Workers Compensation Customer Service Representative

🕒 May 26

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Dane Street

WebsiteLinkedInAll Job Openings

51 - 200 employees

⚕️ Healthcare Insurance

📋 Compliance

🏛️ Government

Healthcare Insurance • Compliance • Government

Dane Street is a national leader in Independent Medical Exams and Reviews, providing objective, compliant, and timely Independent Medical Examinations, Peer Reviews, and other medical reports. With a large network of over 16,000 physicians, the company offers its services across 25,000 locations and 100 specialties, including Workers' Compensation, Auto, Liability, and Disability claims. Dane Street supports Insurance Carriers, Third Party Administrators, Managed Care Organizations, and Federal/State entities with expert medical analyses, helping them make accurate determinations. The company is recognized for its quality, fast turnaround times, and efficient processes, earning accolades like the NCQA Accreditation in Utilization Management and the Great Place to Work certification.

📋 Description

• 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. • Assign/schedule new cases to physicians for review based on guidelines. • Ensure that the assigned physician has no conflict of interest. • Monitor, process and track cases to ensure we meet deadlines. • Update clients frequently on cases in progress. • Ensure proper documentation for specified cases is provided to the client.

🎯 Requirements

• An Associate’s Degree is preferred. • Business experience in a healthcare and/or insurance setting is preferred. • Present exceptional 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

• medical, dental, and vision coverage for you and your family. • voluntary life insurance options for you, your spouse, and your children. • other voluntary benefits which include 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.