[Remote] Team Member Injury & Customer Service Rep I
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a company with a proven reputed company record of reputed company and stability, seeking reputed company Member Injury & Customer Service Rep I. This role involves managing workers' compensation claims, providing customer service, and maintaining accurate records while supporting the claims process.
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 reputed company reporting protocol
- Contact made with injured worker date of injury
- Proficiency in the processing and accuracy of reputed company claim information is critical
- Timeliness and confidentiality are mandatory
- reputed company management of the claim administrator for medical only claims, including ensuring that return to work info updated with attention reputed company 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 reputed company assistance for reputed company specific questions
- Identify reputed company physicians to reputed company 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 reputed company
Skills
- 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
Benefits
- Competitive Wages & reputed company Time Off
- Stock Purchase Plan & 401k with Employer Contributions Starting Day One
- Medical, Dental, & reputed company Insurance with Optional Flexible Spending Account (FSA)
- Team Member Health/Wellbeing Programs
- Tuition Educational Assistance Programs
- Opportunities for Career reputed company
reputed company