Wellcove/CHCS-Services

Quality Assurance - Specialist 2, PCU

Wellcove/CHCS-Services · Full Time · 13 days ago

Wellcove/CHCS-Services

🌎 United States ⭐ 2-5 yrs exp 💼 Software Development

Perform quality reviews of LTC insurance operational and claim transactions to ensure accuracy and adherence to standard operating procedures. Responsible for reviewing benefit eligibility, documenting errors, and reporting quality results to management and clients.

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Quality Assurance - Specialist 2, PCU

Wellcove/CHCS-Services · Full Time · 13 days ago

Wellcove/CHCS-Services

🌎 United States ⭐ 2-5 yrs exp 💼 Software Development

Perform quality reviews of policy administration and claim transactions to ensure accuracy and compliance with standard operating procedures. This includes reviewing benefit eligibility, documenting errors, and reporting quality results to management and clients.

APPLY

Claims - Eligibility Specialist 2, Claims

Wellcove/CHCS-Services · Full Time · 21 days 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 · 21 days 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 · a month 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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EVV-Reporting Specialist

Wellcove/CHCS-Services · Full Time · a month 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 · 2 months 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 · 5 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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