Pharmacy Claims Consultant

About Acrisure

A global fintech leader, Acrisure empowers millions of ambitious businesses and individuals with the right solutions to grow boldly forward. Bringing cutting-edge technology and top-tier human support together, we connect clients with customized solutions across a range of insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services – and more.

In the last twelve years, Acrisure has grown in revenue from $38 million to almost $5 billion and employs over 19,000 colleagues in more than 20 countries. Acrisure was built on entrepreneurial spirit. Prioritizing leadership, accountability, and collaboration, we equip our teams to work at the highest levels possible.

Job Summary:

Acrisure is seeking a Claims Consultant to join our growing team. This role acts as a strategic partner and risk advisor for all clients and service teams through a high level of service and analysis of claims data that helps shape client policies and procedures to improve overall risk management.

Responsibilities:

• Develop and maintain relationships with the Management Team, providing assistance as needed
• Attend and assist in facilitating department meetings
• Maintain awareness of new developments or changes within the department updating training materials and team resources
• Maintain and take appropriate action on eligibility reports
• Maintain and update data for billing purposes as needed
• Assist in weekly reporting and other various projects
• Assist in managing and updating activities when needed
• Resolve or refer all requests from the Pharmacy Service Representatives
• Perform other tasks or projects as needed/assigned
• Attend and complete training sessions or assignments as required
• Work directly with the Pharmacy Benefits Manager
• Adhere to Acrisure service standards for the department and agency

Requirements:

• Willingness to participate in self-development or technical classes
• Strong organizational and workflow management skills
• Must be comfortable in an electronic environment with strong computer skills
• Strong working knowledge of Microsoft Office Products
• Excellent verbal and written communication skills, courteous telephone skills
• Excellent people skills and ability to work well in a team environment
• Strong organizational skills, high attention to detail, responsive and self-motivated
• Team player and task-oriented

Education and Experience:

• Bachelor’s degree in business or related field of study or equivalent relevant experience
• Minimum 2 years' claims processing/analysis/advisement experience in pharmaceuticals preferred

Benefits and Perks:

• Competitive compensation
• Generous vacation policy, paid holidays, and paid sick time
• Medical Insurance, Dental Insurance, and Vision Insurance (employee-paid)
• Company-paid Short-Term and Long-Term Disability Insurance
• Company-paid Group Life insurance
• Company-paid Employee Assistance Program (EAP) and Calm App subscription
• Employee-paid Pet Insurance and optional supplemental insurance coverage
• Vested 401(k) with company match and financial wellness programs
• Flexible Spending Account (FSA), Health Savings Account (HSA) and commuter benefits options
• Paid maternity leave, paid paternity leave, and fertility benefits
• Career growth and learning opportunities
• …and so much more!

#LI-On-Site

#LI- DL1

Candidates should be comfortable with an on-site presence to support collaboration, team leadership, and cross-functional partnership.

Why Join Us:

At Acrisure, we’re building more than a business, we’re building a community where people can grow, thrive, and make an impact. Our benefits are designed to support every dimension of your life, from your health and finances to your family and future.

Making a lasting impact on the communities it serves, Acrisure has pledged more than $22 million through its partnerships with Corewell Health Helen DeVos Children's Hospital in Grand Rapids, Michigan, UPMC Children's Hospital in Pittsburgh, Pennsylvania and Blythedale Children's Hospital in Valhalla, New York.

Employee Benefits

We also offer our employees a comprehensive suite of benefits and perks, including:

• Physical Wellness: Comprehensive medical insurance, dental insurance, and vision insurance; life and disability insurance; fertility benefits; wellness resources; and paid sick time.

• Mental Wellness: Generous paid time off and holidays; Employee Assistance Program (EAP); and a complimentary Calm app subscription.

• Financial Wellness: Immediate vesting in a 401(k) plan; Health Savings Account (HSA) and Flexible Spending Account (FSA) options; commuter benefits; and employee discount programs.

• Family Care: Paid maternity leave and paid paternity leave (including for adoptive parents); legal plan options; and pet insurance coverage.

• … and so much more!

This list is not exhaustive of all available benefits. Eligibility and waiting periods may apply to certain offerings. Benefits may vary based on subsidiary entity and geographic location.

Acrisure is an Equal Opportunity Employer. We consider qualified applicants without regard to race, color, religion, sex, national origin, disability, or protected veteran status. Applicants may request reasonable accommodation by contacting [email protected].

Final candidates will be required to complete post-offer verification processes related to the role and in accordance with applicable laws.

California Residents: Learn more about our privacy practices for applicants by visiting the Acrisure California Applicant Privacy Policy.

Recruitment Fraud: Please visit here to learn more about our Recruitment Fraud Notice.

Welcome, your new opportunity awaits you.