The nation's leading administrator of long term care insurance services is looking for YOU. This is your opportunity to join a company with a culture that promotes respect for people, integrity, learning and initiative.
WE ARE THE KIND OF EMPLOYER YOU DESERVE.
Illumifin is a leading provider of business process outsourcing for the insurance industry, managing over 1.3 million long-term care policies for the nation's largest insurers. We also provide clients with unique risk management insight built upon our proprietary long term care databases.
This position is responsible for obtaining the necessary requirements needed for initial and continuation claims. This position assists Care Management & Claim Examination staff, while also providing quality customer service to our policyholders, legal representatives and providers.
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RESPONSIBILITIES
1. Reviews internal databases to complete accurate and timely follow-up on pending and inactive claims.
2. Contacts the insured, insured's representative or provider to follow-up on information needed to process the benefit inquiry.
3. Keeps clear and concise documentation of all claim activity within the internal databases.
4. Meets quality and production metrics as established and communicated by the department.
5. Processes requests from the policyholders, legal representatives, providers and clients.
6. Interacts with other departmental areas within LTCG, as needed.
7. Monitor daily, weekly and monthly reports to ensure claims are handled timely and appropriately.
8. Other duties as assigned.
2. Contacts the insured, insured's representative or provider to follow-up on information needed to process the benefit inquiry.
3. Keeps clear and concise documentation of all claim activity within the internal databases.
4. Meets quality and production metrics as established and communicated by the department.
5. Processes requests from the policyholders, legal representatives, providers and clients.
6. Interacts with other departmental areas within LTCG, as needed.
7. Monitor daily, weekly and monthly reports to ensure claims are handled timely and appropriately.
8. Other duties as assigned.
Minimum Qualifications
- HS Diploma or equivalent formal training program, or 2 years experience in the health or life insurance industry.
- 1- 2 years work experience in a claims environment.
- Intermediate level experience with Microsoft Office products.
- Experience working in a geriatric healthcare environment.
- Knowledge of health, long-term care or disability insurance
- Excellent verbal and written communication skills.
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