Hybrid Care Coordination Case Manager (LTC Insurance)

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

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