Reasonable accommodations are available to qualified applicants and employees with disabilities throughout the application and employment process. Requests for accommodation will be handled confidentially. If you require assistance or accommodation during the application process please contact us at .

    Pay Transparency Statement

    We are committed to pay transparency and equity in accordance with applicable federal state and local laws. Compensation for this role will be determined based on skills qualifications experience and market factors. Where required by law the pay range for this position will be disclosed in the job posting or provided upon request. Additional compensation information such as benefits bonuses and commissions will be provided as required by law. We do not discriminate or retaliate against employees or applicants for inquiring about discussing or disclosing their pay or the pay of another employee or applicant as protected under applicable law. Pay ranges are available upon request.

    Background Screening Statement

    Employment offers are contingent upon the successful completion of a background screening which may include employment verification education verification criminal history check and other job-related inquiries as permitted by law. All screenings are conducted in accordance with applicable federal state and local laws and information collected will be kept confidential. If any adverse decision is made based on the results applicants will be notified and given an opportunity to respond.

    Required Experience :

    Manager

    Key Skills

    Project Portfolio Management,Motivational Interviewing,HIPAA,Computer Skills,Intake Experience,Lean Six Sigma,Conflict Management,Case Management,Team Management,Program Development,Social Work,Addiction Counseling

    Employment Type : Full-Time

    Experience : years

    Vacancy : 1

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