Experienced IME Customer Service Representative – Insurance Claims and Medical Exams
At arenaflex, we're dedicated to delivering exceptional customer service and supporting our clients in the complex world of insurance claims and medical exams. As an Experienced IME Customer Service Representative, you'll play a vital role in ensuring the smooth processing of claims and providing top-notch support to our clients. If you're passionate about delivering outstanding customer experiences and thrive in a fast-paced environment, we want to hear from you!
About arenaflex
arenaflex is a fast-paced, Inc. 500 Company with a high-performance culture, processing 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.
Job Summary
As an Experienced IME Customer Service Representative, you'll be responsible for handling the receipt of new cases, ensuring proper system drafting and setup, and facilitating the case assignment/scheduling process. You'll work closely with clients to gather information, resolve issues, and provide updates on case progress. Your exceptional communication skills, critical thinking, and ability to meet deadlines will be essential in delivering outstanding customer experiences and driving business results.
Major Duties & Responsibilities
*
Handling Receipt of New Cases
+ Intake new cases and review/verify information and requests + Draft cases by entering information into the arenaflex system, AccessDS + Work with clients on any information missing pertinent to processing claims + Sort, organize, and create medical document listings (if required by clients 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 + Communicate with clients 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
+ Perform other duties and special projects as assigned and based on business needs
Education/Credentials
* An Associate's Degree is preferred
- Business experience in a healthcare and/or insurance setting is preferred
Job-Related Skills/Competencies
* 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
Working Conditions/Physical Demands
* Any lifting, bending, traveling, etc. required to do the job duties listed above
- Long periods of sitting and computer work
Work from Home Technical Requirements
* Supply and support their own internet services
- Maintaining an uninterrupted internet connection is a requirement of all work from home positions
Benefits
Join our team at arenaflex 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
- Voluntary life insurance options for you, your spouse, and your children
- Hospital indemnity, critical illness, accident indemnity, and pet insurance plans
- Basic life insurance, short-term disability, and long-term disability coverage at no cost
- A generous paid time off policy to ensure you have time to relax and recharge
- A 401k plan with a company match to help you plan for your future
- Apple equipment and a media stipend for remote workspace
Why Join arenaflex?
* Be part of a fast-paced, high-performance culture that values innovation and excellence
- Work with a talented team of professionals who are passionate about delivering outstanding customer experiences
- Enjoy a comprehensive benefits package that supports your well-being and peace of mind
- Have opportunities for career growth and professional development
- Be part of a company that is committed to making a positive impact in the community
How to Apply
If you're a motivated and customer-focused individual who is passionate about delivering exceptional service, we want to hear from you! Please submit your application, including your resume and a cover letter, to [insert contact information]. We can't wait to hear from you!
Equal Employment Opportunity
arenaflex is an equal employment opportunity employer and welcomes applications from diverse candidates. We are committed to creating an inclusive and respectful work environment that values diversity, equity, and inclusion.
Disclaimer
This job description is subject to change at any time. arenaflex reserves the right to modify or update this job description as needed. Apply for this job