Group Health Customer Service Representative

Dane Street

. Intake new cases and review and verify information and requests .

Posted 10/28/2026full-timeRemote • United StatesJuniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates strong organizational and communication skills while managing multiple tasks in a fast-paced healthcare environment. Proficient in processing claims and maintaining accurate documentation for various claims-management organizations.

Highest-signal resume keywords

Claims ProcessingHealthcare Environment ExperienceExcellent Written And Verbal Communication SkillsOrganizational SkillsAttention To Detail

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims SupportCase ManagementData EntryDocumentation ReviewMedical Document Organization

Soft Skills

CommunicationAttention To DetailMultitaskingClient InteractionFocus

Tools & Technologies

Dane Street AccessDSApple Operating SystemGoogle ChromeGmail

Industry Keywords

Workers’ CompensationDisability ClaimsAuto ClaimsGroup Health ClaimsClaims-Management Organizations

About the role

Key responsibilities & impact

Intake new cases and review and verify information and requests
Draft cases by entering information into the Dane Street AccessDS system
Contact clients about missing information needed to process claims
Sort, organize, and create medical document listings when required
Monitor, process, and track cases to meet deadlines
Assign and schedule cases to appropriate physicians based on location, availability, guidelines, jurisdictional requirements, and client requirements
Ensure assigned physicians have no conflicts of interest with case assignments
Update clients on cases in progress
Resolve questions about referral information and ensure proper documentation is provided
Ensure required documentation is provided to clients
Communicate with clients and physicians or physicians' offices by phone and email
Process claims support for Workers’ Compensation, Disability, Auto, and Group Health carriers and other claims-management organizations

Requirements

What you’ll need

Minimum of 1 year of experience working in an administrative or clerical role in a business office environment
Experience working in a healthcare environment preferred
Excellent computer skills; Apple Operating System, Google Chrome, and Gmail preferred
Excellent written and verbal communication skills
High comfort level speaking with referring clients, claimants, and/or physicians
Ability to maintain focus and attention to detail in a fast-paced environment
Ability to manage multiple tasks and quickly changing priorities
Excellent organizational skills
Must supply and support own internet services
Must maintain an uninterrupted internet connection for work-from-home employment

Benefits

Comp & perks

Medical, dental, and vision coverage for employees and their families
Voluntary life insurance for employees, spouses, and children
Voluntary hospital indemnity, critical illness, accident indemnity, and pet insurance plans
Basic life insurance at no cost
Short-term disability coverage at no cost
Long-term disability coverage at no cost
Paid time off
401(k) plan with company match
Apple equipment for remote workspace
Media stipend for remote workspace
Competitive compensation
Performance bonuses
Growth potential