Experienced IME Customer Service Representative – Insurance Claims Management and Customer Support

At arenaflex, we're dedicated to delivering exceptional customer service and support to our clients in the insurance industry. As an Experienced IME Customer Service Representative, you'll play a vital role in ensuring that our clients receive the highest level of service and support in managing their insurance claims. If you're passionate about delivering outstanding customer experiences and have a strong background in customer service, we want to hear from you!

About arenaflex

arenaflex is a fast-paced, Inc. 500 Company with a high-performance culture, specializing in 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 ensure that their needs are met and that they receive timely updates on their cases. Your exceptional communication skills, critical thinking, and ability to manage time efficiently will be essential in meeting specific deadlines and delivering outstanding customer service.

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 + 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

Education/Credentials

* An Associate's Degree is preferred

Job Relevant Experience

* 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. 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.

Career Growth Opportunities and Learning Benefits

At arenaflex, we're committed to helping our employees grow and develop their careers. We offer a range of training and development programs to help you build new skills and advance in your career. Our team is passionate about delivering exceptional customer service and support, and we're always looking for talented individuals to join our team.

Work Environment and Company Culture

arenaflex is a fast-paced and dynamic work environment that's passionate about delivering exceptional customer service and support. Our team is dedicated to helping our clients achieve their goals, and we're committed to creating a positive and supportive work environment that promotes collaboration, innovation, and growth.

Compensation, Perks, and Benefits

arenaflex offers a competitive salary and a comprehensive benefits package that includes medical, dental, and vision coverage, voluntary life insurance options, and other benefits. We also offer a generous paid time off policy and a 401k plan with a company match.

How to Apply

If you're passionate about delivering outstanding customer experiences and have a strong background in customer 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 and learn more about your qualifications and experience.

Equal Employment Opportunity

arenaflex is an equal employment opportunity employer and welcomes applications from diverse candidates. We're committed to creating a workplace that's inclusive, respectful, and supportive of all employees, regardless of their background, culture, or identity.

Contact Us

If you have any questions or would like to learn more about this opportunity, please don't hesitate to contact us. We're always happy to chat and answer any questions you may have. Word Count: 1064 Apply for this job