IME Workers Compensation Customer Service Representative

Dane Street is a fast-paced, Inc. 500 Company specializing in processing insurance claims. They are seeking a Customer Service Representative responsible for managing new case intake, facilitating case assignments, and ensuring client satisfaction through effective communication and oversight of cases.

Responsibilities:

• Intake new cases and review/verify information and requests. Draft cases by entering information into the Dane Street system, AccessDS
• Work with client on any information missing pertinent to processing claim
• Sort, organize and create medical document listing - if required by client, and in line with specific special handling
• Assign/schedule new cases to physicians for review with the appropriate physician, based on location, reviewer availability, specific guidelines, jurisdictional requirements and other client requirements
• Ensure that the assigned physician has no conflict of interest with the case assignment
• Monitor, process and track cases to ensure we meet deadlines
• Update clients frequently on cases in progress
• May communicate when there are questions on referral information to ensure proper documentation and information is provided to the assigned reviewer
• Ensure proper documentation for specified cases is provided to the client
• Other duties & special projects, as assigned and based on business needs

Requirements:

• An Associate's Degree
• Business experience in a healthcare and/or insurance setting
• Exceptional communication skills
• Ability to apply critical thinking
• Ability to manage time efficiently
• Ability to meet specific deadlines
• Computer literacy
• Typing skills
• Supply and support their own internet services
• Maintaining an uninterrupted internet connection