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  • Location: Remote work
  • Remote: Remote
  • Type: Direct Hire
  • Job #18733
  • Salary: $50.00 - $55.00 USD

The HT Group has a client who is need of a Long Term Care Claims Examiner.  This can be remote, but hybrid if the employee is in the Austin, TX area. 

Must have Long Term Care experience. 

The Position:

  • Investigates and processes basic and specialized long-term care claims:
    • Reviews and evaluates coverage and / or liability.
    • Secures and analyzes necessary information (i.e., reports, policies, appraisals, releases, statements, records or other documents) to assist in the investigation of claims.
    • May affect settlements / reserves within prescribed limits; submits recommendations to supervisor on cases exceeding personal authority.
  • Conveys simple to moderately complex information (coverage, decisions, outcomes, etc.) to all appropriate parties, maintaining a professional demeanor in all situations
  • Ensures that long term claims payments are issued in a timely and accurate manner.
  • Ensures long term claims handling is conducted in compliance with applicable statues, regulations and other legal requirements, and that all applicable company procedures and policies are followed.
  • Performs other duties as assigned.

Education: High School Diploma

Experience: 3 -5 years of related experience

  • Works within significant limits and authority on assignments of higher complexity and coordination.
  • Handles long term claims of lower frequency and higher severity
  • Possesses demonstrated technical knowledge and skills, including product and industry knowledge, reflective of successful progression through various job family levels
  • Performs work under general supervision.
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