Intake Specialist
CLAIM YOUR FUTURE AS A GREAT PERFORMER!
Continuing double-digit revenue growth rates and progressive employment practices make Sedgwick Claims Management Services the place where great people can do great things for clients while maximizing their career possibilities. We have earned a reputation for innovation, quality, sustained growth, financial stability and a colleague-friendly work environment. We are proud to have been voted the Best TPA in America for 2005 and 2006, and the first and only Third Party Administrator to receive the coveted Employer of Choice designation. Come be a part of our team and 'Claim Your Future.'
PRIMARY PURPOSE: To serve as the first point of contact for customer service incoming calls; to handle standard calls with normal supervision; and to provide information regarding general disability policies. ESSENTIAL FUNCTIONS and RESPONSIBILITIES - Answers incoming calls for the customer service unit including calls from clients, claimants, and physicians.
- Provides effective explanations of benefits, procedures, claim status, or payment information to clients and claimants.
- Enters claims data into claims management system upon requesting the appropriate information and analyzing the responses.
- Requests physician certification and/or extensions from medical offices and enters into claims system.
- Documents telephone conversations pertinent to the claims process in claims notes.
- Logs all telephone calls into claims management system.
- Supports the total performance management initiative.
QUALIFICATIONS Education & Licensing
High school diploma or GED required. Experience
One (1) year customer service experience required. Any college field-related courses may be substituted for the required experience. Skills & Knowledge - Good customer service skills
- Good listening and comprehension skills
- Excellent oral and written communication
- PC literate, including Microsoft Office products
- Analytical and interpretive skills
- Strong organizational skills
- Excellent interpersonal skills
- Ability to work in a team environment
- Ability to meet or exceed Performance Competencies
WORK ENVIRONMENT When applicable and appropriate, consideration will be given to reasonable accommodations. Mental: Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines Physical: Computer keyboarding, travel as required Auditory/Visual: Hearing, vision and talking
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. Sedgwick CMS is an Equal Opportunity Employer and a Drug-Free Workplace
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