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A lot of time working for insurance is a popularity contest. You need to know someone to get hired.
Source: I worked for Anthem, I got lucky as the department I was hired to was brand new with a new manager who moved from another state for the position. I've been head hunted since by other insurance agencies and the recruiters always say it's hard to get hired into insurance unless you have experience in it or know someone.
And have work experience calling up and getting authorizations for the main levels of care (inpatient, residential and php/iop).
Pro
What do you feel are the reasons for being passed up in these instances? In our field, it could be that one person has an awesome certification and another doesn’t have it.
No idea. There is never any feedback provided. Everyone from UR/UM that I have talked to denied that there are any courses or certifications that would be helpful for this field.
I am assuming it is all based on years of existing UR experience.