Claims Manager I

Job description

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, 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 over 1.3 million long-term care policies for the nation's largest insurers. We also provide clients with unique risk management insight built upon our proprietary long term care databases. The Claims Manager position is responsible for evaluation and rendering eligibility decisions on home and facility based Long Term Care claims (standalone and hybrid), chronic illness riders and/or critical illness within client contract and policy parameters, while providing quality customer service to our policy holders, their representatives and providers. A Claims Manager will be required to review and certify for chronic illness. CLAIMS MANAGER RESPONSIBILITIES: - Review internal databases, client guidelines and policy contract language to evaluate routine home and facility-based claims, in accordance with department processes and stand...