The Medical Care / Case Manager is responsible for providing clinical oversight and end-to-end case management support for medical insurance claims. The role ensures appropriate utilization of medical benefits, timely and efficient claims processing, effective coordination with hospitals, TPAs, clients, and intermediaries, and protection of ICEA LIONβs financial and reputational interests.
The position plays a critical role in enhancing service delivery, improving turnaround times, strengthening provider relationships, and supporting wellness and risk management initiatives.