Team Member Injury & Customer Service Rep I

O'Reilly Auto Parts is a company with a proven track record of growth and stability. They are seeking a Team Member Injury & Customer Service Rep I to manage workers' compensation claims, provide customer service, and support the claims process for injured team members.

Responsibilities:

• Take First Report of Injury for workers’ compensation losses by phone, e-mail and fax
• Enters claim data into claim database
• Notify claim administrator and field management as directed via reporting protocol
• Contact made with injured worker date of injury
• Proficiency in the processing and accuracy of all claim information is critical
• Timeliness and confidentiality are mandatory
• Timely management of the claim administrator for medical only claims, including ensuring that return to work info updated with attention paid to length & detail of transitional duty
• At least monthly calls made & documented with injured workers
• Supports and assists claim Coordinator(s) while following and adhering to claim guidelines/standards
• Extensive customer service to field management, Team Members, providers, etc., providing referrals to other resources such as claim administrator
• CSR should provide assistance for O’Reilly specific questions
• Identify qualified physicians to provide treatment to injured team members
• Maintain an up-to-date database on TeamNet with at least one physician per location
• This database should be monitored and changed as needed
• Immediate notification to department Vice President, Director, Manager, and Claim Coordinator of any accident of a serious nature
• Coordinator of Safety Team must be contacted immediately if any of the OSHA reporting requirements are met
• Consistent and complete utilization of workers’ compensation database and automated claim reporting
• Database must be completed accurately and completely
• Daily file maintenance of e-mail correspondence
• Review medical bills and work status reports, and as necessary, send to appropriate adjuster
• Familiarity with and autonomous completion of assigned tasks, such as wage statements, notification of field management of hearings, depo(s), etc., and file processing as provided by Claim Coordinator
• Tasks include, but not limited to, updating closures/term reports/state specific forms/new store packet distribution
• Generate and distribute reports to Payroll, Benefits, Loss Prevention and Human Resources

Requirements:

• High School Education
• High level of proficiency with computers and office equipment
• Excellent communication and organization skills
• Insurance, medical, or legal experience would be a plus
• Should have flexibility to work overtime as needed