illumifin Benefits Overview

Evaluate and render eligibility decisions for long-term care and chronic illness claims per policy and client guidelines. Communicate with claimants, providers, and teams; verify provider licensure and services; document claim activity; create plans of care and complete chronic illness certifications while meeting quality, production, and compliance standards.

Conduct scripted virtual interviews with long-term care insurance applicants to collect accurate health, history, and lifestyle information; enter data into systems; submit documentation to Underwriting/Claims; meet quality and production targets; and follow compliance requirements.

Conduct scripted telephonic interviews with long-term care insurance applicants, accurately document medical and lifestyle history for underwriting, meet productivity (85%) and quality (96%) targets, and complete interviews per department guidelines in a professional, distraction-free environment.