Intake Specialist (LVN, LPN or Social Worker)
New York Life - Austin, TX

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  • Interpret policy/contract language and understand the variances between the different NYL LTC policy forms.
  • Review, investigate and document State-specific licensure requirements.
  • Review new claims for determination of benefit eligibility.
  • Communicate with clients, families, providers in order to process new LTC claims
  • Order all necessary medical documentation in order to process a LTC claim
  • Prepare and review all outgoing daily departmental correspondence.
  • Review and document all State-specific compliance issues pertaining to claims.
  • Coordinate materials/information for NYL Actuaries and other departments as needed.
  • Respond to inquiries/correspondence from agents, insured’s, providers of service, and third-party vendors.
  • Assist Claims Manager in response preparation for State Department of Insurance inquiries or complaints.
  • Assist in training of lower-level employees as needed..
  • Performs other various duties as required. Job Location TX - Austin Department INS - LONG TERM CARE Position Type Full Time AutoReqId 7465BR Required Qualifications -Ability to meet deadlines and handle multiple tasks simultaneously working well under stress; highly proficient in interpretation and application of contract, and benefit requirements affecting claims processing; detailed knowledge of industry and medical terminology, procedures and standards; Must have a working knowledge of related departments and their functions. Requires excellent verbal and written communication skills and computer skills.

About this company
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New York Life Insurance has been providing life insurance policies in the Big Apple since it was a tiny seed. While the top mutual life...