illumifin

Claims Intake- Long Term Care Insurance

illumifin  •  $19/hr  •  Minnesota (Remote)  •  15 hours ago
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Job Description

The nation's leading administrator of insurance services is looking for YOU. This is your opportunity to join a company with a culture that promotes respect for people, integrity, learning and initiative.

WE ARE THE KIND OF EMPLOYER YOU DESERVE.

illumifin is a leading provider of business process outsourcing for the insurance industry, managing policies for the nation's largest insurers. We also provide clients with unique risk management insight built upon our proprietary databases.

This position is responsible for reviewing and determining all claim requirements needed for initial and continuation claims. This position assists Care Managers and Care Coordinators, while also providing quality customer service to our policy holders, their representatives and providers.

RESPONSIBILITIES
1. Reviews internal databases, client guidelines, and policy contract language to determine all claim requirements needed for initial and continuation claims.
2. Reviews documented claim forms and contacts the insured, insured's representative, or provider to request information needed to process the benefit inquiry.
3. Keeps clear and concise documentation of all claim intake activity within the required databases.
4. Meets quality and production metrics as established and communicated by the department.
5. Processes requests from the client or from other departmental areas within illumifin.
6. Other duties as assigned.
Qualifications
Minimum Qualifications
* Associates Degree or equivalent formal training program, or 2 years experience in the health or life insurance industry.
* 1- 3 years work experience in a claims environment preferred.
* Intermediate level experience with Microsoft Office products.
Preferred Qualifications
* Experience working in a geriatric healthcare environment.
* Knowledge of health, long-term care or disability insurance
* Excellent verbal and written communication skills.
 
The base pay for this position is starting at $18.50/hour depending on experience and qualifications.
illumifin

About illumifin

illumifin is a true partner to the insurance industry, delivering tech-enabled business processing services and essential software solutions to help transform insurers for tomorrow’s digital future.

BUSINESS PROCESSING SERVICES

As one of the largest North American, 3rd-party administrators with proven experience, we leverage our proprietary software platform to rapidly launch new products, transforming your operations into a cost-efficient, customer focused digital enterprise.

We’re experts in the processing of open and closed books of insurance policies, supporting new business and underwriting, policy owner services, claims assessments and administration, for life, health, long-term care and annuity products across individual and group markets.

SOFTWARE SOLUTIONS

We offer the North American individual and group life, annuity and health markets a leading software platform which has a simplified and streamlined UX, rich functionality with enhanced configurability, cloud enabled architecture and API connectivity.

Our customers can efficiently administer policies through three integrated products: the Insurance Portal, which enables self-service for customers and producers, the Core Comprehensive Group & Individual Policy Administration System, and the Data Analytics and Reporting Platform, which unlocks the power of data.

Leveraging our extensive background in Long-Term Care we provide a platform to validate and settle long-term care claims driving down administration costs and reducing fraud.

Industry
Finance & Insurance
Company Size
1,001-5,000 employees
Headquarters
Woodbury, Minnesota
Year Founded
Unknown
Website
illumifin.com
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