[Remote] Active LTC Benefits Spec at Northwestern Mutual

Wisconsin, United States

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Not SpecifiedCompensation

N/AExperience Level

N/AJob Type

Not SpecifiedVisa

N/AIndustries

Requirements

Bachelor's degree or equivalent combination of education and work experience
Healthcare background desirable
Experience with Long Term Care or insurance claims desirable
Strong written and verbal communication skills
Strong technology skills
Demonstrated initiative and strong support of team results
High degree of analytical skills, personal organization, and time management
Strong client focus and customer service skills
Ability to deal with ambiguity and maintain a positive outlook in the face of change
Ability to identify process improvement opportunities

Responsibilities

Analyzes eligibility for and approves or denies the payment of active long-term care claims
Assists in determining provider eligibility as it relates to individual insureds' plan of care
Determines applicability of benefits claimed by interpreting state and contract variations
Responds to questions from incoming insureds or representatives regarding requests for information needed for ongoing long term claim administration
Communicates with Insureds and their representatives, Field Force, medical practitioners and related service providers, attorneys, other insurance companies, and divisional resources
Preserves Northwestern Long Term Care's image and reputation in the approval or denial of benefits
May be called upon for project and committee work as a Subject Matter Expert (SME)
Updates standard work as requested
Supports co-workers to meet the goals of the team and division
Manages a queue of incoming phone calls, including direct client interactions a minimum of 16 hours per week

Northwestern Mutual

Provides financial security services, and wealth management

About Northwestern Mutual

Northwestern Mutual offers personalized financial planning, life insurance, and investment services, leveraging leading-edge technology to manage over $125 billion in client assets for more than 4.5 million clients.

Milwaukee, WisconsinHeadquarters

1856Year Founded

N/ACompany Stage

Consulting, Fintech, Financial ServicesIndustries

10,001+Employees

Benefits

Growing your Career

Compensation & Time Off

Insurance plans

Health Savings Account

Wellness programs & resources

401(k) plan and cash balance contributions

Risks

Fintech platforms like Carefull challenge traditional financial advisory services.

Internal competition may arise from Wellthi's focus on the Black community.

Customer dissatisfaction may grow due to increased retirement age expectations.

Differentiation

Northwestern Mutual maintains the highest financial strength ratings in the industry.

The company launched 'The Great Realization' campaign to refocus customer priorities.

Northwestern Mutual offers a unique Long-Term Advantage product with life insurance benefits.

Upsides

The aging population increases demand for retirement planning and long-term care solutions.

Partnerships with tech firms enhance Northwestern Mutual's data analytics capabilities.

Digital transformation in insurance leads to more personalized customer experiences.

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