Long Term Care Claims Representative

Job Summary

A company is looking for a Long Term Care Claims Representative - Payment Servicing.

Key Responsibilities

• Manage and prioritize a work queue while adhering to Standard Operating Procedures
• Make complex claim-payment decisions and interact with various stakeholders involved in the claims process
• Collaborate with teams to provide training and share best practices within Payment Servicing

Required Qualifications

• Minimum High School diploma; college degree preferred
• At least 2 years of experience in professional customer service, preferably in a corporate or Long Term Care setting
• Knowledge of medical terminology and ability to interpret contract language
• Proficient with Microsoft Office applications
• Previous experience in the insurance industry preferred