Insurance Claim Specialist |
| January 29, 2014 - April 02, 2014 |
| Location: | Wakefield, MA |
| Exempt/Non-Exempt: | Non-Exempt |
| Employment Type: | Full Time |
| Department: | Case |
| Description: | Are you a professional that enjoys helping people? Do you pride yourself on providing top notch customer service and support? Are you process oriented and enjoy using your skills to make a difference in people's lives? Can you combine compassion with efficiency? If so, then you may be just what The Advocator Group is looking for. As a Client Advocate, you manage and develop a caseload of Social Security Disability Insurance (SSDI) applicants from initial application to award, per established standards and timelines.
As the �face� of the company, the Client Advocate is responsible for providing phenomenal customer service to individuals seeking Social Security Disability Insurance benefits. While a desire to help individuals with disabilities is essential to success in the position, the Client Advocate role requires an ability to express optimism and empathy throughout challenging telephone-based interactions. Because the position involves listening to individuals with mental and/or physical disabilities, the Client Advocate must be compassionate, empathetic and patient, while also possessing superior time management and telephone call control skills. The Client Advocate maintains an inventory of cases and must be able to balance quality and quantity � spending enough time on the phone with each client to provide phenomenal service, while also meeting or exceeding departmental and organizational production goals and metrics. Many of the individuals we work with are going through traumatic and stressful times in their lives - due to the often emotional nature of advocating for these individuals, the Client Advocate must have superior coping skills, demonstrate a high level of emotional maturity, and be able to maintain a focus on their own personal well-being.
The Advocator Group is an Equal Opportunity Employer. We take pride in the diversity of our team and seek diversity in our applicants. |
| Duties: | A Insurance Claim Specialist:
Educates the clients about the SSDI process.
Ensures claims filed in the pursuit of SSDI benefits are processed in a timely manner.
Monitors pending case load with SSA, and its collaborating agencies, in the pursuit of SSDI benefits, through regular and consistent follow up calls.
Completes all applications and appeals in a timely manner, congruent with internal, external, and SSA guidelines, in the pursuit of SSDI benefits.
Contacts ODAR every two months to determine the level of the claim; updates the database and contacts the client with the update.
Contacts the client and HSS to see if/when a hearing has been scheduled and updates the medical treatment information.
Answers all client phone calls, emails and correspondence in a timely manner.
Ensures individual and departmental metrics are met.
Partners with Long Term Disability Carriers to ensure specifications and practices are used.
Builds strong business partnerships with both customers and The Advocator Group�s IT, Finance, Advocacy Services, Hearing Support, Sales, Operations, and Leadership Development departments.
Conducts other assignments and tasks as needed.
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| Qualifications: | Excellent organizational skills; ability to manage multiple priorities and tasks and prioritize tasks and assignments appropriately; results oriented.
Excellent verbal and written communication skills.
Excellent customer service and consistent follow-up skills.
Analytical and critical thinking skills, with demonstrated consistent sound judgment and decision making skills; ability to identify potential problems and provide proactive solutions for management of problems; able to recognize need for supplemental resources.
Ability to analyze issues and extrapolate appropriate solutions.
Models a high level of accountability and personal integrity; able to communicate across the organization openly and with respect.
Degree or equivalent with a minimum of 3 years work experience in related field.
Experience working in a call center environment or insurance or benefit claim organization preferred.
Must have extensive experience and be skilled in the use of programs such as Microsoft Word, Excel, and PowerPoint.
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