Disability Customer Service Representative

🔥 4 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

💝 Customer Support

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Logo of Dane Street

Dane Street

51 - 200 employees

🏥 Healthcare

💼 Consulting

⚖️ Legal

Healthcare • Consulting • Legal

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 and verify information and requests • Draft cases by entering information into the Dane Street AccessDS system • Work with clients to obtain missing information needed to process claims • Sort, organize, and create medical document listings when required • Monitor, process, and track cases to meet deadlines • Assign and schedule new cases to appropriate physicians based on location, availability, guidelines, jurisdictional requirements, and client requirements • Ensure assigned physicians have no conflicts of interest with case assignments • Frequently update clients on cases in progress • Communicate about referral information questions to ensure proper documentation is provided to assigned reviewers • Ensure required documentation is provided to clients • Process customized Independent Medical Exams and Peer Review programs supporting claims management decisions

🎯 Requirements

• Associate’s Degree preferred • Business experience in a healthcare and/or insurance setting preferred • Good communication skills • Clear understanding of company business lines • Ability to apply critical thinking • Ability to manage time efficiently and meet specific deadlines • Computer literacy • Typing skills • Ability to handle long periods of sitting and computer work • Ability to communicate internally and externally

🏖️ Benefits

• Medical, dental, and vision coverage for employees and their families • Voluntary life insurance for employees, spouses, and children • Voluntary hospital indemnity, critical illness, accident indemnity, and pet insurance plans • Basic life insurance at no cost • Short-term disability coverage at no cost • Long-term disability coverage at no cost • Generous paid time off • 401k plan with a company match • Apple equipment for remote workspace • Media stipend for remote workspace • Performance bonuses • Comprehensive benefits package • Remote work arrangement

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