Excellus Health Plan Inc.
Rochester, NY
Job Description: Summary: This role will require coming into the Rochester office. The LTC Benefits Planner (Personal Care Advisor) has the responsibility of evaluating and managing those Insureds that are accessing their benefits based on their need for long-term care services. This includes ongoing evaluation of the Insured's eligibility for benefits, appropriateness of the plan of care, coordination of other insurance policies/providers, documentation and communication with Insured, Insured's family, care providers, and monitoring of claim submission and processing. All work is directed under the terms and conditions of the various individual insurance contracts. Essential Accountabilities: Level I Operates as a case advisor for Insureds accessing benefits under their LTC policy as key contact and advocate for Insured and their family. Independently manages a caseload of Insureds in accordance with time-service standards required by the Company. Evaluates...