Disability Customer Service Representative

Dane Street is a fast-paced, Inc. 500 Company that processes over 200,000 insurance claims annually. The Customer Service Representative is responsible for managing new cases, ensuring proper documentation, and facilitating communication with clients and physicians.

Responsibilities:

• Intake new cases and review/verify information and requests. Draft cases by entering information into the Dane Street system, AccessDS
• Work with the client on any information missing pertinent to processing the claim
• Sort, organize and create a medical document listing - if required by the client, and in line with specific special handling
• Monitor, process and track cases to ensure we meet deadlines
• Assign/schedule new cases to physicians for review with the appropriate physician, based on location, reviewer availability, specific guidelines, jurisdictional requirements and other client requirements
• Ensure that the assigned physician has no conflict of interest with the case assignments
• Update clients frequently on cases in progress
• May communicate when there are questions on referral information to ensure proper documentation and information is provided to the assigned reviewer
• Ensure proper documentation for specified cases is provided to the client

Requirements:

• Good communication skills with a clear understanding of company business lines
• The ability to apply critical thinking, manage time efficiently and meet specific deadlines
• Computer literacy and typing skills are essential
• An Associate's Degree preferred
• Business experience in a healthcare and/or insurance setting is preferred