Associate , Crew Health

The Specialist, Health Claims supports the financial operations of Carnival Corporation’s Health This role reports to the Manager, Crew Health and assists with supporting various population health, case management and seafarer health operations functions and is an integral part of the crew health team, providing logistical and administrative support.

They will help maintain necessary documentation with regarding the crew members case while also ensuring that communication of the progress of the case is done between the crew member, case management team, providers and other departments in keeping with data privacy and security requirements. They will also respond to and direct communication from crew, case specialists, providers, and other departments in a timely fashion.

This role will interface with all brands, medical teams onboard, shoreside health services and public health leaders as well as external vendors that manage our healthcare systems. This includes supporting the Carnival Corporation's brands which comprises of eight brands with approximately 90+ ships carrying over 15 million guests annually and employing over 160,000 team members.

• Ensures timely distribution, categorization, prioritization and communication related to crew members medical cases such as unfit memos, crew member queries or concerns, return to work memos, approval communications to appropriate parties while following required privacy and security guidelines.
• Address simple queries or concerns raised during the Case Management Process or the Seafarer Health process.

• Maintains accurate medical records from ships, providers, and crew for medically disembarked or referred crew members. Requests updates from crew members, providers, and vessels in a timely fashion, enters medical updates into databases, health records systems and distributes to appropriate case specialists while following privacy guidelines.
• Update and load documentation related to crew members with regards to Seafarer Medicals or crew members who required return to work review.

• Works with the case specialists, internal and external teams to help coordinate administrative and logistical aspects of team members case such as transport and flights, lodging, appointments, and reimbursement.
• Assist with Sick Wage Benefits administration tasks, such as creation of cases within Risk Management systems and data entry of crew members requiring sick wages
• Review cases related to administrative tasks and action on the tasks in a timely manner

• Works with the Case Management Team and Seafarer Health Teams to help improve overall workflows by assisting with edits and changes to various systems that are used by the case management team such as Power Platforms. This may include making edits to formulas in Excel, Power Apps and modifications to user interfaces.
• Collect and organize information for Quality Improvements Reports and Internal Audits.
• Assist with Audits of Seafarer Medical facilities, including gathering documentation, scheduling audits and being present in Audits.

• Assist the Seafarer Health Team, Case Management Specialists and Supervisors in administrative tasks that may be required for a specific case or project such as gathering and organization of information, data entry, categorization, creation of training data and communication with crew members.
• Performs other duties as assigned

• Scope:
  The scope of this role is to provide support to crew case management and population health operations. The scope focuses around processing and management support of crew medical case management. Includes utilization of…