Claims Care Advocate I

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🔥 12 minutes ago

🏰 Missouri – Remote

🏰 Missouri – Remote

⏰ Full Time

🟢 Junior

✨ Care Advocate

🚫👨‍🎓 No degree required

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Dayforce

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

👥 HR Tech

☁️ SaaS

🏢 Enterprise

💰 $1G Post-IPO Debt - Dayforce on 2024-03

HR Tech • SaaS • Enterprise

Dayforce is a cloud-based human capital management (HCM) platform that provides payroll, workforce management, HR, benefits administration, talent management, and scheduling tools for employers. Delivered as a Software-as-a-Service solution (originally developed by Ceridian), Dayforce is used by mid-market and enterprise customers to unify HR processes, time and attendance, and payroll in a single system.

📋 Description

• Provide comprehensive administrative and workflow support across Claims Operations, Subrogation, Litigation Technical Services, and Nurse Case Management. • Serve as a primary point of contact for internal and external inquiries, delivering timely, accurate, and professional responses via phone, email, fax, chat, and web portals. • Manage and process requests for claim-related documentation, including wage statements, earnings affidavits, medical records, offer letters, rating requests, and records requests through third-party vendors. • Index, process, and maintain claim files to ensure all required information is accurately captured for efficient claims review and regulatory compliance. • Support claim intake activities by gathering necessary information, identifying initial compensability considerations, and documenting claims in accordance with established procedures. • Coordinate and process time-sensitive external requests, including Division of Workers’ Compensation forms, OSHA reports, police reports, conservation records, death certificates, and driver’s license suspensions. • Prepare and distribute claim files to attorneys, subrogation adjusters, and other partners as needed. • Manage activities within ClaimCenter queues and ImageRight to ensure timely document handling and task completion. • Coordinate logistics for injured workers and claims staff, including IME scheduling, follow-up appointments, transportation arrangements, and hotel reservations. • Partner with external vendors such as CorVel, OneCall, Metro Reporting, and HomeLink to support claims operations. • Manage certified mailings and collections-related activities, including monthly expense reconciliation. • Promote MEM Insurance services to policyholders, producers, medical providers, injured workers, and attorneys when appropriate. • Act in accordance with MEM Insurance’s vision, mission, and values in all interactions and work activities.

🎯 Requirements

• High school diploma or equivalent required • Bachelor’s degree preferred • Valid driver’s license required • One or more years of experience in a professional office environment • Prior exposure to Workers’ Compensation or a similar industry is preferred

🏖️ Benefits

• Health Plans: Medical, Dental, and Vision • Annual Performance Based Bonus • Employer-Paid Life and Disability Benefits: Life Insurance (3x base salary), AD&D, Short and Long-term Disability. • Wellness and Recognition Program: Employer-paid incentives for employees and spouses. • Flexible Spending Account and Dependent Care options • Health Savings Account: Generous employer contribution. • Time Away from Work: Generous PTO, 11 Holidays + 4 Early Releases, 16 Hours Volunteer Time Off, 20 Days Paid Parental Leave, Marriage, Bereavement, and Jury Duty leave. • Employee Assistance Programs • 401k Retirement Plan: Employer match and profit sharing. • Adoption Assistance and Tuition Assistance