LTC Active Specialist – Billing

Northwestern Mutual

Analyzing data for reimbursement payments associated with Long Term Care. Collaborating with clients and providers while ensuring financial claims management.

Posted 7/29/2026full-timeRemote • Wisconsin • 🇺🇸 United StatesMid-LevelSenior💰 $56,640 - $84,960 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates strong analytical and investigative skills to process and manage long-term care claims effectively. Exhibits empathy and a client-focused approach while communicating with insureds and providers to ensure accurate claims management.

Highest-signal resume keywords

Data AnalysisClaims ManagementClient CommunicationProblem SolvingEmpathy

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Quantitative AnalysisQualitative AnalysisClaims ProcessingFinancial Claims ManagementEligibility AnalysisDocumentation AccuracyContract InterpretationProcess ImprovementMathematicsActuarial Sciences

Soft Skills

Analytical SkillsInvestigative SkillsClient FocusCustomer ServiceAdaptability

Tools & Technologies

Claims System

Industry Keywords

Long Term CareInsurance ClaimsProvider EligibilityMedical Status EvaluationCognitive Status Evaluation

About the role

Key responsibilities & impact

Performs quantitative and qualitative data analysis to accurately process reimbursement payments for Long Term Care needs
Uses extensive claims knowledge in interpreting and analyzing pertinent facts to review claims data necessary for accurate financial claims management
Responds to questions from incoming Insured or representatives’ phone calls and emails regarding requests for information needed for ongoing long-term claim administration
Uses knowledge and empathy to identify, evaluate, and interpret client’s status and needs and provide proactive resolutions and recommendations to achieve desired results
Communicates both verbally and in writing with Insureds and their representatives, field force, and service providers regarding insured’s eligibility for payment and decision-making reasoning
Assist in determining provider eligibility as it relates to individual Insured’s plan of care by gathering information about Insured’s medical, function and cognitive status
Collaborates with providers of care on behalf of Insured to obtain necessary supporting documentation needed to make decisions and process payments
Captures and documents claim information accurately in the claim system; creates tasks as required; appropriately pulls work from assigned group planner
Process exceptions as they relate to the contracts by interpreting state and contract variations
Participate in team meetings, project and committee work as appropriate, including the development of process improvements
Support training of new team members, as needed
Analyzes eligibility for and approves or denies the payment of active long-term care claims.

Requirements

What you’ll need

Bachelor’s degree or equivalent in business, accounting, actuarial sciences, or mathematics
Insurance claims background preferred
Strong analytical and investigative skills
Ability to draw logical inferences, problem-solve and apply judgement from explicit and implicit information
Eager to learn new information and understand the end-to-end long term care claims process
Seeks out and is open to and obtaining constructive feedback
Able to analyze complex information and asks thoughtful questions to understand the situation
Able to pivot between different activities and alter approach based on changes in circumstances and/or information
Exhibits empathy and strong client focus and customer service skills.

Benefits

Comp & perks

Health insurance
Retirement plans
Paid time off
Flexible work arrangements
Professional development opportunities