
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.
🔥 3 minutes ago
Where this job comes from
Posted on Wellcove's careers page, not through a job board
First seen by Remote Rocketship 3 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.
• Manage and oversee timely and accurate processing of policy administrative changes • Address staff and client/policyholder inquiries regarding the policy administration process • Oversee day-to-day operations of the assigned department • Hire and train staff involved in policy administration processing • Conduct timely and constructive performance evaluations • Provide support and guidance to staff and direct reports • Manage overall operations in an insurance setting • Create and implement policies that support cohesive company operations • Review company performance and identify efficiency improvements • Connect with client companies to ensure policyholder communications represent the company positively • Identify and minimize threats through ongoing risk management • Manage collected data and create user-friendly reports for executive decision-making • Review insurance policies to ensure policyholder needs are addressed • Manage quality control exceptions for trends and improvement opportunities • Control company finances and maintain correct budget allocation across departments
• High school diploma or equivalent required; bachelor’s degree preferred • Five years of related experience required • Excellent supervisory skills • Excellent verbal and written communication skills • Ability to manage and resolve complex policyholder and client escalations • Proven ability to maintain high levels of customer satisfaction • Understanding of policy administration workflows and service level agreements (SLAs) • Understanding of insurance policy and plan terminologies • Excellent interpersonal skills and ability to build relationships with clients, policyholders, and staff • Knowledge of insurance regulations, compliance requirements, and industry best practices • Ability to ensure adherence to company policies, state regulations, and audit requirements • Strong analytical and process improvement skills • Ability to identify workflow inefficiencies and implement operational improvements • Ability to analyze operational metrics and performance data • Experience utilizing KPIs, dashboards, and reporting tools • Strong problem-solving and critical thinking abilities • Ability to manage multiple priorities and projects simultaneously • Experience leading organizational change and implementing operational initiatives • Proficiency with policy administration systems, CRM platforms, and Microsoft Office applications • Advanced Excel and reporting capabilities preferred • Experience with workflow automation and case management systems
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