Evaluating and managing Long Term Care claims throughout the claim lifecycle, the full-time Remote Long Term Care Claims Specialist will analyze medical and contractual information to determine eligibility for benefits and ensure compliance with regulations while delivering high-quality customer service. Key responsibilities Evaluate, adjudicate, and manage Long Term Care claims from initial notification through resolution Gather and analyze claim information to determine eligibility and ensure accurate financial calculations Maintain effective communication with claimants, employers, and medical professionals to support claim resolution Required qualifications Current working experience with Long Term Care claims adjudication Proven ability to analyze and interpret insurance policies and regulations Strong customer service and communication skills, both verbal and written Analytical thinking and decision-making skills for effective claims management Technical proficiency in Microsoft Office and basic medical terminology
Long Term Care Claims Specialist in workfromhome at Unknown Company
This position is listed as contract and able to be worked remotely.