Associate Claims Clinical Specialist
Location
United States
Posted
18 days ago
Salary
0
Seniority
Mid Level
Job Description
Associate Claims Clinical Specialist
Genworth
• Reviewing clinical assessments completed by field assessors to determine chronic illness status and develop a plan of care with supporting written documentation. • Collaborate with field assessors and facility staff via phone to determine if further information is needed on a claimant or member’s health status • Call claimants, family members or facility staff to update records on their present health status and provide a new plan of care, as well as handle telephonic assessments • Work with new clients to develop processes that meet their insureds’ needs.
Job Requirements
- RN with a current license residing in a Nursing License Compact state with licensure in their residential state and a Nursing Compact License
- A minimum of 3 years of professional clinical experience in case management, home care, or a rehabilitation setting, preferably with a geriatric population
- Strong knowledge of Microsoft applications to include Outlook and Word.
- Proficient with workflow management tools and CRM
- Ability to data input into a digital platform while discussing care needs with a claimant or member
- Ability to handle inbound and outbound calls with claimants, family members, facilities and agencies
- Excellent communication skills, both oral and written, with a customer service focused attitude to build rapport and relationships
- Ability to meet daily tracked standards in both production and quality.
- Excellent computer, data input and technical skills including working with multiple screens.
- Demonstrate technical and professional expertise through problem resolution, while maintaining composure.
- Ability to effectively communicate with both internal and external customers at all levels
- Robust critical thinking capabilities, coupled with the ability for independent decision making
- Demonstrate technical and professional expertise through problem resolution, while maintaining composure
- Strong multi-tasking, time management and follow-up skills to complete tasks in time sensitive manner
- Ability to independently resolve service issues and follow escalation protocol on issues
- Ability to make positive impressions over the phone and build rapport with clients, despite conversations that can be difficult or emotion filled
- Ability to work remotely in a quiet environment with strong, reliable internet while maintaining production levels
Benefits
- Competitive Compensation & Total Rewards Incentives
- Comprehensive Healthcare Coverage
- Multiple 401(k) Savings Plan Options
- Auto Enrollment in Employer-Directed Retirement Account Feature (100% employer-funded!)
- Generous Paid Time Off – Including 12 Paid Holidays, Volunteer Time Off and Paid Family Leave
- Disability, Life, and Long-Term Care Insurance
- Tuition Reimbursement, Student Loan Repayment and Training & Certification Support
- Wellness support including gym membership reimbursement and Employee Assistance Program resources (work/life support, financial & legal management)
- Caregiver and Mental Health Support Services
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