Sheakley
  • Cincinnati, OH, USA
  • Full Time

 

Qualifications:

  • Knowledge and skills at a level normally acquired through the completion of High School education or equivalent.
  • Typing 40-50 WPM
  • Ability to handle sensitive information and maintain a high level of confidentiality.
  • Proficiency in Microsoft Office products including Word, Excel, Outlook, etc.
  • Medical Terminology or equivalent experience.
  • Previous customer service experience preferred.

Principal Duties & Responsibilities:

  • Reports directly to the Claim Review Specialist Team Leader.
  • Enter and process initial claims in UniSource, complete initial calls to employer, provider, IW, and BWC as appropriate while documenting the results of gathered information.
  • Gather complete information on all mandatory UniSource system field requirements to ensure accurate transmission to the BWC.
  • Gather all initial medical documentation necessary to process potential claim updates.
  • Assist in identifying RAW and Onsite Therapy candidates where appropriate.
  • Assists other Claim Review Specialists on the team.
  • Answering incoming and making outgoing phone calls.
  • Provide excellent customer service to all internal and external customers.
  • Required to meet team quality and productivity standards.
  • Maintain and develop teamwork within all departments of UniComp.
  • Other duties as assigned by Management.
  • Maintain and exhibit Sheakley Core Values.

Requirements:

  • Attention to detail, flexibility, and strong ability to multi-task.
  • Problem solving ability.

Physical and Mental Demands:

  • Ability to sit for prolonged period of time.
  • Ability to answer high call volume while maintaining accurate system notes.

 

This job description is not intended to be all inclusive and the employee will also perform other reasonably related business duties as assigned by the immediate supervisor and other management as required.

 

 

Sheakley
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