LTC Billing Associate

At OneAmerica Financial, our purpose is to create more certainty for our customers that leads to better moments, every day. Our commitment is to advance stability and growth in every solution and relationship.  We deliver financial strength that builds for generations, and we are always aspiring, looking ahead, and collaborating to achieve more, together.  Come be a part of this journey with us as we champion lives!

Job Summary

Responsible for helping our customers maintain a sense of security and their well-being by effectively managing an assigned caseload of long-term care reimbursement and indemnity claims in a fair and ethical manner.

This role is responsible for ensuring quality long-term care claim reimbursement and indemnity decisions and timely reimbursement and payment of benefits due that are in accordance with policy/contract provisions, regulations, and claim procedures. This includes review of policy values, calculation of waiting periods, benefit begin dates, and the maximum monthly long-term care benefit. The Billing Associate is also responsible for clearing accounting, training, and mentoring.

The Billing Associate will also be expected to actively analyze level of care for each long-term care reimbursement and indemnity claim requests and timely transition the claim for further medical review, analysis, and management. The Billing Associate II is responsible for processing more complex billing.

Additionally, the Billing Associate will be expected to deliver a high level of customer service by conducting proactive, empathetic, knowledgeable, and thoughtful communications with internal and external customers (i.e., claimant, insured, policyowner, power of attorney. agents, attorneys, etc.).

Primary duties may include, but are not limited to:

Customer Experience and support 40%

• Effectively, accurately and timely communicates and collaborates with internal and external customers in accordance with departmental customer service protocols.
• Correctly calculates and processes claim benefit payments due within authority level, in compliance with policy/contract provisions, regulations, and department procedures.
• Prepares quality communication to agents, policy owners, insureds, beneficiaries, policyholders, medical providers, or other customer and business relationship parties.

Performance and Service expectations: 50%

• Actively delivers results and contributes to and maintains or exceeds departmental deadlines, requirements, service, accuracy, timeliness, and performance standards. The Billing Associate II will take appropriate action to achieve objectives and will independently adjust actions and assist fellow associates in response to shifting priorities and rapid change. Completes correct accounting transactions and clearing according to departmental procedures. Meets or exceeds service expectations for clearing of accounting.

Process Improvement 10%

• Demonstrate EWA and support of the OneAmerica Ways.
• Identify opportunities for efficiency and innovation in process

Job Requirements

Required Education and/or Certifications

• Must have a High School Diploma or GED.

Recommended Education and/or Certifications

• Bachelors Degree preferred in Business Management,
• Operations Management, Statistics, or Insurance.

Required Work Experience

• Desired minimum of 2-4 years’ work
• Prior experience within a claim’s operation is preferred. Knowledge of insurance administration terms and processes is a plus.
• Or any combination of education and experience which would provide an equivalent background

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Salary Band: 03B

This selected candidate will be expected to work hybrid in Indianapolis, IN, although we may consider remote associates who are not local to Indianapolis, IN. The candidate will also be expected to physically return to the office in CA, IN or ME as business needs dictate or for team-building and collaboration.

If you are offered and accept this position, please be advised that OneAmerica Financial does not have any offices located in the State of New York and OneAmerica Financial associates are not permitted to work remotely in the State of New York. 

Disclaimer:  OneAmerica Financial is an equal opportunity employer and strictly prohibits unlawful discrimination based upon an individual’s race, color, religion, gender, sexual orientation, gender identity/expression, national origin/ancestry, age, mental/physical disability, medical condition, marital status, veteran status, or any other characteristic protected by law.

For all positions:

Because this position is regulated by the Violent Crime Control and Law Enforcement Act, if an offer is made, applicants must undergo mandated background checks as a condition of employment. Such background checks include criminal history. A conviction is not necessarily an absolute bar to employment. Consistent with applicable regulatory guidelines and law, factors such as the age of the offense, evidence of rehabilitation, seriousness of violation, and job relatedness are considered.

To learn more about our products, services, and the companies of OneAmerica Financial, visit oneamerica.com/companies.