Customer Service Representative
1 day ago
We are seeking a highly skilled Customer Service Representative to join our team at our corporate office in Tempe, AZ.
Key Responsibilities:
- Triage incoming calls regarding new and existing workers' compensation claims.
- Intake new claims and act as liaison between employee and Third-Party Administrator (TPA).
- Refer injured workers to treatment facilities and arrange for transportation when needed.
- Assist with facilitating post-accident drug testing.
- Assist adjuster in investigation of claims by gathering and forwarding information needed to analyze liability and root cause of accident.
- Enter claim data into various claims management systems.
- Answer incoming calls from clients, contractors, field office representatives, claims adjusters, attorneys, and physicians.
- Places outgoing phone calls to claimants, clients, field office representatives, claims adjusters, attorneys, and physicians to follow up on incidents.
- Review and verify Injury Reporting forms prior to submission to ensure that accurate information regarding the claim has been provided. Obtain additional information or clarification when needed.
- Collect and submit required paperwork to TPA.
- Assist with return-to-work process.
- Send Acknowledgment letters and post-incident paperwork to various.
- Make effective and appropriate decisions.
- Interpret and effectively communicate policies and procedures, including read, understand, and apply complex materials. Use proper grammar, spelling, and punctuation in all communications.
- Prepare clear and concise documentation in written and oral communications.
- Comfortable with working in a team environment.
- Perform clerical tasks and projects as assigned.
Requirements:
- High School Diploma required.
- Minimum one (1) year customer service experience required.
- Prior insurance experience in claims and/or call center experience preferred.
- Experience performing highly, independent, complex clerical work involving extensive record keeping.
- Ability to operate a computer keyboard with accuracy and speed.
- Experience with using multiple software and platforms.
- Ability to work under stringent deadlines to include prioritizing work in a high-volume multi-task environment with numerous interruptions.
- Deal effectively and professionally with adverse and difficult situations.
- Establish and maintain effective partnerships both internally and externally.
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