Care Manager
Eden Prairie, MN · On-site
The nation's leading administrator of insurance services is looking for YOU. This is your opportunity to join a company with a culture that promotes respect for people, integrity, learning and ...
LTCG
22 Ltcg Jobs Hiring Near You
Care Manager
Eden Prairie, MN · On-site
The nation's leading administrator of insurance services is looking for YOU. This is your opportunity to join a company with a culture that promotes respect for people, integrity, learning and ...
Telephonic Interviewer LPN - A
$26.25 - $35.75/hr
The nation's leading administrator of long term care insurance services is looking for YOU. This is your opportunity to join a company with a culture that promotes respect for people, integrity ...
Telephonic Interviewer LPN - A
$26.25 - $35.75/hr
The nation's leading administrator of long term care insurance services is looking for YOU. This is your opportunity to join a company with a culture that promotes respect for people, integrity ...
Telephonic Interviewer - A
Eden Prairie, MN · On-site
$15.75 - $20.50/hr
The nation's leading administrator of long-term care insurance services is looking for YOU. This is your opportunity to join a company with a culture that promotes respect for people, integrity ...
Telephonic Interviewer - A
Eden Prairie, MN · On-site
$15.75 - $20.50/hr
The nation's leading administrator of long-term care insurance services is looking for YOU. This is your opportunity to join a company with a culture that promotes respect for people, integrity ...
Office Coordinator- Onsite in Woodbury MN
$18.50 - $24.50/hr
The nation's leading administrator of insurance services is looking for YOU. This is your opportunity to join a company with a culture that promotes respect for people, integrity, learning and ...
Office Coordinator- Onsite in Woodbury MN
$18.50 - $24.50/hr
The nation's leading administrator of insurance services is looking for YOU. This is your opportunity to join a company with a culture that promotes respect for people, integrity, learning and ...
The nation's leading administrator of long term care insurance services is looking for YOU. This is your opportunity to join a company with a culture that promotes respect for people, integrity ...
The nation's leading administrator of long term care insurance services is looking for YOU. This is your opportunity to join a company with a culture that promotes respect for people, integrity ...
The nation's leading administrator of insurance services is looking for YOU. This is your opportunity to join a company with a culture that promotes respect for people, integrity, learning and ...
The nation's leading administrator of insurance services is looking for YOU. This is your opportunity to join a company with a culture that promotes respect for people, integrity, learning and ...
Care Manager
Eden Prairie, MN · On-site
The nation's leading administrator of insurance services is looking for YOU. This is your opportunity to join a company with a culture that promotes respect for people, integrity, learning and ...
Care Manager
Eden Prairie, MN · On-site
The nation's leading administrator of insurance services is looking for YOU. This is your opportunity to join a company with a culture that promotes respect for people, integrity, learning and ...
Telephonic Interviewer - A
Eden Prairie, MN · On-site
$15.75 - $20.50/hr
The nation's leading administrator of long-term care insurance services is looking for YOU. This is your opportunity to join a company with a culture that promotes respect for people, integrity ...
Telephonic Interviewer - A
Eden Prairie, MN · On-site
$15.75 - $20.50/hr
The nation's leading administrator of long-term care insurance services is looking for YOU. This is your opportunity to join a company with a culture that promotes respect for people, integrity ...
The nation's leading administrator of long term care insurance services is looking for YOU. This is your opportunity to join a company with a culture that promotes respect for people, integrity ...
The nation's leading administrator of long term care insurance services is looking for YOU. This is your opportunity to join a company with a culture that promotes respect for people, integrity ...
The nation's leading administrator of long term care insurance services is looking for YOU. This is your opportunity to join a company with a culture that promotes respect for people, integrity ...
The nation's leading administrator of long term care insurance services is looking for YOU. This is your opportunity to join a company with a culture that promotes respect for people, integrity ...
Business Analyst Lead
Eden Prairie, MN · On-site
The nation's leading administrator of insurance services is looking for YOU. This is your opportunity to join a company with a culture that promotes respect for people, integrity, learning and ...
Business Analyst Lead
Eden Prairie, MN · On-site
The nation's leading administrator of insurance services is looking for YOU. This is your opportunity to join a company with a culture that promotes respect for people, integrity, learning and ...
Office Coordinator- Onsite in Woodbury MN
$18.50 - $24.50/hr
The nation's leading administrator of insurance services is looking for YOU. This is your opportunity to join a company with a culture that promotes respect for people, integrity, learning and ...
Office Coordinator- Onsite in Woodbury MN
$18.50 - $24.50/hr
The nation's leading administrator of insurance services is looking for YOU. This is your opportunity to join a company with a culture that promotes respect for people, integrity, learning and ...
The nation's leading administrator of insurance services is looking for YOU. This is your opportunity to join a company with a culture that promotes respect for people, integrity, learning and ...
The nation's leading administrator of insurance services is looking for YOU. This is your opportunity to join a company with a culture that promotes respect for people, integrity, learning and ...
Telephonic Interviewer LPN - A
Eden Prairie, MN · On-site
$26.25 - $35.75/hr
The nation's leading administrator of long term care insurance services is looking for YOU. This is your opportunity to join a company with a culture that promotes respect for people, integrity ...
Telephonic Interviewer LPN - A
Eden Prairie, MN · On-site
$26.25 - $35.75/hr
The nation's leading administrator of long term care insurance services is looking for YOU. This is your opportunity to join a company with a culture that promotes respect for people, integrity ...
The nation's leading administrator of long term care insurance services is looking for YOU. This is your opportunity to join a company with a culture that promotes respect for people, integrity ...
The nation's leading administrator of long term care insurance services is looking for YOU. This is your opportunity to join a company with a culture that promotes respect for people, integrity ...
Registered Nurse - PRN visits Leave Shift Work Behind Consider our per diem opportunity to earn additional income as a Nurse Interviewer visiting clients at their place of residence. Complete ...
Registered Nurse - PRN visits Leave Shift Work Behind Consider our per diem opportunity to earn additional income as a Nurse Interviewer visiting clients at their place of residence. Complete ...
The nation's leading administrator of insurance services is looking for YOU. This is your opportunity to join a company with a culture that promotes respect for people, integrity, learning and ...
The nation's leading administrator of insurance services is looking for YOU. This is your opportunity to join a company with a culture that promotes respect for people, integrity, learning and ...
Account Advisor- Long-Term Care
Eden Prairie, MN · On-site
$19.75 - $23/hr
The nation's leading administrator of insurance services is looking for YOU. This is your opportunity to join a company with a culture that promotes respect for people, integrity, learning and ...
Account Advisor- Long-Term Care
Eden Prairie, MN · On-site
$19.75 - $23/hr
The nation's leading administrator of insurance services is looking for YOU. This is your opportunity to join a company with a culture that promotes respect for people, integrity, learning and ...
Registered Nurse - PRN visits Leave Shift Work Behind Consider our per diem opportunity to earn additional income as a Nurse Interviewer visiting clients at their place of residence. Complete ...
Registered Nurse - PRN visits Leave Shift Work Behind Consider our per diem opportunity to earn additional income as a Nurse Interviewer visiting clients at their place of residence. Complete ...
The nation's leading administrator of long term care insurance services is looking for YOU. This is your opportunity to join a company with a culture that promotes respect for people, integrity ...
The nation's leading administrator of long term care insurance services is looking for YOU. This is your opportunity to join a company with a culture that promotes respect for people, integrity ...
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Full-time
Posted 6 hours ago
Job description
The nation's leading administrator of insurance services is looking for YOU. This is your opportunity to join a company with a culture that promotes respect for people, integrity, learning and initiative.
WE ARE THE KIND OF EMPLOYER YOU DESERVE.
illumifin is a leading provider of business process outsourcing for the insurance industry, managing policies for the nation's largest insurers. We also provide clients with unique risk management insight built upon our proprietary databases.
This position is responsible for gathering and reviewing requirements for the purpose of determining initial and ongoing claimant and provider eligibility.
RESPONSIBILITIES
1. Assess claimant eligibility by reviewing medical records from all current providers and conducting phone assessments with the claimant or legal representative. In the event of noted inconsistencies in the claimant eligibility, coordinate a benefit eligibility assessment in order to make a final determination.
2. In conjunction with plan language upon initial assessment and ongoing recertification, determine legitimacy and eligibility of service providers by requesting and reviewing provider licensing credentials, state-specific regulations, internet searches and phone assessments with the servicing provider.
3. Effectively communicate, verbal and written, all aspects of the claim benefit determination process.
4. Assist claimants with modifications to their current care plan, including changes in care needs as well as changes in provider.
5. Monitor daily, weekly and monthly reports to ensure claims are handled timely and appropriately.
6. Attend case conferences, internally and with the client, to present claims recommendations.
7. Meet quality and production metrics as established and communicated by the department.
8. Reviews Care Coordinator decision recommendations on tax qualified policies.
9. Other duties as assigned.
WE ARE THE KIND OF EMPLOYER YOU DESERVE.
illumifin is a leading provider of business process outsourcing for the insurance industry, managing policies for the nation's largest insurers. We also provide clients with unique risk management insight built upon our proprietary databases.
This position is responsible for gathering and reviewing requirements for the purpose of determining initial and ongoing claimant and provider eligibility.
RESPONSIBILITIES
1. Assess claimant eligibility by reviewing medical records from all current providers and conducting phone assessments with the claimant or legal representative. In the event of noted inconsistencies in the claimant eligibility, coordinate a benefit eligibility assessment in order to make a final determination.
2. In conjunction with plan language upon initial assessment and ongoing recertification, determine legitimacy and eligibility of service providers by requesting and reviewing provider licensing credentials, state-specific regulations, internet searches and phone assessments with the servicing provider.
3. Effectively communicate, verbal and written, all aspects of the claim benefit determination process.
4. Assist claimants with modifications to their current care plan, including changes in care needs as well as changes in provider.
5. Monitor daily, weekly and monthly reports to ensure claims are handled timely and appropriately.
6. Attend case conferences, internally and with the client, to present claims recommendations.
7. Meet quality and production metrics as established and communicated by the department.
8. Reviews Care Coordinator decision recommendations on tax qualified policies.
9. Other duties as assigned.