Long-Term Care Claims Intake Specialist

illumifinexternalcareers; Minnesota; Hybrid; USD 45,059,000 - 60,962,000; Full time

Job summary

illumifin is seeking a claims reviewer in Minnesota to determine all claim requirements for initial and continuation claims. You will assist Care Managers and Care Coordinators while delivering quality service to policyholders, their representatives, and providers.

The role emphasizes accurate documentation, adherence to internal guidelines, and meeting department quality and production metrics. Strong communication and Microsoft Office skills are important; prior insurance experience is

Qualifications

• Associates Degree or equivalent, or 2 years of health or life insurance experience.
• 1–3 years work experience in a claims environment preferred.
• Intermediate level experience with Microsoft Office.

Responsibilities

• Reviews internal databases, client guidelines, and policy contract language to determine all claim requirements needed for initial and continuation claims.
• Reviews documented claim forms and contacts the insured, insured's representative, or provider to request information needed to process the benefit inquiry.
• Keeps clear and concise documentation of all claim intake activity within the required databases.
• Meets quality and production metrics as established and communicated by the department.
• Processes requests from the client or from other departmental areas within illumifin.
• Other duties as assigned.

Skills

Verbal and written communication

Education

Associates Degree or equivalent

Tools

Microsoft Office

Job description

illumifin is seeking a claims reviewer in Minnesota to determine all claim requirements for initial and continuation claims. You will assist Care Managers and Care Coordinators while delivering quality service to policyholders, their representatives, and providers.

The role emphasizes accurate documentation, adherence to internal guidelines, and meeting department quality and production metrics. Strong communication and Microsoft Office skills are important; prior insurance experience is