Customer Service Representative

The Customer Service Representative is responsible for addressing client and/or provider inquiries via email, fax, telephonic, or written correspondence ensuring adherence to contractual and state guidelines as well as client instructions.

This role will primarily focus on supporting the area of liability claims but does not perform the functions of a Claims Adjuster.

Success in this position requires strong attention to detail, sound judgment, the ability to prioritize competing demands, and a commitment to accuracy and timeliness.

This role requires internet upload and download speeds of at least 80

Mbps and candidate must reside in Phoenix, AZ area or Richmond, VA area.

• Receive, review, and process liability claim submissions received through email, fax, telephone, and other designated intake channels
• Meet established daily productivity and email-processing goals while maintaining quality and accuracy standards
• Answer emails from clients, providers and internal referring offices
• Review previous history of the provider in Med Check, Scheck and Sales Cloud
• Consult with Supervisor or other departments to clarify answers to inquiries
• Contact provider to discuss findings at the appropriate level
• Maintain reports and spreadsheets as needed
• Additional duties as assigned

• Understanding of liability claim documentation, legal documentation, and claim reporting requirements
• Knowledge of Workers Compensation fee schedules and regulations
• Medical terminology and coding knowledge
• Strong verbal and written communication skills with the ability to interact professionally with clients and internal partners
• Excellent organizational, time-management, and multitasking abilities
• Strong detail orientation
• Proficiency with Microsoft applications

• High school diploma or equivalent
• Customer service experience working in the Managed Care and Benefit Administration industries
• Prior liability claims, insurance claims, workers’ compensation, or related claims-processing experience preferred (but not adjuster experience required)

Cor Vel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.

Pay Range: $13.94 - $21.48 per hour

A list of our benefit offerings can be found on our Cor Vel website:
Cor Vel Careers | Opportunities in Risk Management

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.

Cor Vel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. Cor Vel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients.

We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

Cor Vel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.