Who we are:
Wellcove, CHCS Services is a company positioned for growth and excellence. The marketplace may not be exciting, so we aim to shake things up. We are looking at acquiring more companies and have already begun to invest more in technologies and tools for our associates and customers.
Our story
We’ve been in business for over 30 years. We are a global company with delivery centers in the USA and INDIA. CHCS is an award-winning third-party insurance administrator (TPA) for senior health products. We are in the business of providing state-of-the-art administrative support services and customized care solutions to manage policies and claims. CHCS Supports some of the largest senior market insurance companies in the world. Processing hundreds of thousands of claims every year.
About you:
Are you looking for an opportunity to contribute solidly to a growing company's success by applying your tremendous organizational and analytical skills?
The ideal candidate for this role should possess a strong work ethic, excellent communication skills, critical thinking abilities, and be able to work in a fast-paced environment. You are able to work independently on set goals and complete work deadlines. A person who understands the responsibilities of working from home and is comfortable with speaking with customers on the phone. The ideal candidate is viewed as a team player and can easily be spoken of as a collaborator in past positions.
Job Summary
As a Third-Party Administrator, CHCS Services Inc. manages eight (8) Health and Life lines of business in the Claim Department: Medicare Supplement/Select; Hospital/Indemnity; Cancer/Critical Illness; Major Medical; Life/Annuities; Long-term Term Care; Dental; Disability.
This position is responsible for reviewing and adjudicating most levels of claims in accordance with policy, company, state, and federal guidelines for Medicare Supplement Insurance.
Supervisory Responsibilities:
This job has no supervisory responsibilities.
Duties/Responsibilities:
Required Skills/Abilities:
Standard Company Requirements:
Education and Experience:
One to Two years certificate/degree from college or technical school; or 1-3 years related experience and/or training; or equivalent combination of education and experience.
Physical Requirements:
The physical demands described here are representative of those that an employee must meet to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform these functions.
While performing the duties of this job, the employee is regularly required to sit. The employee frequently uses hands to finger, handle, or feel. The employee is occasionally required to reach with hands and arms and talk or hear. The employee must regularly lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.
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