Network with both the customer and their physician to medically manage the claim from the initial medical requests to the review and evaluation of on-going medical information.
Work directly with employers to facilitate a return to work either on a full-time or modified duty basis.
Provide consistent customer service to both our customers and claimants through timely responses to all inquiries, telephone calls and e-mails while delivering on service commitments.
Pay all covered claims accurately.
Understand and interpret contractual language and responsibilities.
Manage both new claims daily as well as open claims equally.
Manage all claims according to published Quality and Compliance standards.
- BA/BS degree OR a minimum of 2 years customer related work experience
- Strong analytical skills
- Integrity and objectivity
- Self motivation
- Multi tasking (the ability to manage time and prioritize)
- Critical attention to detail
- Excellent organizational skills
- Positive attitude
- Team oriented
- Conflict resolution skills
- Customer focus
- Personal accountability
- MS Office
Excellent, written and oral communication skills, interpersonal skills, planning and organizational skills, negotiation skills, investigation and research skills
Ability to write reports, business correspondence, and procedure manuals
Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.