Claims Support Representative at Nashville

Job Description

Its the new age of independence. And its changing the way we live.
BE PART OF IT.

UNIVITA is dedicated to helping people live and age with independence. By providing a single place to find and manage resources which support independent living, UNIVITA makes it easier to access care and to age safely at home.

This is your opportunity to join an innovative company with a culture that promotes compassion, trust, and accountability.

ABOUT THIS OPPORTUNITY In this position, you will be responsible for accurately distributing and/or processing all claim requirements and referrals. In addition, you will follow-up requests while assisting Care Managers, Care Coordinators and Claims Examiners as needed providing quality service to agents, clients, families and providers.

RESPONSIBILITIES

• Review and complete follow up calls on all pending claim requirements utilizing LTCAS and Case 360. This process requires contacting the insured/POA, provider, and/or the appropriate doctor when needed. Keeping clear and concise documentation of the follow up activity within the LTCAS administrative system. Follow pending claims guideline to determine the appropriate actions necessary, including claim closure.
• Process incoming request for claim closure via the Support e-mail box and Claims Call logs
• Review and close all request received via the Social Security Death Index
• Review and assign according to procedure all documents received in the Recert and New Claim Activities
• Accurately set up all Claim Direct Deposit request. This activity may include phone calls or written correspondence to the insured or authorized representative
• Add or modify Payee Records within Payment Request Entry module
• Upon request, complete claim file request which includes printing call logs, explanation of benefits, and claim notes.
• Prepare all documents for frontend and backend scanning on a daily basis.

Job Requirements

• Associates degree or equivalent formal training program experience
• 2+ years experience in the health, life insurance industry or geriatric healthcare preferred
• Ability to obtain professional insurance certification such as HIAA, FLMI, or ICA
• Working knowledge of Windows and Microsoft software such as MS Word
• Demonstrated knowledge of medical terminology and/or Long Term Care (LTC) insurance products
• Knowledge of insurance regulations and industry standards
• Ability to investigate and research claims
• Excellent verbal, written, and customer service skills
• Flexibility to adjust to fluctuating work flows and changing assignments
• Organized, detail-oriented, and an independent worker

Univita offers a competitive and complete benefits package.

TO LEARN MORE ABOUT US visit univitahealth.com (EOE/AAE m/f/d/v)

Key Words: Claims, Insurance, Geriatric, Healthcare, Medical, Long Term Care, HIAA, FLMI or ICA

Country: USA, State: Tennessee, City: Nashville, Company: Univita.