Disability Customer Service Representative

Resonance CX Partners identifies and validates customer-focused opportunities for experienced professionals. The following role is with Dane Street, a fast-paced, Inc. 500 company.

About Dane Street

Dane Street processes 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 clients in reaching appropriate medical determinations as part of the claims management process.

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 missing information 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 deadlines are met.
• Assignment Of Cases:
  • Assign/schedule new cases to physicians for review based on location, reviewer availability, specific guidelines, jurisdictional requirements, and other client requirements.
  • Ensure the assigned physician has no conflict of interest with the case assignments.
• Client Interaction:
  • Update clients frequently on cases in progress.
  • Communicate with clients to clarify referral information and ensure proper documentation is provided to the assigned reviewer.
  • Ensure proper documentation for specified cases is provided to the client.

Requirements

• Education/Credentials: An Associate's Degree is preferred.
• Job Relevant Experience: Business experience in a healthcare and/or insurance setting is preferred.
• Skills/Competencies:
  • Good communication skills with a clear understanding of company business lines.
  • Ability to apply critical thinking, manage time efficiently, and meet specific deadlines.
  • Computer literacy and typing skills are essential.
• Working Conditions/Physical Demands: Long periods of sitting and computer work. Any lifting, bending, or traveling required to perform job duties.

Benefits

• Comprehensive health benefits including medical, dental, and vision coverage for you and your family.
• Voluntary life insurance options for you, your spouse, and your children.
• Additional voluntary benefits: hospital indemnity, critical illness, accident indemnity, and pet insurance plans.
• Basic life insurance, short-term disability, and long-term disability coverage at no cost.
• Generous paid time off policy.
• 401k plan with company match.
• Apple equipment and a media stipend for remote workspace.

Pay

Beginning compensation will depend on several factors including the candidate's experience, education, and specific skills. In addition to the base salary, we offer performance bonuses.