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Slp Remote Insurance Review Jobs in Massachusetts

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Slp Remote Insurance Review information

What is an SLP Remote Insurance Review?

An SLP Remote Insurance Review is a process in which a licensed Speech-Language Pathologist (SLP) reviews patient documentation and insurance information remotely—often from home—to determine coverage for speech therapy services. This role involves evaluating medical records, verifying insurance benefits, and ensuring that therapy services meet the necessary criteria for reimbursement. SLPs in this position may also communicate with insurance companies and healthcare providers to clarify requirements or resolve issues. This work supports both patients and providers by helping to streamline the approval process for necessary therapy.

What skills and qualifications are needed to thrive as an SLP Remote Insurance Review specialist?

To thrive as an SLP Remote Insurance Review Specialist, you need a valid Speech-Language Pathology (SLP) license, in-depth knowledge of clinical documentation, and understanding of insurance and reimbursement processes. Familiarity with electronic health records (EHR), insurance portals, and medical billing software is commonly required. Outstanding attention to detail, analytical thinking, and effective written communication are vital soft skills for reviewing records and interacting with providers or payers. These skills ensure accurate claim reviews, compliance, and efficient authorization processes critical for timely patient care and reimbursement.

What are common challenges faced by SLPs performing remote insurance reviews, and how can they be managed?

SLPs conducting remote insurance reviews often encounter challenges such as navigating complex insurance policies, ensuring timely documentation, and effectively communicating with insurance representatives and clients. Staying organized with electronic health records and maintaining up-to-date knowledge of coverage criteria can help manage these challenges. Additionally, clear and professional communication, both written and verbal, is essential for advocating for clients and resolving potential coverage disputes.

What is the difference between Slp Remote Insurance Review vs Speech-Language Pathologist?

AspectSlp Remote Insurance ReviewSpeech-Language Pathologist
CredentialsTypically requires background in insurance or healthcare billing, not necessarily SLP certificationRequires state licensure and CCC-SLP certification
Work EnvironmentRemote, administrative setting focused on insurance claims and reviewsClinical, healthcare setting or private practice providing therapy services
Employer & IndustryInsurance companies, healthcare billing firmsHospitals, clinics, schools, private practices

While Slp Remote Insurance Review involves evaluating insurance claims related to speech therapy, Speech-Language Pathologists provide direct therapy services to clients. The former is more administrative and insurance-focused, often remote, whereas the latter is clinical and patient-facing.

What are popular job titles related to Slp Remote Insurance Review jobs in Massachusetts?

For Slp Remote Insurance Review jobs in Massachusetts, the most frequently searched job titles are:

What job categories do people searching Slp Remote Insurance Review jobs in Massachusetts look for?

The top searched job categories for Slp Remote Insurance Review jobs in Massachusetts are:

What cities in Massachusetts are hiring for Slp Remote Insurance Review jobs?

Cities in Massachusetts with the most Slp Remote Insurance Review job openings:

Senior Underwriter, Structured Solutions - Remote

Trisura Guarantee Insurance Company

Boston, MA • On-site, Remote

$107K - $126K/yr

Full-time

Medical, Dental, Vision, Retirement

Posted 24 days ago


Job description

At Trisura, we expect more because we believe it can be done better.
Trisura brings innovative solutions and expertise through a select network of both national and regional brokerage firms in the commercial insurance space.
Trisura is a growth-oriented team with a commitment to attracting and retaining exceptional talent. Our growth has awarded us accolades, and our entrepreneurial style and niche market position ensure that our people see the results of their hard work reflected in the company's success. As our organization continues to grow, we are investing in enterprise-wide process maturity, system governance, and delivery excellence to support scalable and compliant operations.
Senior Underwriter - Structured Solutions
Remote - USA
Reporting to the Executive Vice President, Structured Solutions, the successful candidate will be a passionate, results-driven underwriter with the experience and vision to grow our Structured Solutions portfolio. Working in close collaboration with our ceded reinsurance, legal, client relations, finance and claims teams, you will evaluate and execute program opportunities from end to end. You will play a key role in developing underwriting guidelines, procedures, and policy language, building rating plans, and providing strategic oversight of a growing book of business.
As an integral member of the team, you will bring:
  • 10+ years of commercial underwriting experience with a focus on multi-line portfolio management.
  • Strong communication, relationship management, organizational and analytical skills, with a demonstrated ability to manage a portfolio of business.
  • Familiarity with rating and policy issuance platforms, with the ability to quickly learn and adapt to proprietary systems.
  • Working knowledge of ISO, admitted and non-admitted product execution.
  • Proven understanding of manuscript and admitted form language, including policy coverage analysis.
  • Demonstrated ability to leverage analytical tools, data reports and underwriting technology.
  • The ability to thrive in a dynamic, fast-paced environment, adapting quickly, collaborating broadly and delivering solutions under pressure.
  • Flexibility, a willingness to learn on the job, and a positive, can-do attitude.
  • A highly motivated, results-oriented mindset with a proven track record as a creative problem solver.
  • Excellent verbal and written communication skills.
  • Willingness to travel approximately 30% of the time.

Responsibilities include:
  • Preparing underwriting review documents and summaries for presentation to senior management for each assigned program, including plans for new business, renewal rate management, and expected retentions, all designed to position the division to meet its profit objectives.
  • Participating in underwriting reviews and conducting additional file reviews as needed.
  • Leveraging data and analytics to actively manage all programs and drive profitability through consistent monitoring of renewals, rate targets, retentions, trends, and lost business, on a monthly basis.
  • Developing a thorough understanding of each assigned program, including the relevant industries, their loss exposures, and any needed updated to program eligibility and coverage terms, in order to minimize unanticipated adverse exposures.
  • Proactively identify training opportunities at the Program Administrator level to strengthen line-of-business knowledge, and guiding Program Administrators in risk selection, pricing, coverage terms and conditions in alignment with authorities granted by Trisura.
  • Demonstrating a clear understanding of industry changes and their potential impact by line-of-business, and providing well-articulated recommendations during the account referral process.
  • Ensuring Program Administrator meet Trisura's underwriting expectations and remain aligned with business plans through active management of underwriting guidelines, file reviews, and client relations meetings.
  • Collaborating with Actuarial, Finance, Claims, Operations, Compliance, Systems, and Legal teams as required.
  • Developing and maintaining strong working relationships with Program Administrators through regular on-site visits, conference calls, and overseeing the onboarding and implementation of new programs.
  • Leading new program opportunity due diligence reviews and overseeing the onboarding and implementation of new programs.
  • Successfully managing the renewal of current program relationships on an annual basis.

If you are looking for a career at an exciting and rewarding company, driven to excel, thriving in a team environment, and eager to contribute to an organization that truly values your input, we want to hear from you!
We thank all candidates for their interest, however, only those selected for an interview will be contacted.
Here at Trisura, we are committed to an inclusive and barrier-free workplace that reflects diversity. Accommodation will be provided on request for candidates taking part in all aspects of our recruitment and selection process. All qualified applications will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identify, national origin, disability or protected veteran status.
The salary range is expected to be $175,000 to $200,000 plus bonus, based on geographical location and experience. Trisura offers a comprehensive benefit package that includes medical, dental, and vision insurance, as well as 401(k) with company match and Employee Stock Purchase Plan.
www.trisura.com