Role Description This job performs quality review for the LTC Insurance operational and claim environment by primarily reviewing processed transactions for accuracy. This includes, but is not limited, to the following essential duties and responsibilities: - Review all policy administration and claim level transactions against the standard operating procedures. - Maintain the review of all Daily and Monthly billing suspense items. - Responsible for reviewing benefit eligibility determinations to ensure that the claim recommendations meet the contractual obligations of the policy. - Assign and document all mechanical and financial errors as discovered. - Maintains a strong working knowledge base of all Long-Term care products and services. - Maintain production and quality standards established in the department. - Participate and support policy review decisions in the appeal process. - Monthly reporting to all engagement managers and supervisory staff on the quality results of their department and staff. - Participate in client level meetings. Create action plans as agreed upon with the client and meet all timelines and deliverables. - Complying with company regulations regarding HIPAA, confidentiality, and private health information. - Other duties may be assigned. - Ability and Flexibility to work overtime as required. Qualifications - In-depth insurance knowledge. Focus on Long Term Care Insurance and Benefit Eligibility determinations a plus. - Promote an exceptional level of excellence and pride in Customer Service. - Integrity/Honesty. - Sound interpersonal and communication skills. - Motivation. - Ability to multi-task. - Meticulous attention to detail. - Ability to lead others through performance and professionalism. - Ability to work in a fast-paced environment. - Highly developed problem-solving skills. - Organizational/Planning/Organizing. - Proficiency in basic computer applications is required. (MS Word, MS Excel). Company Description Wellcove has been recognized as the nation’s leading full-service senior market solutions provider for over 25 years. Our solutions span the insurance senior market sector, focusing on long-term care and Medicare Supplement plans. However, we don’t stop there. Wellcove also addresses challenges faced in accident & health, disability, and supplemental health insurance programs. Our team provides individuals and their families with peace of mind knowing their insurance needs will be met in a thoughtful, efficient manner. We are able to do this because of our dedicated associates, innovative solutions, and state-of-the-art technology. At Wellcove, we strive to create an inclusive culture for all. We understand the importance of listening and incorporating various perspectives at every level of service. Our company does not discriminate based on gender identity, race, sexual orientation, age, religion, or disability.

• Understand business requirements and application workflows. • Create and execute test cases based on functional requirements. • Perform manual testing of web and mobile applications. • Identify, document, and track software defects. • Verify bug fixes and perform regression testing. • Collaborate with developers and product teams to resolve issues. • Participate in Agile ceremonies such as sprint planning, stand-ups, and retrospectives. • Assist in preparing test reports and test documentation.

• Develop and maintain automated tests for web applications using Cypress. • Implement and execute load and performance tests using K6. • Collaborate with developers, analysts and other stakeholders to understand requirements and ensure delivery quality. • Create, document and maintain test cases and scenarios, ensuring adequate coverage of features. • Identify, log and track defects through to resolution. • Participate in code reviews and contribute to improvements related to quality and test automation. • Support the continuous evolution of the team’s quality practices, tools and processes. • Work in an agile environment, participating in ceremonies and contributing to the team’s continuous improvement.

• Test and validate API integrations and end-to-end scenarios to identify and isolate problem areas • Perform browser-based troubleshooting and debug integration issues across environments • Collaborate with the team to define and refine work items, evaluate bugs, and drive quality process improvements • Work alongside developers in a C#, Angular/React environment to understand system behavior and improve test coverage • Use and learn QA tooling including BrowserStack, BlazeMeter, Cypress, and Postman • Contribute to improving testing processes and environment management over time • Promote visibility into team processes and advocate for quality standards within the team • Write and execute SQL queries (MySQL) to validate data and support debugging • Work with AWS-hosted services and understand cloud-based deployment contexts