
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.
🔥 0 minutes ago
Where this job comes from
Posted on Wellcove's careers page, not through a job board
First seen by Remote Rocketship 0 minutes ago

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.
• Conduct high-volume outbound and inbound calls regarding EVV enrollment • Educate insureds, provider agencies, caregivers, and facilities on EVV requirements and enrollment procedures • Guide stakeholders through enrollment and obtain required information and documentation • Assist providers with enrollment forms, account setup, and system access • Verify enrollment information for accuracy and completeness • Document customer interactions, enrollment activities, and case notes in appropriate systems • Follow up on missing information and ensure timely enrollment completion • Respond to questions, concerns, and enrollment issues • Coordinate with internal departments and external partners to resolve issues • Monitor enrollment cases and meet productivity, quality, and service-level expectations • Provide training and guidance on EVV and Facility platforms, tools, and processes • Gather and accurately record claimant and caregiver information in Wellcove systems • Maintain organized documentation for interactions, training, and compliance activities • Process caller requests in Wellcove’s proprietary system and escalate as appropriate • Use process resources to provide accurate information and error-free request processing • Stay current on EVV requirements, policies, and system updates • Build and maintain client relationships and provide customer service by phone and email
• High School or GED required • Bachelor’s Degree, or equivalent combination of education, training, and experience preferred • Proficiency with Microsoft Office applications and Nitro • Ability to learn multiple software applications • Ability to work remotely and independently • Ability to accurately document customer responses while simultaneously speaking with customers • Excellent communication skills, appropriate etiquette, phone manners, and proficiency in English oral and written forms • Ability to explain complex processes clearly • Knowledge of HIPAA privacy requirements and confidentiality standards • Ability to meet call volume, quality, and enrollment activation performance metrics • Dedicated remote work location free from background noise, interruptions, and desk clutter • Reliable internet connection and access to a smartphone • Must maintain confidentiality of PHI and comply with HIPAA and applicable state and federal regulations
• Primarily remote call-center environment • May require occasional overtime based on program or enrollment deadlines
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