New York Workers' Compensation Customer Service Representative/ IME Scheduler jobs in United States
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Dane Street ยท 2 weeks ago

New York Workers' Compensation Customer Service Representative/ IME Scheduler

Dane Street is a fast-paced, Inc. 500 Company specializing in processing insurance claims. The NY Workers' Compensation CSR / IME Scheduler is responsible for managing new cases, facilitating the case assignment process, and ensuring client satisfaction through effective communication and oversight.

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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 client on any information missing pertinent to processing claim
Sort, organize and create medical document listing - if required by client, and in line with specific special handling
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 assignment
Oversight of Cases: Monitor, process and track cases to ensure we meet deadlines
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
Other duties & special projects, as assigned and based on business needs

Qualification

Healthcare experienceInsurance experienceComputer literacyCommunication skillsCritical thinkingTyping skillsTime management

Required

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 client on any information missing pertinent to processing claim
Sort, organize and create medical document listing - if required by client, and in line with specific special handling
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 assignment
Oversight of Cases: Monitor, process and track cases to ensure we meet deadlines
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
Present exceptional 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
Any lifting, bending, traveling, etc. required to do the job duties listed above
Long periods of sitting and computer work
Supply and support their own internet services
Maintaining an uninterrupted internet connection is a requirement of all work from home position

Preferred

An Associate's Degree is preferred
Business experience in a healthcare and/or insurance setting is preferred

Benefits

Medical, dental, and vision coverage for you and your family
Voluntary life insurance options for you, your spouse, and your children
Hospital indemnity
Critical illness
Accident indemnity
Pet insurance plans
Basic life insurance
Short-term disability
Long-term disability coverage at no cost
Paid time off policy
401k plan with a company match
Apple equipment and a media stipend

Company

Dane Street

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Dane Street is an insurance company that offers review and evaluation services for workers compensation, health, and to some businesses.

Funding

Current Stage
Growth Stage

Leadership Team

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Josh Remillard
Chief Operating Officer
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Greg Powers
Chief Marketing Officer/SVP Sales
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Company data provided by crunchbase