
1001 - 5000 employees
Founded 1989
🛡️ Insurance
🏥 Healthcare
☁️ SaaS
Insurance • Healthcare • SaaS
Wellcove is a third‑party administrator (TPA) focused on the senior market and long‑term care (LTC) benefits. Its cloud‑native LTC Now platform and AssuriCare services provide automated claim administration, eligibility determination, auto‑adjudication, payment processing, digital care management, provider matching, risk evaluation/analytics, and business process outsourcing for carriers, state retirement plans, and reinsurers. The company emphasizes automation, payment integrity, and tailored administrative solutions for long‑term care and Medicare supplement administration.
🔥 1 minute ago
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1001 - 5000 employees
Founded 1989
🛡️ Insurance
🏥 Healthcare
☁️ SaaS
Insurance • Healthcare • SaaS
Wellcove is a third‑party administrator (TPA) focused on the senior market and long‑term care (LTC) benefits. Its cloud‑native LTC Now platform and AssuriCare services provide automated claim administration, eligibility determination, auto‑adjudication, payment processing, digital care management, provider matching, risk evaluation/analytics, and business process outsourcing for carriers, state retirement plans, and reinsurers. The company emphasizes automation, payment integrity, and tailored administrative solutions for long‑term care and Medicare supplement administration.
• Provide customer service in a call center environment, primarily responding to telephone inquiries • Assist policyholders, beneficiaries, providers, agents, and other customers with insurance policy information • Respond to inquiries from CHCS third-party administrator clients, including Medicare Supplement and Life Policies • Provide information regarding insurance questions, including verification of benefits and claims status • Access and update software system data within company response standards • Research company records to answer customer questions • Perform routine transactions and retrieve results from an online terminal • Maintain working knowledge of company products and services • Comply with company regulations regarding privacy, confidentiality, and private health information • Provide written and oral communication regarding inquiry status and resolution • Initiate and complete Call Tracks, checklists, and supportive clerical responsibilities • Work independently and collaboratively while working remotely
• High school diploma or general education degree (GED) • Six months related call center experience and/or training • Ability to work various shifts as required • Typing speed of 30 wpm with 95% accuracy • Ability to pass background screening and drug tests pre- and post-hire, including THC • Verification of high school, GED, or college diploma upon request • Timely responses from three professional references • Dedicated remote work location free from background noises, interruptions, and desk clutter • Ongoing reliable internet connection and access to a smartphone for Multi Factor Authentication and communication • Collaborative team spirit • Ability to work remotely and independently • Accurately enter data in a Windows-based environment • Intermediate computer skills • Basic math, English spelling, and grammar skills • Ability to read and comprehend simple instructions, correspondence, and memos • Ability to write simple correspondence and present information effectively • Ability to add, subtract, multiply, and divide using whole numbers, fractions, and decimals; compute rates, ratios, and percentages; and interpret bar graphs • Ability to apply common sense to detailed written or oral instructions and standardized problems • Ability to sit for prolonged periods and use computers and phone lines • Ability to read, hear, speak, use a keyboard, reason, and problem solve • Ability to use office equipment such as computer terminals, telephones, and copiers • Ability to meet physical requirements, including occasionally lifting or moving up to 15 pounds • Preferred: Associate’s degree • Preferred: Long Term Care Insurance experience in a call center setting • Preferred: 2 years related call center and customer service experience
• Remote work arrangement • Dedicated remote work location requirement • Ongoing reliable internet connection and smart phone for Multi Factor Authentication and communication • Reasonable accommodations may be made for individuals with disabilities
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