Claims Processor Customer Service Representative – Workers' Compensation Claims Management

At arenaflex, we're committed to delivering exceptional customer service and ensuring the highest level of satisfaction for our clients. As a Claims Processor Customer Service Representative, you'll play a vital role in managing and reviewing workers' compensation claims, providing top-notch support to claimants, and collaborating with our team to drive results. If you're a detail-oriented, active, and critical thinker with a passion for customer service, we want to hear from you.

The Opportunity:

arenaflex is seeking a highly skilled and dedicated Claims Processor Customer Service Representative to join our team. As a Claims Processor, you'll be responsible for analyzing and processing insurance claims, negotiating settlement terms, and maintaining accurate claims records. 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're eager to learn and grow with our company, we're happy to provide the necessary training and support.

Responsibilities:

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

• Analyzing and processing insurance claims to ensure accuracy and compliance with regulations
• Negotiating settlement terms with claimants and other stakeholders
• Maintaining accurate and up-to-date claims records, including documentation and data entry
• Learning and applying workers' compensation policies and regulations to ensure compliance and optimal outcomes
• Reviewing and assisting with claim forms to ensure completeness and accuracy
• 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 by Claims Examiners
• Accurately coding injuries or illnesses in the claims system to ensure accurate tracking and reporting
• Maintaining a workers' compensation claim log to ensure compliance and optimal outcomes
• Performing data entry in the Workers' Compensation system to ensure accuracy and efficiency

Qualifications:

To be successful in this role, you'll need:

• 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 a strong customer service focus
• Extensive customer service experience, with a proven track record of delivering exceptional results

Desired Qualifications:

* Knowledge of quantitative and qualitative research methods to drive data-driven decision-making

• Strong understanding of workers' compensation policies and regulations, with the ability to apply them in a fast-paced environment
• Excellent investigative skills, with the ability to analyze complex claims and provide recommendations for resolution
• Exceptional customer service skills, with a proven track record of delivering results in a high-pressure environment

What You Can Expect:

At arenaflex, we're committed to creating a culture of integrity, trust, and continuous growth. As a valued team member, you'll enjoy:

• A culture of integrity, where character and innovation are at the center of everything we do
• An environment of trust, where you'll have the autonomy to take the time you need and access to robust learning resources to make your ambitions a reality
• A focus on continuous growth, where you'll have opportunities to advance your career and make a meaningful impact on our customers' missions

Compensation and Benefits:

arenaflex offers competitive compensation, benefits, and learning and development opportunities to support your career growth and well-being. Our comprehensive benefits package includes:

• Competitive salary range: $64,400 - $135,100
• Comprehensive benefits, including healthcare, wellness, financial, retirement, family support, continuing education, and time off benefits
• Flexible time off benefits to balance quality work and personal life
• Opportunities for career growth and advancement in a dynamic and supportive environment

Equal Opportunity Employer:

arenaflex is an Equal Opportunity Employer, committed to diversity and inclusion. We welcome applications from qualified candidates of all backgrounds and perspectives. 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're a motivated and dedicated professional 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 a cover letter, to [insert contact information]. We can't wait to hear from you! Apply for this job