Care Coordination Case Manager

FedPoint; Newington (NH); Hybrid; USD 32,000 - 41,000; Full time

Benefits offered by this job

401k match

Annual bonus

Paid time off

Health, dental, vision, disability, 2B

HSA/FSA options

Parental leave

Tuition reimbursement

Volunteer program

Wellness program

Career development

Giving and matching gifts

Job summary

FedPoint is seeking a Care Coordination Case Manager to join our FLTCIP Care Coordination team in Portsmouth, NH. You will deliver non-clinical support in coordinating care for long-term care insurance claimants, educating claimants and representatives on program requirements, and providing clear information and referrals.

You will manage a caseload, review medical records, explain insurance plans, respond to inquiries, and participate in risk management while ensuring compliance and accuracy in

Qualifications

• High school diploma or GED required.
• 4+ years’ experience with long-term care insurance or other insurance operations in a support role.
• LPN, LNA, or CNA certification or medical field experience preferred.
• Experience with case management and/or claims preferred.
• Strong customer service and communication skills.
• Proficient in Microsoft Applications.
• Ability to build strong working relationships and work well in a team environment.

Responsibilities

• Manage a caseload of claimants, serving as their primary point of contact.
• Review medical records, handle transition cases, and update Plans of Care.
• Provide explanations of insurance plans and benefits.
• Respond to telephone and written inquiries regarding care coordination.
• Advise management of critical issues and participate in risk management reviews.
• Uphold compliance and fraud management principles.

Skills

Customer service

Communication

Microsoft Office

Education

High school diploma or GED

LPN/LNA/CNA certification

Job description

Our goal at FedPoint is to foster an engaging environment for our employees that promotes career growth and supports a work-life balance. From professional development to wellness programs to volunteer opportunities, we have created a culture that puts our employees on a positive pathway to success.

About FedPoint

FedPoint creates and operates digital benefits marketplaces that make it easy forour millions of federal and military customersto understand, select, and use their benefits. A subsidiary of John Hancock Life & Health Insurance Company, FedPoint was founded in 2002 and is headquartered in Portsmouth, NH.

Our mission

Create and deliver world-class benefits experiences for our customers, clients, and business partners.

FedPoint is seeking a Care Coordination Case Manager to join our FLTCIP Care Coordination team.

As a Care Coordination Case Manager, you will deliver detailed, non-clinical support in the coordination of care for long-term care insurance claimants. You’ll educate claimants and their representatives on program requirements, provide clear information, and offer appropriate referrals. This role interacts directly with insured individuals, their legal representatives, and service providers to ensure all communication and issue resolution is accurate, timely, and responsive.

Key Responsibilities:

• Manage a caseload of claimants, serving as their primary point of contact
• Review medical records, handle transition cases, and update Plans of Care
• Provide explanations of insurance plans and benefits
• Respond to telephone and written inquiries regarding care coordination
• Advise management of critical issues and participate in risk management reviews
• Uphold compliance and fraud management principles

Qualifications:

• High school diploma or GED required
• 4+ years’ experience with long-term care insurance or other insurance operations in a support role
• LPN, LNA, or CNA certification or medical field experience preferred
• Experience with case management and/or claims preferred
• Strong customer service and communication skills
• Proficient in Microsoft Applications
• Ability to build strong working relationships and work well in a team environment

What to Expect on Pay:

The salary range for this role is $$22.59 – $30.56 per hour. We’ve shared the full range to stay transparent — but most new hires join us between the minimum and the midpoint, depending on skills and experience.

Final compensation is based on a mix of factors including qualifications, experience, and education, as well as internal equity and budget considerations.

Schedule: 40 hours per week Monday- Friday

Location: Portsmouth, NH Hybrid - 2 days per week on site

Why Join Us?

At FedPoint, our mission is to create and deliver world-class benefits experiences for our customers, clients, and business partners.

We offer a dynamic work environment where innovation and collaboration are encouraged. You'll have the opportunity to make a significant impact while honing your skills and advancing your career.

In addition to working for a company with great people and an excellent reputation, what’s in it for you?

• Generous 401k plan: 100% match of employee's contribution, up to a maximum of 6% salary, vests immediately.
• Bonus Opportunity: Qualifying employees can earn an annual bonus based on company metrics and personal performance.
• Lots of paid time off:3 weeks’ vacation, 7 sick days, 3 personal days, and 12 paid holidays!
• Competitive benefits include health, dental, vision, disability, life, legal, flexible spending account (FSA) and Health Savings Account (HSA) options.
• 6 weeks fully-paid parental leave
• Tuition reimbursement program to support career goals.
• Corporate giving and matching gifts program.
• Volunteer program: Paid time off to volunteer and company-organized volunteering opportunities.
• A wide variety of personal, professional, and career development programs.
• Comprehensive wellness program offering a variety of resources and activities to help support your well-being in the following areas: career, financial, mental, emotional, physical, social and community.

All offers of employment with FedPoint are conditional upon satisfactory completion of a pre-employment background check.