Workers Comp Customer Service Representative

This is a fully remote position, open to applicants in New York.

📋 Description

• Receive and assess new cases, verifying all information and requests.

• Prepare cases by inputting data into the Dane Street AccessDS system.

• Collaborate with clients to gather any necessary missing information for claims processing.

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

• Allocate and schedule cases to suitable physicians based on location, availability, guidelines, jurisdictional needs, and client specifications.

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

• Oversee, manage, and monitor cases to adhere to deadlines.

• Regularly update clients regarding the status of ongoing cases.

• Address inquiries related to referral documentation to guarantee accurate records are provided to assigned reviewers.

• Confirm that proper documentation for designated cases is delivered to clients.

• Execute additional responsibilities and special projects as assigned according to business requirements.

⛳️ Requirements

• Preferred Associate’s Degree.

• Experience in a business environment within healthcare and/or insurance is preferred.

• Outstanding communication abilities.

• Clear understanding of the company’s business lines.

• Strong critical thinking skills.

• Capacity to efficiently manage time and meet established deadlines.

• Proficient in computer usage.

• Competent typing skills.

• Must provide and maintain personal internet services.

• Ensure a stable internet connection for remote work.

🏝️ Benefits

• Medical, dental, and vision insurance for employees and their families.

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

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

• Complimentary basic life insurance.

• No-cost short-term disability coverage.

• No-cost long-term disability coverage.

• Paid time off.

• 401(k) plan with company match.

• Apple equipment provided for remote working environments.

• Media stipend for a remote workspace.

• Flexible remote work arrangement.