Thrivent ยท 19 hours ago
Claims Examiner - Long Term Care (Remote)
United States
Full-time
Remote
Entry, Mid Level
$24.06/hr - $32.56/hr
2+ years expThrivent is a company committed to helping people thrive with purpose. The Claims Examiner position involves examining claims for long-term care products, ensuring compliance with regulations, and providing consultation to peers while maintaining high customer satisfaction.
FinanceFinancial ExchangesFinancial ServicesInsurance
Responsibilities
Determine extent of liability on routine and non-routine claims and make final claim decisions within specified dollar limits. Contribute to accurate fraud detection and reporting by referring suspected fraud to appropriate staff for review according to established procedures
Analyze claim transactions and process payments utilizing various work flow, administrative, and LOB (Line of Business) systems, accurately and cost effectively according to contract provisions and in compliance with internal service and state and federal regulatory standards
Ensure high level of customer satisfaction by partnering with members, financial associates, doctors, providers, attorneys, police, vendors and other internal and external customers regarding claims, settlements and interpretation of policy provisions, which may include highly confidential information or complaints, often educating the recipient on products/benefits and regulatory requirements
Handle sensitive written and verbal communications. May be called upon to influence behavior via these communications
Actively participate in the development and implementation of business processes, standard operating procedures, documentation and other support materials required for unit operation. May also analyze data and offer remediation in response to audit inquiries or compliance examinations as determined by the Claims Consultant
Provide consultation to Associate Claims Examiners in helping to answer questions and make decisions on claims with a moderate level of complexity
Qualification
Required
High school required
Minimum of 2 years relevant experience
Intermediate knowledge of claim administration and operations as well as pertinent laws and regulations
Must possess strong interpersonal skills, as well as excellent verbal and written communication skills
Preferred
College degree preferred
Professional credentials preferred (e.g. LOMA, ICA)
Benefits
Various bonuses (including, for example, annual or long-term incentives)
Medical, dental, and vision insurance
Health savings account
Flexible spending account
401k
Pension
Life and accidental death and dismemberment insurance
Disability insurance
Supplemental protection insurance
20 days of Paid Time Off each year
Sick and Safe Time
10 paid company holidays
Volunteer Time Off
Paid parental leave
EAP
Well-being benefits
Other employee benefits
Company
Thrivent
Thrivent is a financial services organization that helps Christians be wise with money and live generously.
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Teresa J. Rasmussen
President & CEO
Kelly Baker
Executive Vice President, Chief Human Resources Officer
Recent News
2025-11-28
Company data provided by crunchbase