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 and multiple responsibilities in a fast-paced environment
• Adhere to Standard Operating Procedures for consistent claims practices and resolution
• Make complex claim-payment decisions based on knowledge and policy provisions

Required Qualifications, Training, and Education

• Minimum 2 years' experience in professional customer service, preferably in a medical or financial setting
• High School diploma or military experience
• Proficient with Microsoft Office applications
• Knowledge of medical terminology and ability to interpret contract language
• Ability to complete virtual classroom training and maintain a distraction-free home office setup