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LTC Analyst

Date: Jan 10, 2019

Location: Franklin, WI, 53132

At Northwestern Mutual, we believe relationships are built on trust. That our lives and our work matter. These beliefs launched our company nearly 160 years ago. Today, they're just a few of the reasons why people choose to build careers at Northwestern Mutual.

We're strong and growing. In a company with such a long and storied history, this may be the most exciting and important time to be a part of Northwestern Mutual. We're strong, innovative and growing.

We invest in our people. We provide opportunities for employees to grow themselves, their career and in turn, our business.

We care.  We make a positive difference in our communities. Nationally, thousands have benefitted from our support of research and programs to fight childhood cancer. Each year, our Foundation, employees and financial representatives donate time, talent and financial support to causes they're passionate about.

 

We are an equal opportunity/affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender identity or expression, sexual orientation, national origin, disability, age or status as a protected veteran, or any other characteristic protected by law.

 

What's the role?

As Long-term Care Analyst, reporting to the manager of the Disability Benefits Division, you will: administer a caseload consisting of both newly-requested and active Long-term care claims, investigating and analyzing to evaluate eligibility for benefit payments, making claim decisions (based on pertinent financial, medical, legal, and claim information) that are consistent with established policies and guidelines. Additionally, as part of the claim handling process, you may be called upon to represent the company in legal matters through preparation for and participation in depositions and trials. This role calls for superior written/verbal skills to facilitate effective communication with policy owners, family members, attorneys, financial reps, medical practitioners, care facilities, other insurance companies, employers, governmental agencies, and divisional resources, and others. Attention to detail is essential for documenting case information and referrals.
 
Hours:  8:30 am - 5:00 pm

 

 

Bring Your Best! What this role needs:

  • Requires advanced specialized knowledge equivalent to an Associate Degree in applied science or business or two years of advanced college courses in communications, insurance or psychology.
  • Requires 2 to 2 1/2 years of work experience in the area of disability, health care or long-term care and relevant work experience demonstrating analytical ability, independent decision-making and sound judgement in the application of guidelines.
  • Knowledge of medical terminology, as well as experience with insurance contract and field servicing required.
  • Communication experience involving negotiation and conflict resolution with a wide variety of customers to include attorneys, insurances and/or family members, and POAs requried.
  • Superior skills in communicating, applying judgement and analyzing complex information.
  • High degree of self-motivation with proven initiative in accepting responsibility for work results and in contributing cooperatively to group goals.
  • Strong organizational skills, with the demonstrated ability to independently set priorities and to meet deadlines.
  • Ability to maintain strict confidentiality.

 

Req ID: 24469
Position Type: Regular Full Time
Education Experience: Associates Required
Employment Experience: 3-5 years
Licenses/Certifications: Not Applicable
FLSA Status: Non-Exempt
Posting Date: 01/10/2019