Customer Service Representative I

CorVel Corporation•Phoenix, AZ

2d•$14 - $21•Remote

About The Position

The Customer Service Representative is responsible for addressing client and/or provider inquiries via email, fax, telephonic, or written correspondence ensuring adherence to contractual and state guidelines as well as client instructions. This role will primarily focus on supporting the area of liability claims but does not perform the functions of a Claims Adjuster. Success in this position requires strong attention to detail, sound judgment, the ability to prioritize competing demands, and a commitment to accuracy and timeliness. This role requires internet upload and download speeds of at least 80Mbps and candidate must reside in Phoenix, AZ area.

Requirements

Understanding of liability claim documentation, legal documentation, and claim reporting requirements
Knowledge of Workers Compensation fee schedules and regulations
Medical terminology and coding knowledge
Strong verbal and written communication skills with the ability to interact professionally with clients and internal partners
Excellent organizational, time-management, and multitasking abilities
Strong detail orientation
Proficiency with Microsoft applications
High school diploma or equivalent
Customer service experience working in the Managed Care and Benefit Administration industries
Internet upload and download speeds of at least 80Mbps
Must reside in Phoenix, AZ area

Nice To Haves

Prior liability claims, insurance claims, workers’ compensation, or related claims-processing experience preferred (but not adjuster experience required)

Responsibilities

Receive, review, and process liability claim submissions received through email, fax, telephone, and other designated intake channels
Meet established daily productivity and email-processing goals while maintaining quality and accuracy standards
Answer emails from clients, providers and internal referring offices
Review previous history of the provider in MedCheck, Scheck and SalesCloud
Consult with Supervisor or other departments to clarify answers to inquiries
Contact provider to discuss findings at the appropriate level
Maintain reports and spreadsheets as needed
Additional duties as assigned