The specialist will review documentation to make accurate and timely eligibility determinations for initial claims and recertifications within the Long-Term Care team. This involves communicating with internal teams and making outreach calls to gather necessary information while documenting all findings.

As a key member of our Disability Claims team, you’ll guide insurance claims from start to finish—making informed decisions that directly affect our customers’ financial well-being. Your experience in STD and LTD claims ensures timely, accurate support and builds trust in o...

The Auto Estimator collects vehicle information from repair shops or customers to complete initial and supplemental estimates using photos or in-person methods. Responsibilities include explaining coverage, estimating damage, and providing Remarkable® service throughout the claims process.

This role supports Company members, providers, and pharmacies with pharmacy benefits and prescription needs under the major medical benefit, focusing on customer service and claims processing. Core duties also involve assisting with prior authorizations, formulary exceptions, appeals, grievances, and project support.