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Genworth · 3 weeks ago

Long Term Care Claims Representative – Payment Servicing

Indiana, United States

Full-time

Onsite

Entry, Mid Level

$43K/yr - $66K/yr

2+ years exp

Genworth is a company that empowers families to navigate the aging journey with confidence. The Long Term Care Claims Representative will deliver world-class customer service and support policyholders through the claims process, ensuring accurate and timely information is provided while adhering to compliance requirements.

FinanceFinancial ServicesFinTechInsurance

Comp. & Benefits

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 incoming and outbound calls

Collaborate and communicate effectively; you will seek solutions rather than just identify problems and will 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.  Employees are required to be on camera during all training sessions, meetings, and as needed per request

While working remotely, employees will provide a safe and secure workspace that is free of distractions including but not limited to child or dependent care.  Additionally, employees must retain a stable and secure internet service provider with the bandwidth and speed to maintain network connectivity (50 mbps)

Qualification

Customer serviceMicrosoft OfficeMedical terminologyInsurance knowledgeCritical thinkingProblem-solvingCollaborationCommunication skills

Required

Minimum 2 years' experience in providing professional customer service in a corporate setting, preferably with a medical, financial background, or specifically in Long Term Care

High School diploma or military experience

Ability to successfully complete virtual 'classroom' training prior to transitioning into job responsibilities; this requires being on-camera, actively participating, and meeting all training requirements

Proficient with Microsoft Office applications (e.g., Word, Excel, Outlook, PowerPoint, Teams, etc.)

Professional, empathetic demeanor in all interactions, with a strong commitment to serving and supporting customers, particularly within the aging population

Your experience or education has provided you with knowledge of medical terminology, diseases/diagnoses, and the ability to understand and interpret contract language, disability processes, nursing home licensing, and rehabilitative requirements

You exhibit qualities such as critical thinking, problem-solving, conflict resolution, and collaboration. Clear verbal and written communication skills, with the ability to explain insurance products, benefits, and options

Ability to toggle between multiple monitors for optimal and efficient productivity

A dedicated, distraction-free home office set up, including a desk or workstation suitable for full-time remote work