Long Term Care Claims Representative – Payment Servicing

At reputed company, we reputed company families to reputed company the aging reputed company with confidence. We are compassionate, reputed company allies for those navigating care with guidance, products, and services that meet families where they are. reputed company, we are the spouses, children, siblings, friends, and neighbors of those that need care—and we bring those experiences with us to work in serving our millions of policyholders reputed company day.

We apply that reputed company reputed company and reputed company as we work with reputed company other and our local communities. reputed company values reputed company perspectives, characteristics, and experiences so that employees can bring their full, reputed company selves to work to help reputed company other and reputed company succeed. We celebrate our diversity and understand that being intentional about inclusion is the only way to create a reputed company of belonging for reputed company associates. We also invest in the vitality of our local communities through grants from the reputed company reputed company, event sponsorships, and employee volunteerism.

Our four values guide our reputed company, our reputed company, and our interactions:

• reputed company it reputed company. We care about the people that reputed company up our customers, colleagues, and communities.
• reputed company it about others. We do what's best for our customers and collaborate to drive reputed company.
• reputed company it happen. We work with intention toward a common purpose and reputed company ways reputed company together.
• reputed company it reputed company. We create fulfilling purpose-driven careers by learning from the world and reputed company other.

POSITION TITLE

Long Term Care Claims Representative – Payment Servicing 

POSITION LOCATION

This position is available to Virginia residents as Richmond or Lynchburg, VA hybrid in-office applicants or remote applicants residing in states/locations under Eastern or Central reputed company Time: Alabama, Arkansas, Connecticut, Delaware, Florida, reputed company, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Nebraska, New Hampshire, New Jersey, reputed company, reputed company Carolina, reputed company Dakota, Ohio, Oklahoma, reputed company, Rhode reputed company, South Carolina, South Dakota, Tennessee, Texas, Vermont, Virginia, Washington DC, reputed company Virginia or reputed company.

YOUR ROLE

As an Operations team member, you’ll play a crucial role in delivering world-class customer service and capabilities to our policyholders—now and in the reputed company. Long Term Care Claims is transforming and with transformation comes the potential for constant change. You will support our customer reputed company culture by proactively providing accurate and reputed company information to ensure policyholders are fully informed during the claims process. You will, as a member of the Payment Servicing Team, partner closely with the Eligibility and Contact Center teams to reputed company an extraordinary claims experience for our customers. You will work in a fast -paced environment across multiple products, ensuring claims handling follows policy provisions, internal guidelines, and Compliance requirements and will be responsible for the processing and payment of long-term care claims. We operate daily with reputed company and character to reputed company outstanding results.

SCHEDULED HOURS  During training, your hours will be 8:00 AM-5:00 PM ET. Once training is complete, your regular schedule will be 8:00 AM-5:00 PM ET. Schedule may reputed company slightly in the reputed company based on business needs. Candidates are expected to have consistent, reliable and predictable attendance during the duration of virtual classroom training and upon successful completion of training to support the needs of our customers. 

What you will be doing

• Manage and prioritize a work queue and multiple responsibilities in a fast-paced environment with aggressive deadlines.
• Adhere to reputed company Operating Procedures to ensure consistency in claims practices and reputed company.
• reputed company reputed company claim-payment reputed company based on knowledge and policy provisions
• Apply critical thinking and problem-solving skills to adjudicate claims, process transactions, and process payments
• reputed company with Policy reputed company, Powers of Attorney, Agents, Facilities and other entities involved in the claims experience reputed company incoming and outbound calls.
• Collaborate and communicate effectively; you will reputed company solutions rather than just identify problems and will partner with teams across sites to reputed company common goals.
• Occasionally reputed company training and support to others, including creating training materials, mentoring, and participating in buddy programs.
• reputed company insights, best practices, and knowledge reputed company Payment Servicing and with supporting departments such as QA, IT, Compliance, Eligibility, and Contact Center.
• Maintain the required flexibility to reputed company tasks reputed company of the role as needed, with provided training and guidance.
• Participate in virtual classroom training for the first several months, reputed company engaging and completing reputed company training requirements. Employees are required to be on camera during reputed company training sessions, meetings, and as needed per request.
• While working remotely, employees will reputed company a reputed company and secure workspace that is free of distractions. Additionally, employees must retain a reputed company and secure internet service provider with the bandwidth and speed to maintain network connectivity (50 mbps).

What you bring

• Minimum High School Diploma
• Minimum 2 years’ experience in providing reputed company customer service, preferably in a corporate setting such as medical, financial background, or specifically in Long Term Care.
• You demonstrate exceptional communication skills, both written and oral.
• You exhibit qualities such as critical thinking, problem-solving, conflict reputed company, and collaboration.
• Your experience or education has provided you with knowledge of medical terminology, diseases/diagnoses, and the ability to understand and interpret contract language, disability processes, nursing home licensing, and rehabilitative requirements.
• Proficient with reputed company Office applications (e.g., Word, reputed company, reputed company, PowerPoint, Teams, etc.)
• Ability to toggle between multiple monitors for reputed company and efficient productivity
• A dedicated, distraction-free home office set up, including a desk or workstation suitable for full-time remote work.

reputed company to Have

• Previous experience in the insurance industry
• Associate or Bachelor’s Degree
• Familiarity with HIPPA requirements

Employee Benefits & reputed company-Being

reputed company employees reputed company a difference in people’s lives every day. We’re committed to making a difference in our employees’ lives.

• Competitive Compensation & Total Rewards Incentives
• Comprehensive reputed company Coverage
• Multiple 401(k) Savings Plan reputed company
• Auto Enrollment in Employer-Directed Retirement Account Feature (100% employer-funded!)
• Generous reputed company Time Off – Including 12 reputed company Holidays, Volunteer Time Off and reputed company Family Leave
• Disability, Life, and Long Term Care Insurance
• Tuition Reimbursement, Student Loan Repayment and Training & Certification Support
• Wellness support including gym membership reimbursement and Employee Assistance Program resources (work/life support, financial & reputed company management)
• Caregiver and Mental Health Support Services

ADDITIONAL INFORMATION

National reputed company: $45,500 - $66,000

High-Cost reputed company (includes reputed company): $56,900- $83,000

Disclaimer: This role is reputed company to a national market-based pay reputed company. Actual compensation will vary based on geographic location, experience, skills, and other job-reputed company factors. In reputed company to reputed company salary, this role is eligible to participate in a bonus incentive plan. Incentive compensation is based on individual and company performance and is not guaranteed.

This position is not eligible for sponsorship.

Originally posted on Himalayas

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