Experienced Claims Processor Customer Service Representative – Workers' Compensation Claims Management

At arenaflex, we are dedicated to providing exceptional service to our customers while maintaining a culture of integrity, trust, and continuous growth. As a valued member of our team, you will have the opportunity to work with a talented group of professionals who are passionate about making a difference in the lives of our customers. We are seeking a detail-oriented, active, and critical thinker to join our team as a Claims Processor Customer Service Representative, where you will play a critical role in managing and reviewing workers' compensation claims.

The Opportunity

As a Claims Processor Customer Service Representative, you will be responsible for analyzing and processing insurance claims, negotiating settlement terms, and maintaining accurate claims records. You will work closely with claimants, management, and other stakeholders to ensure timely review and approval of claims. If you have a strong understanding of workers' compensation policies and regulations, excellent investigative skills, and exceptional customer service skills, we encourage you to apply. If you lack experience in this specific field, you must be willing to learn and apply these policies and regulations in your work.

Responsibilities

As a Claims Processor Customer Service Representative, your duties will include:

• Analyzing and processing insurance claims to ensure accuracy and completeness
• Negotiating settlement terms with claimants and other stakeholders
• Maintaining accurate claims records, including documentation and data entry
• Learning and applying workers' compensation policies and regulations to ensure compliance
• Reviewing and assisting with claim forms to ensure accuracy and completeness
• Supporting claimants in explaining their claims and providing exceptional customer service
• Assisting management with complex cases and providing recommendations for resolution
• Preparing reports on all cases to ensure timely review and approval
• Ensuring accurate coding of injuries or illnesses in the claims system
• Maintaining a workers' compensation claim log and performing data entry in the Workers' Compensation system

Qualifications

To be successful in this role, you will need to possess the following qualifications:

• Active TS/SCI clearance with Polygraph
• Bachelor's degree or equivalent
• 10+ years of relevant experience in claims processing, customer service, or a related field
• Excellent communication, organizational, and negotiation skills
• Strong attention to detail and ability to handle confidential information
• Proficiency in Microsoft Office Suite
• Team player with excellent customer service skills
• Ability to work in a fast-paced environment with multiple priorities and deadlines

Desired Qualifications

While not required, the following qualifications are highly desirable:

• Knowledge of quantitative and qualitative research methods
• Strong understanding of workers' compensation policies and regulations
• Excellent investigative skills and ability to analyze complex data
• Ability to work independently with minimal supervision

What You Can Expect

At arenaflex, we value our employees and offer a range of benefits and opportunities to support your career growth and well-being. As a Claims Processor Customer Service Representative, you can expect:

• A culture of integrity, trust, and continuous growth
• An environment of autonomy and flexibility, with a unique flexible time off benefit
• Access to robust learning resources to support your career development and ambitions
• Opportunities for career growth and advancement in a dynamic and fast-paced environment
• Comprehensive benefits, including healthcare, wellness, financial, retirement, family support, continuing education, and time off benefits

Compensation and Benefits

arenaflex offers competitive compensation and benefits to our employees. The proposed salary range for this position is $64,400 - $135,100, depending on factors such as geographic location, relevant prior work experience, specific skills and competencies, education, and certifications. Our comprehensive benefits package includes:

• Healthcare and wellness benefits
• Financial and retirement benefits
• Family support and continuing education benefits
• Time off benefits and flexible work arrangements
• Access to robust learning resources and career development opportunities

Equal Opportunity Employer

arenaflex is an Equal Opportunity Employer. We are committed to diversity and inclusion in the workplace and welcome applications from qualified candidates of all backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, age, national origin, disability, status as a protected veteran, or any other protected characteristic.

How to Apply

If you are a motivated and detail-oriented individual with a passion for customer service and claims processing, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and cover letter, to [insert contact information]. We look forward to hearing from you! Apply for this job