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Open Positions

Utilization Management Assistant 

Life and Health Division

 

As of October 20, 2022

Responsibilities 
  • Serves as the first line of contact on all phone Utilization Management inquiries

  • Monitors and collects faxes on all incoming pre-certifications or pharmacy requests from providers

  • Enters and assigns pre-certifications numbers generated by WLT system  

  • Routes all pre-certifications to the UM Coordinator/Manager/ Director for review

  • Prepares reports on the pre-certifications received on a weekly or monthly basis

  • Responsible for the entire pre-certification safe keeping, pulling and re-filing

  • Assist on any off-island care inquiries and issues with regards to appointments and authorizations

  • Ensures that off-island requests have been validated and forwarded to the Utilization Manager for review

  • Works with the off-island providers to help facilitate, coordinate and secure appointment schedules

  • Prepares off-island “letter of authorization” for review and approval signature by the Utilization Manager

  • Discusses benefits thoroughly and in detail with both members and providers

  • Prepares and sends “letter of authorization” to the respective providers and/or members

  • Any other job related duties as assigned by supervisor

Requirements

  • High school diploma or equivalent required
    Prior work experience in customer service preferred

  • Prior experience in office administration and medical insurance industry is preferred

  • Must have excellent communication skills in verbal and written form

  • Experience with Microsoft Office (ex: Outlook Express, Microsoft Word/Excel)

  • Experience with operating Xerox machine (ex: Copy, Fax and Scan)

  • Ability to use WLT software is preferred

  • Ability to work in a fast-paced environment, handling multiple tasks, and meet established deadlines

How to Apply

1.) Complete the CIU Application For Employment form.  Download Here

2.) Complete the Self-Identification form. Download Here

3.) In addition to emailing your resume and both, CIU Application for Employment and Self-Identification Forms to jobs@calvos.com, you may submit the documents to CIU Corporate Office, Attn: HR Department

 

Mail to:  P.O. Box CI, Hagatna, GU 96932

Drop-off location address: 115 Chalan Santo Papa, Hagatna, GU 96910

Calvo’s Insurance Underwriters, Inc. is an Affirmative Action and Equal Opportunity Employer.  All qualified applicants will receive consideration for employment without regard to age, sex, gender identity, sexual orientation, gender expression, religion, race, color, ancestry, national origin, disability, veteran’s status, citizenship or any other classification protected under Guam and federal law.