Care Specialist

About SILAC SILAC Insurance Company is one of the fastest-growing insurance companies in the nation and continues to be a top contender in the industry. SILAC offers industry-leading annuity products that help individuals prepare for retirement. Teams can align around a shared vision of providing clean, simple & competitive products for clients, delivering best-in-class service to agents & business partners, and propelling the success of our employees. With a fast-growing team of more than 300 employees, we are committed to remaining adaptable, innovative, and trustworthy for our clients, agents, and employees. We hold true to our core values: Adaptability & Continuous Improvement Transparency & Trust, Honesty & Integrity Teamwork & Collaboration Gratitude & Compassion At SILAC Insurance Company, we welcome and encourage diversity and are dedicated to creating an environment and culture that is respectful and inclusive for everyone. Care Specialist Department Overview: Provide personalized service and product knowledge through correspondence to and from Long-Term Care customers, servicing agents, and business partners. Provide written and verbal responses to customer inquiries and policyowner administration requests originating from multiple channels such as telephone calls, correspondence, and e-mail. Promotes the value of Long-Term Care products and represents the company's mission and values. Deliver customer assistance in a friendly, personalized way that builds trustworthy, long lasting customer relationships. Job Overview: Determine claims eligibility and manage cost effective care planning for Long Term Care (LTC) policyowners. Coordinate with other LTC Department staff to provide personalized customer service, by accurately administering LTC claims and clearly communicating policy language. Job Details Starting Pay Rate : $21.75 Full Time or Part Time : Full Time Standard Hours Per Week : Monday - Friday, 40 hours/week Work Schedule: Shift starts between 6:00 AM and 9:00 AM MT Schedule Type: In-Office Eligibility Review - Conduct review of all relevant documents (care plans, assessments, medical records, etc.) to determine eligibility for benefits. Conduct reassessments as needed to determine continued eligibility. Processes, Procedures, and Guidelines - Contribute to the improvement of written processes, procedures, and guidelines for care coordination, ensuring consistency with other LTC Department functioning. This includes initiating improvement in efficiency using better methods and automated systems. Communication - Communicate and explain care planning to customers, care providers, agents, and SILAC staff, by showing consistency with evidence from provider records and functional assessments. Coordinate and communicate with other SILAC leadership, medical consultants, auditors, and other industry professionals. Other Administrative Functions - Assist as requested with tasks and projects such as claim appeals, legal disputes, and revision of forms and documents. Report to and perform other work or projects as directed by the L&H Eligibility Manager. Job Requirements Required High school diploma, GED, or any combination of education, professional training, or work experience that demonstrates ability to do the job. Ability to accurately assess policyowner needs and create individualized care plans. Experience in communicating professionally, patiently, and clearly in speech and in writing. Ability to research and logically consider details from many sources, and to bring them together to support a conclusion. Experience using PC applications such as MS Word, Excel, Teams, and Outlook. Detail-oriented with the ability to complete tasks with accuracy and in a timely manner. Demonstrated ability to work independently while managing workload and meeting time-sensitive deadlines. Desired Geriatric client experience. Long Term Care, disability, or other insurance claims experience. Insurance experience in cost containment. Knowledge of state regulations and requirements, Anti-Money Laundering procedures and identifying potential fraud or elderly abuse situations. BENEFITS: Medical Plans, including FSA and HSA Dental and Vision 401(k) (Roth and Traditional) Pet Insurance Parental Leave Paid Time and Sick Time off 10 Paid Holidays and 1 Birthday Pay Paid Volunteer Time College Tuition Reimbursement At SILAC, 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 a special need that requires accommodation, please let us know. #J-18808-Ljbffr