Long Term Care Claims Representative - Payment Servicing

Long Term Care Claims Representative – Payment Servicing

Company	Genworth Financial
Location	Kansas, USA, Pennsylvania, USA, North Dakota, USA, Delaware, USA, Iowa, USA, Washington, DC, USA, Vermont, USA, Texas, USA, Jackson Township, NJ, USA, Florida, USA, Waterbury, CT, USA, South Carolina, USA, Richmond, VA, USA, South Dakota, USA, Georgia, USA, Concord, NH, USA, Mississippi, USA, Tennessee, USA, Arkansas, USA, Minnesota, USA, Colorado, USA, Rhode Island, USA, Kentucky, USA, West Virginia, USA, New York, NY, USA, Maryland, USA, Wisconsin, USA, Maine, USA, Massachusetts, USA, North Carolina, USA, Oklahoma, USA, Missouri, USA, Ohio, USA, Indiana, USA, Louisiana, USA, Michigan, USA, Illinois, USA, Alabama, USA
Salary	$43200 – $66400
Type	Full-Time
Degrees
Experience Level	Junior, Mid Level

Minimum High School diploma, college degree preferred
Minimum 2 years’ experience in providing professional customer service, preferably in a corporate setting such as medical, financial background, or specifically in Long Term Care.
Exceptional communication skills, both written and oral.
Qualities such as critical thinking, problem-solving, conflict resolution, and collaboration.
Knowledge of medical terminology, diseases/diagnoses, and the ability to understand and interpret contract language, disability processes, nursing home licensing, and rehabilitative requirements.
Proficient with Microsoft Office applications (e.g., Word, Excel, Outlook, PowerPoint, Teams, etc.)
Ability to toggle between multiple monitors for optimal and efficient productivity.

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 incoming and outbound calls.
Collaborate and communicate effectively; seek solutions rather than just identify problems and partner with teams across sites to achieve common goals.
Occasionally provide training and support to others, including creating training materials, mentoring, and participating in buddy programs.
Share insights, best practices, and knowledge within Payment Servicing and with supporting departments such as QA, IT, Compliance, Eligibility, and Contact Center.
Maintain the required flexibility to perform tasks outside of the role as needed, with provided training and guidance.
Participate in virtual classroom training for the first several months, actively engaging and completing all training requirements.