Northwestern Mutual

Active LTC Benefits Specialist (October 2025 Start Date- 2 Roles Are Available) -Remote USA.

Wisconsin, United States

Not SpecifiedCompensation
Entry Level & New Grad, Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
Insurance, Financial ServicesIndustries

Employment Type

Full time

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.
  • Collaborates with providers of care on behalf of Insured to obtain necessary supporting documentation needed to process payments.
  • Captures and documents claim information from group planner accurately in the claim system.
  • 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 billing eligibility for approval or denial of active long-term care claims.

Qualifications

  • Bachelor's degree or equivalent combination of education and claims work experience will be considered.
  • Strong analytical and investigative skills both written and verbal.
  • Able to make sense of information, solve problems and make decisions based on both clear and hidden details.
  • Eager to learn new information and understand the end-to-end long term care claims process.
  • Seeks out and is open to obtaining constructive feedback.
  • Able to analyze complex information and ask 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: $48,580.00
  • Pay Range - End: $90,220.00

Geographic Specific Pay Structure

  • We believe in fairness and transparency. It’s why we share the salary range for most of our roles. However, final salaries are based on a number of factors, including the skills and experience of the candidate; the current market; location of the candidate; and other factors uncovered in the hiring process. The standard pay structure is listed but if you’re living in California, New York City or other eligible location, geographic specific pay structures, compensation and benefits could be applicable.

Company Culture

  • Grow your career with a best-in-class company that puts our clients' interests at the center of all we do. Get started now!
  • Northwestern Mutual is an equal opportunity employer who welcomes and encourages diversity in the workforce. We are committed to creating and maintaining an environment in which each employee can contribute creative ideas, seek challenges, assume leadership and continue to focus on meeting and exceeding business and personal objectives.

Skills

Long Term Care claims
Data analysis
Claims processing
Financial claims management
Customer service
Problem-solving
Communication
Analytical skills
Investigative skills
Process improvement
Training

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.

Land your dream remote job 3x faster with AI