Customer Service Manager
Current● Manage a team of Client Coordinators analyzing, investigating and processing medical, workman’s compensation and disability claims for key account insurance companies, with the team averaging 370 cases per week. ● Through technology based systems, evaluate medical treatments, cost to client, relevance, and requests for care in conjunction with the doctors and nurses on the medical team. ● Identify unnecessary, wasteful and fraudulent expenditures providing risk mitigation for client companies. ● Oversee Client Coordinators to ensure that cases are documented correctly and returned to the client company in a timely manner. ● Train new Client Coordinators on data entry and data tracking systems using the OMS and Epic computer programs. ● Ensures that all team members are carrying out their duties in accordance with state and federal laws. ● Communicate with the administration on any report issues or concerns.
