LTC Claims Specialist - Payment Servicing (Hybrid)

Genworth; Richmond (VA); Hybrid; USD 48,000 - 66,000; Full time

Benefits offered by this job

Healthcare Coverage

401(k) Plans

Paid Time Off

Volunteer Time Off

Paid Family Leave

Disability Insurance

Life Insurance

Education Reimbursement

Student Loan Repayment

Training & Certification Support

Gym Membership Reimbursement

Employee Assistance Program

Caregiver Support

Mental Health Support

Job summary

Genworth is seeking a Long Term Care Claims Representative – Payment Servicing to provide world-class service, process claims, and issue payments accurately for policyholders in a hybrid Virginia-based role.

You will work with the Eligibility and Contact Center teams, adhere to SOPs, manage a busy queue, and apply critical thinking to adjudicate claims while maintaining Compliance requirements.

We offer comprehensive benefits and a supportive, inclusive workplace.

Qualifications

• Minimum high school diploma.
• Minimum 2 years’ experience in providing professional customer service, preferably in a corporate setting such as medical, financial background, or Long Term Care.
• Exceptional written and oral communication skills.
• Strong critical thinking, problem-solving, collaboration.
• Knowledge of medical terminology, diseases/diagnoses, and ability to understand contract language, disability processes, nursing home licensing, and rehabilitative requirements.
• Proficient with Microsoft Office applications.
• Ability to toggle between multiple monitors for optimal and efficient productivity.
• Dedicated home office setup for full-time remote work.

Responsibilities

• Manage and prioritize a work queue and multiple responsibilities in a fast-paced environment with aggressive deadlines.
• Adhere to Standard Operating Procedures to ensure consistency in claims practices and resolution.
• Make complex claim-payment decisions based on knowledge and policy provisions.
• Apply critical thinking and problem-solving skills to adjudicate claims, process transactions, and process payments.
• Interact with Policy Holders, Powers of Attorney, Agents, Facilities and other entities involved in the claims experience via calls.
• Collaborate and communicate effectively; partner with teams across sites to achieve common goals.
• Occasionally provide training and support to others, including creating training materials and mentoring.
• Share insights within Payment Servicing and with supporting departments such as QA, IT, Compliance, Eligibility, and Contact Center.
• Maintain flexibility to perform tasks outside of the role as needed.
• Participate in virtual classroom training and be on camera during sessions.
• Work remotely with a safe, distraction-free home office and reliable internet.

Skills

Customer service

Communication

Critical thinking

Problem solving

Collaboration

Microsoft Office

Remote work setup

Education

High School Diploma

Associate or Bachelor’s Degree

Tools

Microsoft Office Suite

Job description

Genworth is seeking a Long Term Care Claims Representative – Payment Servicing to provide world-class service, process claims, and issue payments accurately for policyholders in a hybrid Virginia-based role.

You will work with the Eligibility and Contact Center teams, adhere to SOPs, manage a busy queue, and apply critical thinking to adjudicate claims while maintaining Compliance requirements.

We offer comprehensive benefits and a supportive, inclusive workplace.