Northwestern Mutual

LTC Active Specialist - Remote USA.

Remote-Wisconsin

Sponsorship not specifiedDetected 8 hours ago

Customer SupportClaims Management

About the role

PLEASE NOTE THE HOURS OF OPERATION FOR THIS ROLE WILL BE 8:30 AM TO 5:00 PM CST.
It's why we share the salary range for most of our roles.
However, final salaries are based on a number of factors, including the skills and experience of the candidate; the current market; location of the candidate; and other factors uncovered in the hiring process.

Ability to draw logical inferences, problem-solve, and apply judgment from explicit and implicit information.
YOU MUST BE ABLE TO WORK THESE CORE HOURS.
Bachelor's degree or equivalent combination of education and work experience.
Healthcare background preferred.
Eager to learn new information and understand the end-to-end long-term care claims process. Seeks out and is open to and obtaining constructive feedback.
Able to analyze complex information and ask thoughtful questions to understand the situation.
Able to pivot between different activities and alter approach based on changes in circumstances and/or information.
Enjoys the satisfaction from helping and building relationships with clients and colleagues, and demonstrates strong support of team goals.
Can read, understand, and draw appropriate inferences from medical records and/or understand medical terminology, conditions, and circumstances.
PLEASE NOTE THE HOURS OF OPERATION FOR THIS ROLE WILL BE 8:30 AM TO 5:00 PM CST. YOU MUST BE ABLE TO WORK THESE CORE HOURS.
#LI-POST
#IN-POST

Primary Duties and Responsibilities
Responds to questions from incoming Insureds or representatives' phone calls and emails regarding requests for information needed for ongoing long-term claim administration.
Uses knowledge and empathy to identify, evaluate, and interpret the client's status and needs and provide proactive consultation and recommendations to achieve desired results.
creates tasks as required
appropriately pulls work from the assigned group planner.
Process exceptions as they relate to the contracts by interpreting state and contract variations.
Participate in team meetings, project and committee work as appropriate, including the development of process improvements.
Analyzes eligibility for and approves or denies the payment of active long-term care claims.

Northwestern Mutual is an equal opportunity employer that welcomes talented individuals of all backgrounds.

This listing is sourced directly from Northwestern Mutual's careers page and normalized into a canonical job model.