Claims Care Advocate Temp (Remote) Position Available In Cape Girardeau, Missouri

Claims Care Advocate Temp (Remote) 4.1 4.1 out of 5 stars Cape Girardeau, MO • Remote Are you driven to keep people safe? That’s what we do every day at MEM Insurance. We’ve created a casual, values-driven work culture that’s making a positive impact on the way people live and work. This is a place where you can grow with confidence — because that’s what safety and success really mean to us.

SUMMARY:

The Claims Care Advocate provides critical administrative support and workflow management within the Claims Department. This role ensures smooth operations across multiple functions, including Claims Operations, Subrogation/Technical Services, and Nurse Case Management. The Claims Care Advocate is responsible for a variety of tasks ranging from transcribing records and processing bill payments to managing records requests and responding to customer inquiries. This position plays a key role in maintaining high service standards and delivering excellent customer service.

ESSENTIAL DUTIES AND RESPONSIBILITIES

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Functional Administrative Support Provide comprehensive support across all Claims functions including Operations, Subrogation, Ligation Technical Services, Nurse Case Management and externally to our Policyholders and Producers. Manage requests for offer letters, rating requests, earnings affidavits, wage statements, medical records, and other essential documentation. Coordinate and process requests such as OSHA reports, conservation records, police reports, death certificates, and driver’s license suspensions. Prepare and send claim files to attorneys and subrogation adjusters as needed. Manage collections activities and certified mailings through Stamps.com. Reconcile monthly expenses. Coordinate logistics for injured workers and adjusters, to include hotel reservations through Commerce Bank, scheduling appointments for IME’s, follow-ups and transportation. Transcriptions & Records Management Manage and process records requests through third-party vendors, ensuring timely and efficient retrieval. Claims Workflow Activities Index tasks and ensure all necessary information is accurately captured for efficient claims review. Index and process claims, ensuring all necessary information is accurately captured for efficient claims review. Respond to customer inquiries via email, fax and web, while maintaining professionalism and adherence to service standards. Follow established Claims procedures for document processing, including correct grammar, formatting, and document attachment guidelines. Process claim entry by gathering all necessary information and identifying initial compensability, including possible violations, and documenting claims appropriately to comply with regulatory guidelines. Maintain and handle activities in ClaimCenter Queues and tasks in ImageRight. Partner with multiple external vendors, to include Corvel, OneCall, MetroReporting, and HomeLink. Timely processing of Division of Workers Compensation requests, such as form 21, 22, information request and address changes. Customer Service & Communication Serve as first point of contact for customer inquiries via phone and chat, while providing accurate and timely information. Ensure all communications are clear, professional, and adhere to company standards. Promote company services to policyholders, producers, medical providers, injured workers, and attorneys when applicable.

QUALIFICATIONS

Education:

High School graduation or equivalent is required. A bachelor’s degree is preferred

Designations/Certifications:

None required. Licenses A valid drivers’ license is required.

Experience:

1 plus year experience in a professional office environment. Exposure to Workers’ Compensation or similar industry experience preferred Our home office is located in vibrant Columbia, Missouri — #6 in Livability’s 2019 Best Places to Live.