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Workers' Comp Adjustor

3 months ago

Jefferson City, United States Coventry WCS Full time

Company Overview

The Enlyte Family of Businesses

Mitchell | Genex | Coventry

Enlyte is the parent brand of Mitchell, Genex and Coventry, an organization unlike any other in the Property & Casualty industry, bringing together three great businesses with a shared vision of using technology innovation, clinical services and network solutions to help our customers and the people they serve. Our suite of products and services enable our employees to help people recover from challenging life events, while providing opportunities for meaningful impact and career growth.

Job Description

  • Delivers specific delegated Customer Service tasks assigned by a supervisor.
  • Receives requests by email, telephone or via a CRM.
  • Documents issues within the CRM using specific guidelines.
  • Runs reports and analyzes them to ensure issues are prioritized and resolved based on service
    level agreements.
  • Researches multiple system applications to identify root cause of issue which can be complex in nature.
  • Works to resolve issue within own unit or outside unit.
  • May require outreach to other internal resources or external resources outside of the company.
  • Responds to inquiries from clients, providers and/or other internal or external partners.
  • Determines most effective response.
  • Position typically requires excellent interpersonal skills, ability to understand and interpret multiple systems setup and output and be able to clearly and concisely explain the resolution to a complex issue and policy provisions.
  • Independently responds to inquiries, grievances, or complaints of moderate to substantial complexity.
  • Completes day-to-day tasks without immediate supervision but has ready access to advice from more experienced team members.
  • Tasks involve a degree of forward planning and anticipation of needs/issues.
  • Resolves non-routine issues escalated from more junior team members.
Qualifications
  • High School diploma or equivlant.
  • Experience in a fast-paced, production environment.
  • Customer Service experiences in a transaction based environment such as a call center or retail location preferred, demonstrating ability to be empathetic and compassionate.
  • Demonstrated ability to handle multiple assignments competently, accurately and efficiently.
  • Ability to write clearly and effectively when communicating with all parties.

Benefits

We're committed to supporting your ultimate well-being through our total compensation package offerings that support your health, wealth and self. These offerings include Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts, Life and AD&D Insurance, 401(k), Tuition Reimbursement, and an array of resources that encourage a lifetime of healthier living. Benefits eligibility may differ depending on full-time or part-time status. Compensation depends on the applicable US geographic market. The expected base pay for this position ranges from $18-20 hourly and will be based on a number of additional factors including skills, experience, and education. The Company is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability. Don't meet every single requirement? Studies have shown that women and underrepresented minorities are less likely to apply to jobs unless they meet every single qualification. We are dedicated to building a diverse, inclusive, and authentic workplace, so if you're excited about this role but your past experience doesn't align perfectly with every qualification in the job description, we encourage you to apply anyway. You may be just the right candidate for this or other roles. #LI-AP1 #COV