Employee Review
- Former Employee★★★★★
No work life balance- 80 hour weeks with not one dollar more for overtime
Nov 12, 2022 - Appeals NurseRecommendCEO ApprovalBusiness OutlookPros
Great co-workers and decent benefits.
Cons
They will work you to death. Turn over is high but management does not care or bother to ask. They will not change their processes but instead keep chaotic dysfunction and expect nurses to “save” cases from deadlines (appeals and PDR). The production expectation is only possible in a 10-12 hour day not 8 so you are expected to do that. Don’t offer overtime pay or value you, your family or time. Been doing this roles for years and worked at different insurances. How they manage to not go out of compliance with every case or how they are still in business is beyond me. You literally have to send 10 emails “begging” a doctor to review your speciality case because they don’t have enough MD’s and won’t hire more “due to costs.” Once you lose more nurses you can’t take any PTO “due to business needs” ie you’ve treated your staff terribly and they deserve better so they leave and the remaining nurses drown in cases and are expected to work 12 hour days. Trust me when I say don’t do it. It’s not worth it and no amount of money can ever make it worth it when they take your soul.
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Other Employee Reviews
- Current Employee★★★★★
Pros
No stress and very flexible
Cons
Nothing to say at this point
- Current Employee, more than 1 year★★★★★
Good benefits, metrics kinda suck
Nov 29, 2022 - Customer Service Representative (CSR) II in Louisville, KYRecommendCEO ApprovalBusiness OutlookPros
I really like working from home, especially with the price of gas! The benefits are nice, insurance is fairly cheap, and I’ve done really well in most things. I thought the training was fine for the most part (and thank god for the help desk and chat starting out). Working on a holiday, you get 2.5x pay, plus PTO to use on a day of your choosing.
Cons
It’s just aggravating that your bonuses and things if you are on the phones depend on metrics like your AHT. And they want it under about 11.5 minutes for a claims call, but you aren’t allowed to tell a vendor that you can’t take any more claims! So you might end up with several calls where you have to check 8 claims on each calls. So even if you only spend 4 minutes per claim, you’re at a 32 minute call. Get 4 of those a day, and it’s almost impossible to get your time down. It’s frustrating. Made me want to get off the phones (even tho the phones are where you get OT). Getting used to using genesys and WDE for your work schedule took some getting used to.
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