Current jobs related to LTC Adjudication Specialist - Manchester, New Hampshire - Genworth Financial

As a key member of the Genworth Financial team, you will play a crucial role in delivering exceptional customer service and capabilities to our policyholders. As a LTC Adjudication Specialist, you will be responsible for the final determination of complex adjudication decisions that impact the management of claims risk across our product portfolio.

• Partner with Long Term Care claims associates as the subject matter expert in adjudication, handling escalation and resolution of risk decisions and complex claim problems.
• Review and finalize complex adjudication decisions that have a positive impact on the management of claims risk across our product portfolio.
• Participate in developing policies and practices, as well as providing ongoing training to ensure compliance and excellence.
• Assist in the development, documentation, and maintenance of Claims Standard Operating Procedures.
• Research, analyze, and communicate changes to Federal/State laws and regulations governing long-term care insurance and long-term care providers.

• A high school diploma or military experience.
• Ability to interpret, understand, and apply LTC policy language; ability to research, analyze, and interpret complex state laws and supporting regulations.
• Knowledge of long-term care insurance and the Medicare and Medicaid systems; knowledge of geriatric healthcare, including long-term care, anatomy, symptomology, and physiology.
• Ability to lead and/or participate in multiple projects from conceptualization through post-implementation, providing support to other business units with competing priorities.
• Superior written communication, facilitation, and presentation skills.
• Ability to work effectively in a team environment with a high degree of subjectivity and change.
• Superior customer service skills, demonstrating diplomacy, clarity, and influence in working with other areas of the business, vendors, policyholders, and sales force.
• Integration and accurate interpretation of risk management protocol in all decisions.
• Proven problem-solving and business analysis skills.
• Team-oriented and flexible to change, particularly in an ongoing change environment.
• Ability to interact effectively with all associate levels, maintaining professionalism.
• Good working knowledge of systems applications and analytical tools.

• Unique knowledge and skills typically acquired by experienced disability and/or worker compensation claims examiners specializing in LTC, LTD, or ID claims, and/or 4-5 years of experience in an allied health profession, insurance industry, or legal background.
• Bachelor's degree or equivalent experience.

Genworth Financial is committed to making a difference in our employees' lives. We offer a comprehensive benefits package, including:

• Competitive compensation and total rewards incentives.
• Comprehensive healthcare coverage.
• Multiple 401(k) savings plan options.
• Auto enrollment in employer-directed retirement account feature.
• Generous paid time off, including 12 paid holidays, volunteer time off, and paid family leave.
• Disability, life, and long-term care insurance.
• Tuition reimbursement, student loan repayment, and training and certification support.
• Wellness support, including gym membership reimbursement and employee assistance program resources.
• Caregiver and mental health support services.