Future Medical Claims Examiner | Brea, CA

Remote Operations Dispatch Coordinator

Telecommuter MO
✓ Verified live on the employer's own system · added 5 days ago
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Junior · 2+ yrs exp

Requirements

Experience: 2+ years

Skills & tools

ManagementRecordkeepingHospitalityTeam LeadershipAdministrativeDispatchingBilingualCommunications
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Full job description

- Sets up and assigns new claims, tasks and requests into the claims management system. - Enters and reviews claims data into claims management system upon request, ensuring accuracy and completeness. - Reviews claims data into notes and documentation to determine appropriate assignment, urgency and next step. - Makes outbound calls to carriers, adjusters or internal partners to obtain required information, approvals or clarification. - Find opportunities to refer claims within the organization based on established assignment processes and resource guidelines. - Assigns claims using the tools , provided considering workload distribution, service expectations and priority level. - Supports hotel and housing coordinators by providing accurate information during the claim set up and assignment process. - Uses multiple platforms to review, route and adjust claim assignments as needed. - Makes outbound calls and/or texts to adjusters to discuss claim details for assignment. (Using Sedgwick's texting platform) - Ensures all parties have the required information in order to successfully manage a temporary housing claim, including, loss location, first notice of loss (FNOL), scheduled dates and urgency indicators. - Works with management to make determination on assignment process and resource utilization. - Monitors open items and follows up on outstanding tasks to ensure timely progression of claim activity. - Escalates urgent issues, delays or discrepancies to leadership as appropriate

- Performs other duties as assigned. - Supports the organization's quality program(s).

Two (2) years of clerical, administrative, dispatch or property claims management experience or equivalent combination of education and experience required. Experience working in a fast paced environment involving task routing, workflow coordination or claim support preferred.

- Fluent in Spanish is a plus - Excellent oral and written communication skills, including presentation skills - PC literate, including Microsoft Office products - Analytical and interpretative skills - Strong organizational and prioritization skills - Excellent interpersonal skills - Ability to review documentation thoroughly and accurately - Ability to work in a team environment while managing individual accountability - Ability to remain calm, professional and solution focused when navigating challenging interactions, competing priorities or workplace conflict - Demonstrates resilience and emotional composure when receiving feedback, addressing concerns or working with colleagues under pressure - Ability to communicate respectfully and assertively with colleagues while maintaining appropriate boundaries and not taking difficult interactions personally - Ability to handle, repetitive, high volume work with consistency and attention to detail - Ability to meet or exceed performance competencies

When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental : Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

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.of the position at any time.

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This posting was published by Future Medical Claims Examiner | Brea, CA on their own careers system and is shown here with a direct link to apply there. Employers: for corrections or removal, contact jobs@veritahire.com.