Customer Service Representative | Claims

Job ID
2024-12177
Category
Administrative & Clerical
Location : Location
US-AZ-Tempe

Overview

 

Aerotek has an immediate opening for an ONSITE Customer Service Representative (Intake Compliance Analyst) at the corporate office in Tempe, AZ.

 

Compensation: $21.63/hrs (annualized at $45,000) + quarterly bonuses

Hours: Monday - Friday | 9am - 6pm

 

 

Essential Functions:

  • Triages all 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 facilitates 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.

 

 

Qualifications:

  • 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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