Job Description
📋 Description Senior LTC claims expert, client-facing, overseeing strategic initiatives, reviews, audits, and Advise clients on claim adjudication, medical impairment, and industry best practices. Lead complex, high-value claims with advanced clinical, contractual, legal, or administrative Assess risks, fraud indicators, liability concerns, and provide leadership with actionable Lead external audits, prepare reports, and follow up on findings; develop client training resources. Build strong client relationships and analyze claim trends to drive improvements. 🎯 Requirements Bachelor’s degree in a relevant field 8+ years of LTC claim adjudication experience Experience managing client-facing responsibilities and presenting recommendations Experience leading external claim audits and audit reporting Strong knowledge of direct LTC claims operations and management practices Excellent communication and problem-solving abilities 🎁 Benefits Fully remote position within the United States Competitive base salary $125,000 to $140,000; annual bonus opportunities Medical, dental, and vision insurance; prescription drug coverage Life, disability, and supplemental insurance options 401(k) with up to 6% employer match Paid time off, wellness programs, family care leave, tuition assistance
