Care Specialist

SILAC Insurance Company; Salt Lake City (UT); On-site; USD 45,000 - 49,000; Full time

Benefits offered by this job

Medical & FSA/HSA

Dental & Vision

401(k)

Pet Insurance

Parental Leave

Paid Time Off

Holidays & Birthday Pay

Education Reimbursement

Job summary

SILAC Insurance Company is seeking a Care Specialist to provide personalized service and LTC product knowledge to customers, agents, and partners. You will determine eligibility, manage care planning, and coordinate with LTC staff to administer claims while communicating policy language clearly.

This role emphasizes accurate documentation, timely responses, and collaboration with leadership. In-office schedule with full-time hours and steady morning shifts supports a stable, client-focused work

Qualifications

• High school diploma, GED, or equivalent.
• Ability to assess policyowner needs and create individualized care plans.
• Experience communicating professionally, patiently, and clearly in speech and in writing.
• Ability to research and logically consider details from many sources, and to bring them together to support a conclusion.
• Experience using PC applications such as MS Word, Excel, Teams, and Outlook.
• Detail-oriented with the ability to complete tasks with accuracy and in a timely manner.
• Demonstrated ability to work independently while managing workload and meeting time-sensitive deadlines.

Responsibilities

• Determine claims eligibility and manage cost effective care planning for LTC policyowners.
• Coordinate with other LTC staff to provide personalized customer service and accurately administer LTC claims.
• Communicate care planning to customers, providers, agents, and SILAC staff with evidence from records.
• Promote the value of Long-Term Care products and align with company mission and values.
• Improve written processes, procedures, and guidelines for care coordination and efficiency.
• Assist with claim appeals, legal disputes, and revision of forms and documents.

Skills

Customer service

Communication

MS Word

MS Excel

MS Teams

MS Outlook

Attention to detail

Education

High school diploma

Tools

MS Word

MS Excel

MS Teams

MS Outlook

Job description

About SILAC

SILAC Insurance Company is one of the fastest-growing insurance companies in the nation and continues to be a top contender in the industry. SILAC offers industry-leading annuity products that help individuals prepare for retirement. Teams can align around a shared vision of providing clean, simple & competitive products for clients, delivering best-in-class service to agents & business partners, and propelling the success of our employees.

With a fast-growing team of more than 300 employees, we are committed to remaining adaptable, innovative, and trustworthy for our clients, agents, and employees.

We hold true to our core values:

• Adaptability & Continuous Improvement
• Transparency & Trust, Honesty & Integrity
• Teamwork & Collaboration
• Gratitude & Compassion

At SILAC Insurance Company, we welcome and encourage diversity and are dedicated to creating an environment and culture that is respectful and inclusive for everyone.

Care Specialist

Department Overview

Provide personalized service and product knowledge through correspondence to and from Long-Term Care customers, servicing agents, and business partners. Provide written and verbal responses to customer inquiries and policyowner administration requests originating from multiple channels such as telephone calls, correspondence, and e-mail. Promotes the value of Long-Term Care products and represents the company's mission and values. Deliver customer assistance in a friendly, personalized way that builds trustworthy, long lasting customer relationships.

Job Overview

Determine claims eligibility and manage cost effective care planning for Long Term Care (LTC) policyowners. Coordinate with other LTC Department staff to provide personalized customer service, by accurately administering LTC claims and clearly communicating policy language.

Job Details

Starting Pay Rate: $21.75

Full Time or Part Time: Full Time

Standard Hours Per Week: Monday - Friday, 40 hours/week

Work Schedule: Shift starts between 6:00 AM and 9:00 AM MT

Schedule Type: In-Office

Eligibility Review

Conduct review of all relevant documents (care plans, assessments, medical records, etc.) to determine eligibility for benefits. Conduct reassessments as needed to determine continued eligibility.

Processes, Procedures, and Guidelines

Contribute to the improvement of written processes, procedures, and guidelines for care coordination, ensuring consistency with other LTC Department functioning. This includes initiating improvement in efficiency using better methods and automated systems.

Communication

Communicate and explain care planning to customers, care providers, agents, and SILAC staff, by showing consistency with evidence from provider records and functional assessments. Coordinate and communicate with other SILAC leadership, medical consultants, auditors, and other industry professionals.

Other Administrative Functions

Assist as requested with tasks and projects such as claim appeals, legal disputes, and revision of forms and documents.

Report to and perform other work or projects as directed by the L&H Eligibility Manager

Report to and perform other work or projects as directed by the L&H Eligibility Manager.

Job Requirements

• High school diploma, GED, or any combination of education, professional training, or work experience that demonstrates ability to do the job.
• Ability to accurately assess policyowner needs and create individualized care plans.
• Experience in communicating professionally, patiently, and clearly in speech and in writing.
• Ability to research and logically consider details from many sources, and to bring them together to support a conclusion.
• Experience using PC applications such as MS Word, Excel, Teams, and Outlook.
• Detail-oriented with the ability to complete tasks with accuracy and in a timely manner.
• Demonstrated ability to work independently while managing workload and meeting time-sensitive deadlines.

Desired

• Geriatric client experience.
• Long Term Care, disability, or other insurance claims experience.
• Insurance experience in cost containment.
• Knowledge of state regulations and requirements, Anti-Money Laundering procedures and identifying potential fraud or elderly abuse situations.

BENEFITS

• Medical Plans, including FSA and HSA
• Dental and Vision
• 401(k) (Roth and Traditional)
• Pet Insurance
• Parental Leave
• Paid Time and Sick Time off
• 10 Paid Holidays and 1 Birthday Pay
• Paid Volunteer TimeCollege Tuition Reimbursement

Communication during the recruitment process regarding interview requests or job offers will come directly from a recruiting team member with a silacins.com email address.

At SILAC, we celebrate a diverse and inclusive work environment, where we honor and support varying backgrounds, beliefs, and perspectives for the benefit of our business, including our employees and products. We are proud to be an equal-opportunity workplace and strive to be a place where every employee feels they belong. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, or Veteran status. If you have a disability or a special need that requires accommodation, please let us know.