WI3663882

1

Bachelor's Degree

Bachelors Degree

Unspecified

40

JOB REQUIREMENTS: At Northwestern Mutual, we are strong, innovative and
growing. We invest in our people. We care and make a positive
difference. Primary Duties and Responsibilities Performs quantitative
and qualitative data analysis to accurately process reimbursement
payments for Long Term Care needs. Uses extensive claims knowledge in
interpreting and analyzing pertinent facts to review claims data
necessary for accurate financial claims management. Responds to
questions from incoming Insured or representatives\' phone calls and
emails regarding requests for information needed for ongoing long-term
claim administration. Uses knowledge and empathy to identify, evaluate,
and interpret client\'s status and needs and provide proactive
resolutions and recommendations to achieve desired results. Communicates
both verbally and in writing with Insureds and their representatives,
field force, and service providers regarding insured\'s eligibility for
payment and decision-making reasoning. Assist in determining provider
eligibility as it relates to individual Insured\'s plan of care by
gathering information about Insured\'s medical, function and cognitive
status. Collaborates with providers of care on behalf of Insured to
obtain necessary supporting documentation needed to make decisions and
process payments. Captures and documents claim information accurately in
the claim system; creates tasks as required; appropriately pulls work
from assigned group planner. Process exceptions as they relate to the
contracts by interpreting state and contract variations. Participate in
team meetings, project and committee work as appropriate, including the
development of process improvements. Support training of new team
members, as needed. Analyzes eligibility for and approves or denies the
payment of active long-term care claims. Qualifications Bachelor\'s
degree or equivalent in business, accounting, actuarial sciences, or
mathematics. Insurance claims background preferred. Strong analytical
and investigative skills. Ability to draw logical inferences,
problem-solve and apply judgement from explicit and implicit
information. Eager to learn new information and understand the
end-to-end long term care claims process. Seeks out and is open to and
obtaining constructive feedback. Able to analyze complex information and
asks thoughtful questions to understand the situation. Able to pivot
between different activities and alter approach based on changes in
circumstances and/or information. Exhibits empathy and strong client
focus and customer service skills. Enjoys the satisfaction from helping
and building relationships with clients and colleagues and demonstrates
strong support of team goals. Compensation Range: Pay Range - Start:
\$47,600.00 Pay Range - End: \$88,400.00 Northwestern Mutual pays on a
geographic-specific salary\... For full info follow application link.
EEO/AA Employer/Vets/Disability \*\*\*\*\* APPLICATION INSTRUCTIONS:
Apply Online: ipc.us/t/7A6446C964194C81 Qualified females, minorities,
and special disabled veterans and other veterans are encouraged to
apply.