Ene of the fastest-growing insurance companies in the nation and continues to be a top contender in the industry. We offer industry-leading annuity products that help individuals prepare for retirement. Teams can align around a shared vision of providing clean, simple & competitive products for clients, delivering best-in-class service to agents & business partners, and propelling the success of our employees.
With a fast-growing team of more than 300 employees, we are committed to remaining adaptable, innovative, and trustworthy for our clients, agents, and employees.
Responsibilities :
- Department Overview : Provide personalized service and product knowledge through correspondence to and from Long-Term Care customers, servicing agents, and business partners
- Provide written and verbal responses to customer inquiries and policyowner administration requests originating from multiple channels such as telephone calls, correspondence, and e-mail
- Promotes the value of Long-Term Care products and represents the company's mission and values
- Deliver customer assistance in a friendly, personalized way that builds trustworthy, long lasting customer relationships
- Job Overview : Determine claims eligibility and manage cost effective care planning for Long Term Care (LTC) policyowners
- Coordinate with other LTC Department staff to provide personalized customer service, by accurately administering LTC claims and clearly communicating policy language
- Work Schedule : Shift starts between 6 : 00 AM and 9 : 00 AM MT
- Schedule Type : In-Office
- Eligibility Review - Conduct review of all relevant documents (care plans, assessments, medical records, etc.)
to determine eligibility for benefits
Conduct reassessments as needed to determine continued eligibilityProcesses, Procedures, and Guidelines - Contribute to the improvement of written processes, procedures, and guidelines for care coordination, ensuring consistency with other LTC Department functioningThis includes initiating improvement in efficiency using better methods and automated systemsCommunication - Communicate and explain care planning to customers, care providers, agents, and SILAC staff, by showing consistency with evidence from provider records and functional assessmentsCoordinate and communicate with other SILAC leadership, medical consultants, auditors, and other industry professionalsOther Administrative Functions - Assist as requested with tasks and projects such as claim appeals, legal disputes, and revision of forms and documentsReport to and perform other work or projects as directed by the L&H Eligibility ManagerWorking hours : 7 : 30 AM - 4 : 00 PM
Skills :
Geriatric client experience.Long Term Care, disability, or other insurance claims experience.Insurance experience in cost containment.Knowledge of state regulations and requirements, Anti-Money Laundering procedures and identifying potential fraud or elderly abuse situations.Education : High School
Experience : 0-1 years
Qualifications :
High school diploma, GED, or any combination of education, professional training, or work experience that demonstrates ability to do the job.Ability to accurately assess policyowner needs and create individualized care plans.Experience in communicating professionally, patiently, and clearly in speech and in writing.Ability to research and logically consider details from many sources, and to bring them together to support a conclusion.Experience using PC applications such as MS Word, Excel, Teams, and Outlook.Detail-oriented with the ability to complete tasks with accuracy and in a timely manner.Demonstrated ability to work independently while managing workload and meeting time-sensitive deadlines.Seize this opportunity! With its ideal schedule, competitive pay, and dynamic team, this job won't stay available for long! Take the first step towards a rewarding career :
APPLY NOW HERE
TEXT "CARE" to 801-519-5093
CALL US IMMEDIATELY at 801-519-5093 to schedule an interview!
Don't miss out! We can't wait to hear from you and explore how you can thrive in this role!
Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temp-to-perm or direct hire opportunities, no one works harder for you than Spherion.
Equal Opportunity Employer : Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.
At Spherion, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact Callcenter@spherion.com.
Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Spherion offers a comprehensive benefits package, including health, and an incentive and recognition program (all benefits are based on eligibility).
key responsibilities
Department Overview : Provide personalized service and product knowledge through correspondence to and from Long-Term Care customers, servicing agents, and business partners- Provide written and verbal responses to customer inquiries and policyowner administration requests originating from multiple channels such as telephone calls, correspondence, and e-mail- Promotes the value of Long-Term Care products and represents the company's mission and values- Deliver customer assistance in a friendly, personalized way that builds trustworthy, long lasting customer relationships- Job Overview : Determine claims eligibility and manage cost effective care planning for Long Term Care (LTC) policyowners- Coordinate with other LTC Department staff to provide personalized customer service, by accurately administering LTC claims and clearly communicating policy language- Work Schedule : Shift starts between 6 : 00 AM and 9 : 00 AM MT- Schedule Type : In-Office- Eligibility Review - Conduct review of all relevant documents (care plans, assessments, medical records, etc.)to determine eligibility for benefits- Conduct reassessments as needed to determine continued eligibility- Processes, Procedures, and Guidelines - Contribute to the improvement of written processes, procedures, and guidelines for care coordination, ensuring consistency with other LTC Department functioning- This includes initiating improvement in efficiency using better methods and automated systems- Communication - Communicate and explain care planning to customers, care providers, agents, and SILAC staff, by showing consistency with evidence from provider records and functional assessments- Coordinate and communicate with other SILAC leadership, medical consultants, auditors, and other industry professionals- Other Administrative Functions - Assist as requested with tasks and projects such as claim appeals, legal disputes, and revision of forms and documents- Report to and perform other work or projects as directed by the L&H Eligibility Managerexperience
0-1 years
skills
Geriatric client experience.- Long Term Care, disability, or other insurance claims experience.- Insurance experience in cost containment.- Knowledge of state regulations and requirements, Anti-Money Laundering procedures and identifying potential fraud or elderly abuse situations.qualifications
High school diploma, GED, or any combination of education, professional training, or work experience that demonstrates ability to do the job.? Ability to accurately assess policyowner needs and create individualized care plans.? Experience in communicating professionally, patiently, and clearly in speech and in writing.? Ability to research and logically consider details from many sources, and to bring them together to support a conclusion.? Experience using PC applications such as MS Word, Excel, Teams, and Outlook.? Detail-oriented with the ability to complete tasks with accuracy and in a timely manner.? Demonstrated ability to work independently while managing workload and meeting time-sensitive deadlines.education
High School
