
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.
🔥 7 minutes 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 by receiving and responding to telephone inquiries from policyholders, beneficiaries, providers, agents, and others • Provide information and assistance regarding Medicare Supplement and Life Policies • Verify benefits and claims status by accessing and updating software system data within company response standards • Research company records to answer insurance 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 • Work various shifts as required
• High school diploma or general education degree (GED) • Six months related call center experience and/or training • Ability and flexibility to work various shifts as required • Typing speed of 30 wpm with 95% accuracy • Collaborative team spirit • Ability to work remotely and independently • Ability to pass background screening and pre- and post-hire drug tests, 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 read, hear, speak, use a keyboard, reason, and problem solve • Ability to perform prolonged sitting, computer work, and phone line usage • Ability to lift and/or move up to 15 pounds occasionally • Accurate data entry in a Windows-based environment • Intermediate computer skills • Basic math, English spelling, and grammar skills • Ability to read and comprehend simple instructions, short correspondence, and memos • Ability to write simple correspondence • Ability to present information effectively to customers, clients, and employees 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 to detailed written or oral instructions and resolve standardized problems • 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 • Reasonable accommodations may be made for individuals with disabilities • Dedicated remote work location and reliable internet connection supported as work requirements
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