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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.

The Program Manager leads strategic insurance programs, ensuring on-time delivery, budget adherence, stakeholder alignment, and effective communication, while mentoring junior team members.

The POS Account Analyst processes policy owner services, handles inbound calls, assists with claims, and manages financial transactions. They also communicate with clients and team members while providing training support.

The Business Analyst Lead elicits requirements, improves processes, mentors analysts, leads projects, and drives solutions while managing complex tasks and coordinating activities across multiple platforms.