Manage end-to-end drug prior authorization and claims cases, assessing requests against clinical guidelines and plan provisions.
Communicate authorization outcomes clearly to members, providers, and internal stakeholders while resolving escalated and complex scenarios.
Serve as a subject matter expert to support teams, training, and continuous improvement initiatives.
The hiring company operates in the insurance and benefits sector, managing complex drug prior authorization and claims cases. It is a global organization with a collaborative culture that values flexibility, continuous improvement, and employee well-being.
Provide consultative support and policy management for commercial insurance clients across accounts, new business, or renewals.
Drive growth by identifying upsell opportunities, negotiating with underwriters, and converting inbound leads.
Collaborate with team members and partners to deliver tailored coverage solutions while maintaining accurate records.
Zensurance is an InsurTech platform redefining commercial insurance for Canadian businesses through a digital-first experience. The company has been recognized by Deloitte's Technology Fast 50 and Fast 500 for its rapid growth and values ownership, collaboration, and innovation.
Investigate, evaluate, negotiate, and resolve complex property claims, including litigated and environmental losses.
Conduct coverage analysis and collaborate with legal, engineering, and restoration experts on complex files.
Provide technical guidance, mentoring, and strong customer service in a fully remote environment.
The hiring company is an insurance organization specializing in complex property claims management and customer support. It operates as a fully remote Canadian team and emphasizes flexibility, professional development, and community involvement.