Remote LTC Claims Eligibility Specialist for Care Decisions

The HT Group; Austin (TX); Hybride; USD 60 000 - 80 000; Plein temps

Avantages offerts par ce poste

Competitive Salary & Bonus Program

401(k) with company match

Comprehensive Medical insurance

20+ days of PTO and 10 paid holidays

Flexible Work Options

Health Savings Accounts with company match

Résumé du poste

An established insurance client in Austin is seeking a Remote Long Term Care Claims Eligibility Specialist. This position requires 5+ years of claims management experience and a certification/licensure as LVN, LPN, or LSW. Responsibilities include investigating claims, analyzing documents for coverage, and managing approvals. The role offers competitive salary, bonuses, comprehensive medical insurance, and a flexible working environment. Both remote and hybrid options are available depending on the candidate's location.

Qualifications

• 5+ years of experience in claims management and review.
• Strong technical knowledge of the insurance industry.
• Excellent verbal and written communication skills.

Responsabilités

• Investigate and evaluate claims for coverage and eligibility.
• Analyze relevant documents to support claim decisions.
• Manage short-term and limited approval claims.

Connaissances

Claims management experience

Strong technical knowledge of claims processing

Excellent communication skills

Ability to work independently

Formation

LVN, LPN, LSW certification/license

Description du poste

An established insurance client in Austin is seeking a Remote Long Term Care Claims Eligibility Specialist. This position requires 5+ years of claims management experience and a certification/licensure as LVN, LPN, or LSW. Responsibilities include investigating claims, analyzing documents for coverage, and managing approvals. The role offers competitive salary, bonuses, comprehensive medical insurance, and a flexible working environment. Both remote and hybrid options are available depending on the candidate's location.