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Claims Consultant at Acrisure - ApplyBlast

Claims Consultant

Acrisure

11 days ago

Cadillac, Michigan, United States

Onsite

Full Time

Medior

0 applicants

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About this role

The Claims Consultant supports the administration and processing of pharmacy benefit claims for self-funded employer health plans, serving as a liaison between clients, plan members, pharmacies, and internal teams. This role focuses on analyzing claim issues, resolving discrepancies, and ensuring accurate and efficient processing in compliance with plan provisions and regulatory requirements. The position contributes to optimizing pharmacy benefits, managing costs, and improving plan performance for self-funded organizations.

Responsibilities

Review and resolve pharmacy benefit claim issues and inquiries
Analyze claim adjudication outcomes to identify discrepancies and errors
Coordinate with pharmacies, PBMs, and TPAs to resolve complex claim concerns

Skills

About Acrisure

acrisure.com

Headquarters

Grand Rapids, Michigan, United States

Company Size

10001+ employees

Founded

2005

View Profile

Acrisure is a global insurance broker and business-solutions firm that connects entrepreneurs and organizations with insurance, risk-management, and advisory services. It provides property & casualty, specialty, employee-benefit, and program solutions through a large network of partner agencies and technology platforms. Acrisure emphasizes tech-enabled distribution, data-driven risk analytics, and customized programs to help clients protect assets and scale their businesses. The firm blends brokerage expertise with fintech tools to streamline coverage, claims, and business operations.