From phone report, gather and evaluate information from the injured worker and/or employer to determine level and/or category of injury, based on set criteria.
Data entry of initial claim (First Report of Injury) set up in system, in a precise and accurate manner – from phone, fax, or email while working efficiently within deadlines and timeframes.
Adhere to phone-tree procedures per State of Florida contract, including emergency protocols.
Route the FROI call to the appropriate Triage Unit member for further handling.
Verification of data for accurate claim entry, such as spelling, grammar, valid SSN, location, etc., in a timely manner.
Research any situations that do not allow claim entry to ensure claim is entered to the system.
Follow company procedures and State mandated timeframes to comply with laws.
Print, organize, and verify all related forms for daily mail-out.
Verify all data daily for control purposes via printed lists.
Scan and attach new claim documents to the system.
Assist with other clerical duties as necessary.
Perform other duties as needed.
This role is a full-time, home-based position covering a weekend shift (Saturday and Sunday) from 7:00 AM to 7:00 PM.
Requirements
High school diploma or equivalent.
At least one (1) year of medical terminology or medical office experience is preferred.
Bilingual (Spanish and English).
Proactive, independent, and takes initiative with consistent follow through.
Superb communication skills, verbal and written, conducted in a timely manner.
Superior time management skills with capability of working with and meeting deadlines.
Exceptional capability to multi-task and prioritize with excellent organization and documentation skills in a fast-paced, dynamic work environment.
Excellent team player with interpersonal skills.
High level attention to detail and problem-solving skills.
Capable of working collaboratively and independently with minimal supervision.
Exhibit discretion with sensitive and confidential information.
Display a comfort level working with key people at all levels within an organization.