Intake Specialist Overnight/Weekend (Remote)

Davies•Home, AL

3d•Remote

About The Position

Davies North America is hiring a remote Intake Specialist to enter Workers’ Compensation claims received by phone into the claims system. The role involves gathering information from injured workers and/or employers, determining injury level or category according to established criteria, and ensuring accurate, timely claim setup while following client, company, and State of Florida requirements. The position requires bilingual English and Spanish skills and availability to work Saturdays and Sundays from 7:00 PM to 7:00 AM EDT. The Intake Specialist also verifies claim information and supporting documents, follows required phone-tree and emergency procedures, routes calls to the appropriate Triage Unit member, and completes related clerical and document-management tasks. The role requires dependable attendance and the ability to perform responsibilities during established work hours. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform essential functions.

Requirements

High school diploma or equivalent.
Bilingual in Spanish and English.
Proactive, independent approach with initiative and consistent follow-through.
Strong verbal and written communication skills, conducted in a timely manner.
Strong time-management skills and ability to meet deadlines.
Ability to multitask, prioritize, and maintain excellent organization and documentation in a fast-paced, dynamic environment.
Teamwork and interpersonal skills.
Attention to detail and problem-solving skills.
Ability to work collaboratively and independently with minimal supervision.
Discretion when handling sensitive and confidential information.
Comfort working with key people at all levels within an organization.
Availability to work Saturdays and Sundays from 7:00 PM to 7:00 AM EDT.

Nice To Haves

At least one year of medical terminology or medical office experience is preferred.

Responsibilities

Gather and evaluate information from injured workers and/or employers by phone to determine injury level or category based on established criteria.
Enter initial claims (First Reports of Injury) into the system accurately and efficiently from phone, fax, or email, meeting deadlines and timeframes.
Follow phone-tree procedures under the State of Florida contract, including emergency protocols.
Route First Report of Injury calls to the appropriate Triage Unit member for further handling.
Verify claim data, including spelling, grammar, Social Security number validity, and location.
Research situations that prevent claim entry and ensure the claim is entered into the system.
Follow company procedures and State-mandated timeframes to comply with applicable laws.
Print, organize, and verify forms for daily mail-out.
Verify daily data for control purposes using printed lists.
Scan and attach new claim documents to the system.
Assist with other clerical duties and perform other duties as needed.
Maintain regular and dependable attendance and be available to perform job responsibilities during established work hours.

Benefits

Medical insurance plans
Dental insurance plans
Vision insurance plans
401(k) plan with employer matching
Discretionary Time Off for exempt employees
Paid Time Off for non-exempt employees
Paid holidays
Life insurance
Short-term disability coverage
Long-term disability coverage
Paid sick leave, paid family and parental leave, and other mandated benefits where required by law