The HT Group is Hiring a LTC Claims Eligibility Specialist Near Austin, TX
Location: Austin
Remote: Remote
Type: Direct Hire
Job #18754
Salary: $55,000 - $65,000 USD
The HT Group is partnering with a company within the insurance industry to find a LTC Claims Eligibility Specialist to join thier Long Term Care Department. In this role, you will investigate and review policies, determine eligibility for benefits, and create appropriate Plan of Care. **Must have Long Term Care (LTC) insurance/claims experience and benefit decision making experience to be considered** Direct-Hire $55-65k bonus Hybrid for candidates located in Austin, TX - open to remote if located in other states Responsibilities:
Review and evaluate coverage and liability
Review relevant documents to determine eligibility
Create appropriate Plan of Care in accordance to guidelines
Communicate claim information to all relevant parties
Document claim details accurately
Ensure compliance with laws and company policies
Requirements:
High School Diploma or equivalent
3 years of experience within insurance benefits and claims, specifically long-term care
3 years of experience with benefit determination/eligibility
Proficient with Microsoft Office Suite, especially Word and Excel
Excellent verbal and written communication skills
Must be able to work in a fast-paced environment with minimal supervision