Associate Claims Clinical Specialist

🔥 1 hour ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

📋 Claims Specialist

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

Apply Now

Find Similar Remote Jobs

Receive Emails For Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Genworth

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1871

⚕️ Healthcare Insurance

💸 Finance

💰 Post-IPO Debt on 2018-03

Healthcare Insurance • Finance • Insurance

Genworth is a financial services company that focuses on helping individuals and families navigate the challenges and costs associated with aging, especially long-term care. The company offers a variety of insurance products, including long-term care insurance, life insurance, and annuities, as well as services like CareScout, which provides access to high-quality home care agencies. Genworth is committed to social responsibility and community involvement, with a strong focus on quality of care and comprehensive support for policyholders. They provide tools and resources to plan and manage care costs effectively and have a robust customer service operation to handle claims and inquiries.

📋 Description

• Reviewing clinical assessments completed by field assessors to determine chronic illness status and develop a plan of care with supporting written documentation. • Collaborate with field assessors and facility staff via phone to determine if further information is needed on a claimant or member’s health status • Call claimants, family members or facility staff to update records on their present health status and provide a new plan of care, as well as handle telephonic assessments • Work with new clients to develop processes that meet their insureds’ needs.

🎯 Requirements

• RN with a current license residing in a Nursing License Compact state with licensure in their residential state and a Nursing Compact License • A minimum of 3 years of professional clinical experience in case management, home care, or a rehabilitation setting, preferably with a geriatric population • Strong knowledge of Microsoft applications to include Outlook and Word. • Proficient with workflow management tools and CRM • Ability to data input into a digital platform while discussing care needs with a claimant or member • Ability to handle inbound and outbound calls with claimants, family members, facilities and agencies • Excellent communication skills, both oral and written, with a customer service focused attitude to build rapport and relationships • Ability to meet daily tracked standards in both production and quality. • Excellent computer, data input and technical skills including working with multiple screens. • Demonstrate technical and professional expertise through problem resolution, while maintaining composure. • Ability to effectively communicate with both internal and external customers at all levels • Robust critical thinking capabilities, coupled with the ability for independent decision making • Demonstrate technical and professional expertise through problem resolution, while maintaining composure • Strong multi-tasking, time management and follow-up skills to complete tasks in time sensitive manner • Ability to independently resolve service issues and follow escalation protocol on issues • Ability to make positive impressions over the phone and build rapport with clients, despite conversations that can be difficult or emotion filled • Ability to work remotely in a quiet environment with strong, reliable internet while maintaining production levels

🏖️ Benefits

• Competitive Compensation & Total Rewards Incentives • Comprehensive Healthcare Coverage • Multiple 401(k) Savings Plan Options • Auto Enrollment in Employer-Directed Retirement Account Feature (100% employer-funded!) • Generous Paid Time Off – Including 12 Paid Holidays, Volunteer Time Off and Paid Family Leave • Disability, Life, and Long-Term Care Insurance • Tuition Reimbursement, Student Loan Repayment and Training & Certification Support • Wellness support including gym membership reimbursement and Employee Assistance Program resources (work/life support, financial & legal management) • Caregiver and Mental Health Support Services