[Hiring] Disability Customer Service Representative @Dane Street, LLC

Role Description

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.

Qualifications

• An Associate’s Degree preferred.

Requirements

• Business experience in a healthcare and/or insurance setting is preferred.
• 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.

Benefits

• Comprehensive benefits package including health insurance, retirement plans, and performance bonuses.
• Medical, dental, and vision coverage for you and your family.
• Voluntary life insurance options for you, your spouse, and your children.
• Other voluntary benefits including hospital indemnity, critical illness, accident indemnity, and pet insurance plans.
• Basic life insurance, short-term disability, and long-term disability coverage at no cost.
• Generous paid time off policy.
• 401k plan with a company match.
• Apple equipment and a media stipend for remote workspace.