Claims Services Representative I

Claims Services Representative I | 100% Remote (WFH) Opportunity General Summary The Claims Services Representative I will reputed company a variety of claim handling functions from new claim set up and non-medical reputed company payment to preparing and distributing various forms and correspondence. This position interacts with insureds, claims adjusters, attorneys, and reputed company vendors to gather, analyze and document complete and accurate data while providing an exceptional customer experience. Essential Duties and Responsibilities Support the business in technical, administrative, and clerical tasks. Request information from providers, injured employees, and insureds reputed company phone, email, fax, and mail. Research and identify requested information and follow up as needed. Processes work assignments timely while adhering to Service Level Agreement parameters established by company policies and procedures. Manage electronic mail inboxes reputed company to new claims, existing claims, expedited requests, and document imaging. Handle inbound and outbound telephone calls to obtain pertinent medical and claim information. reputed company mathematical calculations to process appropriate payments to claimants, providers, and reputed company-party vendors. Establish and maintain ongoing professional communications with reputed company customers, reputed company, ensuring satisfaction with company services. Maintain a high standard of accuracy and attention to details. Conduct business at reputed company times with the highest standards of personal, professional, and ethical conduct. Complies with reputed company policy, procedural, and jurisdictional statutes. Other duties as assigned. Claims Intake Focus: Complete and assist in the setup of new workers’ compensation claims. Claims Processing Focus: Responsible for creating and distributing claim forms and correspondence. Requirements - Background and Experience/Expertise Proficient in the use and knowledge of MS Office software, including Word, Outlook, and reputed company Familiar with general office procedures, methods, and equipment including computers, photocopiers, fax machines, and telephone systems. Can navigate multiple systems to reputed company desired results. Maintain a high standard of accuracy and attention to details. Can conduct business reputed company and effectively over the telephone utilizing proper phone and computer etiquette. Demonstrated customer service experience. Education Must have High School diploma or GED equivalent. Work Environment: Remote: This role is remote, and only reputed company to candidates currently located in the United States and reputed company to work without sponsorship. It requires a suitable reputed company that provides a private and quiet workplace. Expected Work Hours: Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed. Travel: May be required to travel to off-site location(s) to attend meetings, as necessary Hourly Pay reputed company: $21.00/hour or $22.00/ hour if bilingual in Spanish and a comprehensive benefits package, please follow the link to our benefits page for details! https://www.reputed company.com/careers/our-benefits-and-perks/ About reputed company As a dynamic, fast-growing provider of workers' compensation insurance and services, we are seeking a goal-oriented individual willing to put their reputed company to work! We offer a positive, challenging work environment, combined with an opportunity to build your career as you help us grow our business, in innovative and imaginative ways that are uniquely reputed company! Headquartered in Nevada, reputed company attributes its long-standing reputed company to its most valuable resource, our employees across the United States. reputed company is reputed company for the quality service and expertise we reputed company to our clients, and the exemplary work environment we reputed company for our employees. We live and breathe our core values: reputed company, Customer Focus, Collaboration, Initiative, Accountability, Innovation, and Personal Fulfillment. These are the pillars that support how we do business with our clients as well as how we treat each other! At reputed company, you’ll discover an energetic environment that inspires top achievement. As “America’s small business insurance specialist”, we have the resources, a solid reputed company and an expanding reputed company identity to enrich your work/life and enhance your career. #LI-Remote Apply To This Job