
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 • Receive and respond to telephone inquiries from policyholders, beneficiaries, providers, agents, and others • Provide information and assistance regarding Medicare Supplement and Life Policies for CHCS third-party administrator clients • Verify benefits and provide claims status information by accessing and updating software system data • 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 privacy, confidentiality, and private health information regulations • Provide written and oral communication regarding inquiry status and resolution • Initiate and complete Call Tracks, checklists, and supportive clerical responsibilities
• High school diploma or general education degree (GED) • Six months related call center experience and/or training • Ability to type 30 wpm with 95% accuracy • Ability and flexibility to work various shifts as required • 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 • Reliable internet connection and access to a smart phone for Multi Factor Authentication and communication purposes • Accurately entering data via Windows-based environment • Intermediate computer skills • Knowledge of basic math and English spelling and grammar • Ability to read and comprehend simple instructions, short correspondence, and memos • Ability to write simple correspondence • Ability to effectively present information in one-on-one and small group situations • Ability to add, subtract, multiply, and divide using whole numbers, common fractions, and decimals • Ability to compute rates, ratios, and percentages and interpret bar graphs • Ability to apply common-sense understanding to detailed but uninvolved written or oral instructions • Ability to deal with problems involving a few concrete variables in standardized situations • Ability to sit for prolonged periods and use a computer and phone line • Ability to read, hear, speak, use a keyboard, reason, and problem solve • Ability to occasionally lift or move up to 15 pounds • Associate’s degree preferred • Experience with Long Term Care Insurance in a call center setting preferred • Two years related call center and customer service experience preferred
• Remote work arrangement • Ability and flexibility to work various shifts as required • Reasonable accommodations for individuals with disabilities • Dedicated remote work location requirement • Ongoing reliable internet connection and smart phone for Multi Factor Authentication and communication purposes
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