Customer Service

Minutemen OhioComp is currently looking for a Customer Service Representative, preferably Spanish speaking,for our Cleveland office. Minutemen OhioComp is a Managed Care Organization (MCO) that handles handles injured workers' claims. This a Monday-Friday position, dayshift, no weekends/ holidays. Benefits are offered to all full-time employees the following month of hire.

DUTIES AND RESPONSIBILITLIES:

• Contacts injured workers via phone to discuss current workers’ compensation claim and assists with questions and solving problems related to the claim.
• Educates and informs injured workers of appropriate contacts and options.
• Collaborates with members of clinical team to submit requests to BWC for return to work corrections, ICD clarifications and Industry Code changes.
• Gathers, researches, and analyzes pertinent medical evidence such as claim notes, progress notes, assessments, diagnostic test results, BWC and Industrial Commission orders, etc., to determine accuracy of claim return to work dates, ICD, and Industry Code assignment.
• Recommends claim data corrections and/or further claim resolution considerations such as 90-Day exam or Extend of Disability exam.
• Communicates and collaborates with case manager to facilitate exam requests.
• Reviews weekly and quarterly reports for accuracy of days absent, ICD codes, Industry Codes, status of compensation and exam status.
• Reviews claims with 250-365 days absent on quarterly basis for 90-day or Extent of Disability exam.
• Serves as backup for receptionist.

• Performs other clerical duties and projects as assigned.

QUALIFICATIONS:

Possesses the following qualifications:

• High School Diploma
• Spanish speaking, preferred.
• Computer and typing skills.
• Good organizational skills.
• Good communication skills, both verbal and written.
• Ability to work in a team environment.

Job Type: Full-time

Pay: $15.00 - $17.00 per hour

Benefits:

• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Ability to commute/relocate:

• Cleveland, OH 44115: Reliably commute or planning to relocate before starting work (Required)

License/Certification:

• Driver's License (Preferred)

Work Location: One location