Team Member Injury & Customer Service Rep I

About the role

The TM Injury/Cust Serv Rep records first report of injuries for team member injuries, transmits claim reports and related documentation to claim administrator. Utilizes diary/task protocol to manage medical only claims and assist claim coordinator.

Responsibilities

• Takes First Report of Injury for workers’ compensation losses by phone, e-mail and fax.
• Enters claim data into claim database.
• Notifies 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.

Qualifications

• Desired Insurance, medical, or legal experience would be a plus.
• Should have flexibility to work overtime as needed.

Benefits

• Total Compensation Package Competitive Wages & Paid Time Off
• Stock Purchase Plan & 401k with Employer Contributions
• Medical, Dental, & Vision Insurance with Optional Flexible Spending Account (FSA)
• Team Member Health/Wellbeing Programs
• Tuition Educational Assistance Programs
• Opportunities for Career Growth

Pay

Competitive Wages

Schedule

Full-time