POSITION

Associate LTC Claims Specialist

LOCATION

This position is available to Virginia residents as Richmond or Lynchburg, Virginia in-office applicants or remote applicants residing in states/locations under Eastern or Central Standard Time: Alabama, Arkansas, Connecticut, Delaware, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Nebraska, New Hampshire, New Jersey, New York, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Virginia, Washington DC, Vermont, West Virginia or Wisconsin.

YOUR ROLE

This is an opportunity to support both our business needs and customer centric culture by utilizing investigative, critical-thinking and communication skills. The Associate Long Term Care (LTC) Claims Specialist will make sound and accurate Eligibility determinations based on a thorough review of information from various sources, including, but not limited to, a Policyholder’s contract and clinical assessment(s), or seek additional information as needed to properly assess risk and resolve discrepancies.

WHAT YOU WILL BE DOING

• Obtain and evaluate information required to accurately, timely and objectively adjudicate Initial and/or Ongoing LTC Eligibility claims

• Carry out a planned, comprehensive and detail-driven analysis of all information available in order to confirm eligibility for benefits

• Proactively request additional information as needed from policyholders, family members or care providers to solve for any inconsistencies

• Conduct caring customer outreach to discuss findings or to explain policy requirements

• Identify cases that require a higher level of review, or would benefit from further consultation, such as those with threshold cognitive or functional impairment

• Work within a structured environment with established Standard Operating Procedures to ensure consistency of claims practices

• Through a focus on communication, teamwork and collaboration, partner with other teams or departments to achieve common goals and support continuous improvement initiatives

• You will be expected to have consistent, reliable and predictable attendance to support the needs of the business

WHAT YOU BRING / MUST HAVE

• At least 2 years claims adjudication, paralegal or equivalent experience

• Ability to work an 8-hour day of scheduled hours beginning no later than 9:00 am EST and ending no earlier than 3:30 pm EST. This is subject to change in the future should the business needs change.

• Ability to understand and interpret contract language, complex insurance laws or state legislative laws and privacy rules

• Understanding of single and cumulative medical conditions or disease processes, including their prognosis, rehabilitative potential, and effect on physical or cognitive function

• Excellent written and verbal communication skills, including proficiencies in documenting and presenting, in order to provide top quality external customer service and effectively collaborate with other internal business areas

• Exceptional time management and organizational skills to adapt to change and successfully manage a challenging workload and competing priorities.

• Proven competency in critical thinking, problem solving and conflict resolution

• Possesses a strong interest in learning new tasks and taking initiative to support and assist others, which may include mentoring, shadowing, group adjudication support, etc.

• Professional and positive mindset with an ability to work both independently and be an effective team player

• Proficient knowledge of system applications (Microsoft Office applications - e.g., letter writing, spreadsheets, etc.)

• Ability to toggle between multiple monitors for optimal and efficient productivity

NICE TO HAVE

• Experience with adjudication of initial/ongoing eligibility review of long term care claims and/or workers’ compensation, auto/liability claims
• Familiar with multiple LTC product lines including Genworth reimbursement and indemnity, Brighthouse, RiverSource reimbursement and indemnity
• Proficient knowledge of claims and workflow systems

WHAT WE OFFER

• We have a real impact on the lives of the people we serve

• We work on challenging and rewarding projects

• We give back to the communities where we live

• We offer competitive benefits including:

  • Medical, Dental, Vision, Flexible Spending Account options beginning your first day

  • Generous Choice Time Off your first full year

  • 12 Paid Holidays

  • 40 hours of volunteer time off

  • 401K Account with matching contributions

  • Tuition Reimbursement and Student Loan Repayment

  • Paid Family Leave

  • Child Care Subsidy Program

ABOUT US

Genworth Financial, Inc. (NYSE: GNW) is a Fortune 500 provider of products, services and solutions that help families address the financial challenges of aging. Headquartered in Richmond, Virginia, we apply our nearly 150 years of experience each day to helping people navigate caregiving options and fund their long-term care needs. Genworth is also the parent company of publicly traded Enact Holdings, Inc. (Nasdaq: ACT), a leading U.S. mortgage insurance provider. For more information on Genworth, please visit https://www.genworth.com/. From time to time Enact separately releases financial and other information about its operations. This information can be found at https://ir.enactmi.com/.

The mission of Genworth’s US Life business is to efficiently keep our promises to our customers and their families and to lead the industry forward to solve the nation’s long term care crisis.

We know we can’t deliver on our mission unless we deliver for our employees. That’s why we’re committed to creating a work environment that fosters diversity, inclusion, camaraderie, rewarding work, community involvement, and a focus on our employees’ well-being. We know each employee contributes in their own unique way and we’re dedicated to supporting every one of them to help them reach their full potential.