Wellcove/CHCS-Services

Claims - Eligibility Specialist 2, Claims

Wellcove/CHCS-Services · Full Time · 9 hours ago

Wellcove/CHCS-Services

🌎 United States ⭐ 2-5 yrs exp 💼 Legal

Responsible for reviewing Long-Term Care insurance policy benefit eligibility and determining approvals or denials based on company and federal guidelines. This includes interpreting policy provisions, requesting medical records, and communicating determinations to claimants.

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EVV & Assessment Services - Account Coordinator, EVV

Wellcove/CHCS-Services · Full Time · 9 hours ago

Wellcove/CHCS-Services

🌎 United States ⭐ 0-2 yrs exp 💼 Others

Provide seamless support and training to clients using EVV and Facility platforms to ensure compliance and system efficiency. Manage inquiries from claimants, caregivers, and agencies to facilitate accurate invoicing for LTC insurance carriers.

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EVV & Assessment Services - Scheduling Coordinator

Wellcove/CHCS-Services · Full Time · 5 days ago

Wellcove/CHCS-Services

🌎 United States ⭐ 0-2 yrs exp 💼 Virtual Assistant

The Scheduling Coordinator is responsible for managing inbound and outbound calls to facilitate long-term care assessments. The role requires handling at least 50 calls daily while maintaining high quality assurance scores and efficient after-call work time.

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Contact Center - Customer Service Representative, Contact Center

Wellcove/CHCS-Services · Full Time · 19 days ago

Wellcove/CHCS-Services

🌎 United States ⭐ 0-2 yrs exp 💼 Support

Provide customer service in a call center environment by responding to inquiries from policyholders, agents, and providers regarding insurance policies. Research company records to provide accurate information on benefits and claims status while maintaining strict privacy and confidentiality standards.

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EVV-Reporting Specialist

Wellcove/CHCS-Services · Full Time · 19 days ago

Wellcove/CHCS-Services

🌎 United States ⭐ 2-5 yrs exp 💼 Others

The specialist will analyze business and EVV data to create insightful reports, dashboards, and BI solutions to support decision-making. They are responsible for monitoring compliance risks, identifying trends, and collaborating with stakeholders to optimize reporting workflows.

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Claims - Claims Examiner

Wellcove/CHCS-Services · Full Time · a month ago

Wellcove/CHCS-Services

🌎 United States ⭐ 2-5 yrs exp 💼 Legal

The Claims Examiner is responsible for the accurate and timely adjudication of long-term care insurance claims in compliance with policy and regulatory standards. This includes analyzing documentation, coordinating benefits, and communicating determinations to policyholders and providers.

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Claims - Examiner, Claims

Wellcove/CHCS-Services · Full Time · 4 months ago

Wellcove/CHCS-Services

🌎 United States ⭐ 2-5 yrs exp 💼 Legal

The primary duties involve managing and handling all outbound calls while adjudicating Health Plan/Accident & Disability claims according to established turnaround times. Responsibilities also include independently researching, reviewing, and recommending actions for claims involving appeals or grievances for denied or underpayments.

insurance math medical english communication science

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