
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.
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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 by receiving and responding to telephone inquiries • Assist providers, agents, policyholders, and others with inquiries from 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 obtain requested information • 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 collaboratively while remaining accountable and able to work remotely and independently
• High school diploma or general education degree (GED) • Six months related call center experience and/or training • 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 • Access to a smartphone for Multi Factor Authentication and communication • Ability to type 30 wpm with 95% accuracy • Ability to work various shifts as required • Accurately enter data in a Windows-based environment • Intermediate computer skills • Knowledge of basic math, English spelling, and grammar • Ability to read and comprehend simple instructions, correspondence, and memos • Ability to write simple correspondence and present information effectively • Ability to perform arithmetic calculations, compute rates, ratios, and percentages, and interpret bar graphs • Ability to apply common-sense understanding to detailed written or oral instructions and standardized problems • 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 use office equipment such as computer terminals, telephones, and copiers • Ability to occasionally lift or move up to 15 pounds • Preferred: Associate’s degree • Preferred: Experience with Long Term Care Insurance in a call center setting • Preferred: Two years of related call center and customer service experience
• Remote work arrangement • Ability and flexibility to work various shifts as required • Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions
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