The Requirements
To meet the basic qualification for this role, you will have legal authorization to work permanently in the United States for any employer without requiring a visa transfer or visa sponsorship. In addition, to be a good fit for the Customer Service Representative opportunity, you will have:- A high school diploma or equivalent is required; an associate's or bachelor's degree is preferred
- Professional experience in a role(s) requiring an outgoing personality and strong customer service skills Quick question for you - click here
- 1 year of customer service experience preferred
- 1 year of call center experience preferred
- Accurate typing/keyboard skill; ability to type 40-45 WPM (you will be required to take a typing test as part of the interviewing process) Quick question for you - click here
- Comfort with computers; experience with MS Office applications Word and Outlook preferred
- Strong organizational abilities with attention to detail
- Basic medical terminology knowledge preferred
- Strong verbal and written communication skills, including ease and comfort working on the phone in a call center environment throughout the day
- Demonstrable ability to work with minimal supervision
- Ability to multitask -- balance multiple priorities
- A positive, upbeat attitude
- Strong learning aptitude
- Bilingual English/Spanish is a plus, but not required
The Role
OverviewReporting to the Team Supervisor, and taking direction from the Team Lead, you'll join a team including between 12 and 16 Customer Center Representatives (CSRs). Each CSR is primarily responsible for taking incoming telephone calls from our members (insured) and gathering data regarding their accident or injury in order to ascertain whether the claim is recoverable.
Role Details
Each day, members call in in response to written correspondence requesting their call. You will have access to that information via our proprietary software and be the first step in the investigation. We use ACD call system software which routes calls. You'll typically take approximately 80 to 110 calls per day.
You will be responsible for performing all initial file investigations to determine the cause and nature of medical treatment rendered by clients to the members/insured. Based on the information you obtain, you will determine whether claims are recoverable and submit documentation as appropriate. Specifically, you will:
- Answer all telephone calls from member/insured, responding to Equian's written correspondence
- Question member/insured regarding the details of any accident, type of injury, identity of persons involved, treatment, date of injury and other relevant member/insured demographics
- Gather insurance information and attorney information including addresses and telephone numbers on all parties
- Type subrogable claims (claims for monies that can be recaptured)
- Type rejection of non-subrogable claims
- Perform other duties and assignments as directed
Note: this description is intended to give you a general overview of the position and is not an exhaustive listing of duties and responsibilities.
More Good Reasons
Professional developmentYou bring the energy, learning aptitude and upbeat attitude, and we'll ensure you have the tools and training you need to succeed. This will include strong initial training as well as coaching based on metrics. We'll provide you with clear and transparent expectations and then help you achieve them.
Growth and stability
While other companies in Southfield may be subject to the ups and downs of the regional economy, Equian's nationwide footprint serves as a solid platform for growth. If you are new to healthcare, you'll be joining an industry that has long proven resistant to recessions.
Great culture
We want to make our workplace so great that it will be hard for talented professionals to leave. Our senior leadership has given us a mandate to work constantly to make the workplace better for employees. We work hard, but we also have fun in a collaborative environment. You'll find lovely new offices (we recently moved) with lots of light, CSR cubicles, and helpful and friendly teammates who enjoy working together. We enjoy recognition events, philanthropy opportunities, food days, floor fitness to get us out of our chairs and moving for 10 or 15 minutes, and more. Quick question for you - click here
Excellent compensation
In addition to a competitive wage and bonus potential, you will enjoy a comprehensive benefits package including medical, dental, vision, prescription drug and life insurance options; a 401(k) plan with a 6% company match; paid vacation, sick time and holidays; flexible spending accounts; tuition assistance; and more.
Keys to Success
Our top CSRs are self-starters who are dedicated to learning and enhancing their skills. They continually strive to do better today than yesterday and take a creative approach to problem-solving. For example, sometimes getting an answer from a caller means being inventive and thinking of another way to ask a question. In addition, to be an outstanding Customer Service Representative, you will- Maintain a commitment to quality while also meeting goals
- Arrive on time and ready to go daily
- Achieve goals independently while also contributing as a team player
- Manage multiple tasks and priorities effectively
- Pay close attention to the fine details
- Take pride in your ability to handle a high volume of interactions daily
- Be clear and concise in your communications
- Maintain a proactive, upbeat attitude
About Us
Equian is a leading provider of technology-enabled, data-driven solutions ensuring payment integrity across the healthcare, workers compensation and property & casualty industries.One of our nation's most pressing challenges is the rising cost and affordability of healthcare. At Equian, our efforts are dedicated to addressing this challenge. We provide solutions that ensure each healthcare interaction is paid accurately and at the lowest possible cost. We have a proven system to reduce healthcare cost through proprietary data analytics coupled with deep domain expertise. Once we have aligned with you and analyzed all of the data, we provide integrated payment integrity solutions that eliminate unnecessary spending.
With more than 1400 talented professionals working across the country, our people have transformed Equian into the thriving organization it has become today. Our team includes market experts for each industry we serve, so you can be sure we are ready to hit the ground running for you. Equian's team is dedicated to building lasting partnerships with clients. It is simply what we do best
Equian is backed by New Mountain Capital, a leading healthcare investment firm, and is recognized nationally by Inc. Magazine and Modern Healthcare as a leading high-growth company in health care.
Video: Equian team members share their thoughts around why the company is enjoying ongoing strong growth.