Disability Customer Service Representative

This is a fully remote position, open to applicants in United States.

📋 Description

• Intake and assess new cases while verifying information and requests.

• Create case entries by inputting data into the Dane Street AccessDS system.

• Collaborate with clients to gather any missing information required for claim processing.

• Organize, categorize, and generate medical document listings as needed.

• Oversee, process, and track cases to ensure compliance with deadlines.

• Delegate and schedule new cases to suitable physicians based on their location, availability, guidelines, jurisdictional requirements, and client specifications.

• Confirm that assigned physicians do not have conflicts of interest regarding case assignments.

• Regularly update clients on the status of their cases.

• Address referral information inquiries to guarantee that proper documentation is submitted to the assigned reviewers.

• Ensure that all necessary documentation is supplied to clients.

• Manage customized Independent Medical Exams and Peer Review programs that support claims management decisions.

⛳️ Requirements

• An Associate’s Degree is preferred.

• Prior business experience in a healthcare and/or insurance environment is preferred.

• Strong communication skills are essential.

• A clear understanding of the company's business lines is required.

• Ability to apply critical thinking skills effectively.

• Competence in managing time efficiently and adhering to specific deadlines.

• Proficiency in computer usage is necessary.

• Typing skills are essential.

• Capability to endure prolonged periods of sitting and computer work.

• Ability to communicate effectively both internally and externally.

🏝️ Benefits

• Comprehensive medical, dental, and vision coverage for employees and their families.

• Voluntary life insurance options for employees, spouses, and children.

• Voluntary plans for hospital indemnity, critical illness, accident indemnity, and pet insurance.

• Basic life insurance provided at no cost.

• Short-term disability coverage at no cost.

• Long-term disability coverage at no cost.

• Generous paid time off policy.

• 401k plan with company matching contributions.

• Provision of Apple equipment for remote work setups.

• Media stipend to support remote work environments.

• Performance-based bonuses.

• A comprehensive benefits package.

• Flexible remote work arrangements.