Claims - Examiner, Claims
Wellcove CHCS Services
Remote, Worldwide
Who We Are 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.
Job Summary Manage and handle all Outbound calls and adjudicate claims.
Duties/Responsibilities:
Adjudicating HP/AD claims
Handling all Outbound calls
Should be able to prioritize work and adjudicate claims as per turnaround time
Job involves working independently on researching, reviewing, summarizing, and recommending a course of action on claims where an appeal or a grievance has been filed for a denied / under payment
Should have strong English comprehension, mathematics & medical science knowledge to comprehend medical...
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