What are the responsibilities and job description for the Workers' Comp Adjustor position at Coventry WCS?
Company Overview
The Enlyte Family of Businesses is a unique organization in the Property & Casualty industry, bringing together three great businesses with a shared vision. We use technology innovation, clinical services, and network solutions to help our customers and the people they serve.
Job Description
We are seeking a skilled individual to deliver specific delegated Customer Service tasks assigned by a supervisor. The ideal candidate will receive requests via email, telephone, or CRM, document issues within the CRM using specific guidelines, and run reports to ensure issues are prioritized and resolved based on service level agreements.
- Delivers specific delegated Customer Service tasks assigned by a supervisor.
- Receives requests by email, telephone, or via a CRM.
- Documents issues within the CRM using specific guidelines.
- Runs reports and analyzes them to ensure issues are prioritized and resolved based on service level agreements.
- Researches multiple system applications to identify root cause of issue which can be complex in nature.
- Works to resolve issue within own unit or outside unit.
- May require outreach to other internal resources or external resources outside of the company.
- Responds to inquiries from clients, providers, and/or other internal or external partners.
- Determines most effective response.
- Position typically requires excellent interpersonal skills, ability to understand and interpret multiple systems setup and output, and be able to clearly and concisely explain the resolution to a complex issue and policy provisions.
- Independently responds to inquiries, grievances, or complaints of moderate to substantial complexity.
- Completes day-to-day tasks without immediate supervision but has ready access to advice from more experienced team members.
- Tasks involve a degree of forward planning and anticipation of needs/issues.
- Resolves non-routine issues escalated from more junior team members.
Qualifications
- High School diploma or equivalent.
- Experience in a fast-paced, production environment.
- Customer Service experiences in a transaction-based environment such as a call center or retail location preferred, demonstrating ability to be empathetic and compassionate.
- Demonstrated ability to handle multiple assignments competently, accurately, and efficiently.
- Ability to write clearly and effectively when communicating with all parties.
