Financial examiner • west valley city ut
Perform claim processing for long term care (LTC) insurance claims and support the overall Long-Term Care Department.This work requires competent customer communication, evaluation of complex infor... Show more
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Claims Examiner
Overview
Perform claim processing for long term care (LTC) insurance claims and support the overall Long-Term Care Department. This work requires competent customer communication, evaluation of complex information, knowledge of insurance policies, and use of Long-Term Care Department operational procedure guides.
Job Details
Claims Examination- Obtain all necessary information such as diagnosis codes, admit & discharge dates, and charges for services. Review claims for missing information and/or errors based on claim forms received and corresponding documentation (i.e. invoices, care notes, etc). Enter data per policy guidelines.
Know Existing and Upcoming Insurance Policies-Study and learn policy requirements across different products and different States.
Know and Understand Claims Processes and Procedures – Review Standard Operating Procedures to ensure clear knowledge of correct claims processing, calculations, data entry and document retention.
Communicate Complex Insurance-Related Information-Make phone calls to facilities for clarification regarding claims submissions. Collaborate with coworkers and supervisors.
Report to and perform other work or projects as directed by the Claims Manager.
Job Requirements
Required
Desired
BENEFITS:
At SILAC Insurance Company, our core values are not just a requirement, they are a standard by which
we live. These values are incorporated every day, whether we are discussing ideas for new projects and
procedures, finding a resolution for a customer's problem, or recruiting new talent. It is just one of the
many things that make SILAC Insurance Company a Top Workplace.
We celebrate a diverse and inclusive work environment, where we honor and support varying
backgrounds, beliefs, and perspectives for the benefit of our business, including our employees and
products. We are proud to be an equal-opportunity workplace and strive to be a place where every
employee feels they belong. We are committed to equal employment opportunity regardless of race,
color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status,
disability, gender identity, or Veteran status. If you have a disability or special need that requires
accommodation, please let us know.
