Disability Customer Service Representative

Dane Street; United States; Hybrid; USD 42,000 - 64,000; Full time

Benefits offered by this job

Health insurance

401k with company match

Remote work stipend

Job summary

Dane Street is seeking a Customer Service Representative to intake new cases, draft cases in the system (AccessDS), and coordinate with clients to gather missing information for processing claims.

The role focuses on overseeing case oversight, scheduling with physicians, and maintaining clear client communication while ensuring documentation is complete and deadlines are met.

Qualifications

• Associate's Degree preferred.
• Business experience in healthcare and/or insurance settings is a plus.
• Strong communication and organizational skills are essential.
• Clear understanding of company business lines and ability to meet deadlines.

Responsibilities

• Intake new cases and draft cases in the Dane Street system (AccessDS).
• Work with clients to obtain missing information needed for processing claims.
• Sort, organize and create medical document listings as required by the client.
• Monitor, process and track cases to ensure deadlines are met.
• Assign/schedule new cases to physicians based on guidelines and availability.
• Update clients on case progress and ensure proper documentation is provided.

Skills

Communication

Time management

Typing

Computer literacy

Education

Associate's Degree preferred

Tools

AccessDS

Job description

The Customer Service Representative is responsible for receipt of new cases and ensuring proper system drafting and setup. The CSR also is responsible for taking direction and facilitating the case assignment/scheduling process.

Major Duties & Responsibilities

• Handling Receipt of New Cases:
  • 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

Oversight of Cases

• Monitor, process and track cases to ensure we meet deadlines

Assignment of Cases

• 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

Client Interaction

• 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

• Communication
  • External
  • Internal
• Education/Credentials: An Associate's Degree preferred.
• Job relevant experience: Business experience in a healthcare and/or insurance setting is preferred.
• Job related skills/competencies: 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.
• Working conditions/physical demands: Any lifting, bending, traveling, etc. required to do the job duties listed above. Long periods of sitting and computer work.

Beginning compensation will depend on several factors including the candidate's experience, education, and specific skills. In addition to the base salary, we offer a comprehensive benefits package including health insurance, retirement plans, and performance bonuses.

Our Commitment

We are committed to providing fair and competitive compensation that reflects each employee's contributions and performance. We value diversity and strive to create an inclusive environment for all employees.

Benefits

Join our team at Dane Street and enjoy a comprehensive benefits package designed to support your well-being and peace of mind. We offer a range of benefits including medical, dental, and vision coverage for you and your family. Additionally, we offer voluntary life insurance options for you, your spouse, and your children. We also offer other voluntary benefits which include hospital indemnity, critical illness, accident indemnity, and pet insurance plans. Employees receive basic life insurance, short-term disability, and long-term disability coverage at no cost. Our generous paid time off policy ensures you have time to relax and recharge, while our 401k plan with a company match helps you plan for your future. Apple equipment and a media stipend are provided for remote workspace.

ABOUT DANE STREET

A fast-paced, Inc. 500 Company with a high-performance culture, is seeking insightful forward-thinking professionals. We process over 200,000 insurance claims annually for leading national and regional Workers' Compensation, Disability, Auto, and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers, and Pharmacy Benefit Managers. We provide customized Independent Medical Exams and Peer Review programs that assist our clients in reaching the appropriate medical determination as part of the claims management process.