Disability Customer Service Representative

The Customer Service Representative is responsible for receipt of new cases and ensuring proper system drafting and setup. The CSR also is responsible for taking direction and facilitating the case assignment/scheduling process.

MAJOR DUTIES & RESPONSIBILITIES

Handling Receipt of New Cases:

Intake new cases and review/verify information and requests. Draft cases by entering information into the Dane Street system, AccessDS.

Work with the client on any information missing pertinent to processing the claim.

Sort, organize and create a medical document listing - if required by the client, and in line with specific special handling.

Oversight of Cases:

Monitor, process and track cases to ensure we meet deadlines.

Assignment of Cases:

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 assignments

Client Interaction:

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.

Requirements

• COMMUNICATION: Indicate applicable type of communication
• ✓ External
• ✓ Internal
• EDUCATION/CREDENTIALS: An Associate’s Degree preferred.
• JOB RELEVANT EXPERIENCE: Business experience in a healthcare and/or insurance setting is preferred.
• JOB RELATED SKILLS/COMPETENCIES: Good communication skills with a clear understanding of company business lines. The ability to apply critical thinking, manage time efficiently and meet specific deadlines. Computer literacy and typing skills are essential.
• WORKING CONDITIONS/PHYSICAL DEMANDS: Any lifting, bending, traveling, etc. required to do the job duties listed above. Long periods of sitting and computer work.
• Beginning compensation will depend on several factors including the candidate's experience, education, and specific skills. In addition to the base salary, we offer a comprehensive benefits package including health insurance, retirement plans, and performance bonuses.

Our Commitment:

We are committed to providing fair and competitive compensation that reflects each employee's contributions and performance. We value diversity and strive to create an inclusive environment for all employees.

ABOUT DANE STREET:

A fast-paced, Inc. 500 Company with a high-performance culture, is seeking insightful forward-thinking professionals. We process over 200,000 insurance claims annually for leading national and regional Workers’ Compensation, Disability, Auto, and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers, and Pharmacy Benefit Managers.

We provide customized Independent Medical Exams and Peer Review programs that assist our clients in reaching the appropriate medical determination as part of the claims management process.