SIU Auto Triage Rep
Evaluate and process referrals to ensure the appropriate distribution of workloads following established triage guidelines and practices. Assist in the detection of insurance fraud activity and improve fraud awareness. You will report to an SIU Manager.
Position Compensation Range
$25.00 - $33.65
Pay Rate Type
Hourly
Compensation may vary based on the job level and your geographic work location. Relocation support is offered for eligible candidates.
Primary Accountabilities
Ā Evaluate information from referring source and determine if intervention is warranted.
Ā Obtain additional information from various data sources in support of the referral decision when necessary.
Ā Assigns referral to the appropriate resource in accordance with established triage guidelines and directives.
Ā Record required data into the appropriate systems and databases and evaluate to ensure accuracy and compliance with established guidelines and directives.
Ā Respond to oral and written inquiries in a timely manner.
Ā Communicate with internal and external parties regarding referrals when appropriate.
Ā Keep SIU management informed of issues.
Specialized Knowledge & Skills Requirements
Ā Demonstrated experience providing customer-driven solutions, support or service.
Ā Basic knowledge of claim handling guidelines, practices and processes.
Ā Demonstrated organizational skills to manage assignments and workload effectively and efficiently.
Ā Basic knowledge utilizing the internet, claim and policy systems, and informational research systems and databases.
Ā Demonstrated written and verbal communication skills.
Ā Demonstrated analytical skills to include information gathering, critical thinking and decision making.
In this primarily home-based role, you will spend 80% of your time (4+ days per week) working from home. Candidates must reside within a 50-mile radius (or 35-mile radius for Boston / Chicago) of one of the following locations: Madison, WI 53783; Boston, MA 02110, Denver, CO 80112; Eden Prairie, MN 55343; Keene, NH 03431; St. Joseph, MO 64507; Phoenix, AZ 85034; Atlanta, GA
On occasion you may be asked to travel to an office location for in person engagement activities such as team meetings, trainings, and culture events.
Internal candidates are encouraged to apply regardless of location and will be considered based upon the needs of the role.
We encourage you to apply even if you do not meet all of the requirements listed above. Skills can be used in many different ways, and your life and professional experience may be relevant beyond what a list of requirements will capture. We encourage those who are passionate about what we do to apply!
We provide benefits that support your physical, emotional, and financial wellbeing. You will have access to comprehensive medical, dental, vision and wellbeing benefits that enable you to take care of your health. We also offer a competitive 401(k) contribution, a pension plan, an annual incentive, 9 paid holidays and a paid time off program (23 days accrued annually for full-time employees). In addition, our student loan repayment program and paid-family leave are available to support our employees and their families. Interns and contingent workers are not eligible for American Family Insurance Group benefits.
We are an equal opportunity employer. It is our policy to comply with all applicable federal, state and local laws pertaining to non-discrimination, non-harassment and equal opportunity. We also consider qualified applicants with criminal histories, consistent with applicable federal, state and local law.
Apply Now
Position Compensation Range
$25.00 - $33.65
Pay Rate Type
Hourly
Compensation may vary based on the job level and your geographic work location. Relocation support is offered for eligible candidates.
Primary Accountabilities
Ā Evaluate information from referring source and determine if intervention is warranted.
Ā Obtain additional information from various data sources in support of the referral decision when necessary.
Ā Assigns referral to the appropriate resource in accordance with established triage guidelines and directives.
Ā Record required data into the appropriate systems and databases and evaluate to ensure accuracy and compliance with established guidelines and directives.
Ā Respond to oral and written inquiries in a timely manner.
Ā Communicate with internal and external parties regarding referrals when appropriate.
Ā Keep SIU management informed of issues.
Specialized Knowledge & Skills Requirements
Ā Demonstrated experience providing customer-driven solutions, support or service.
Ā Basic knowledge of claim handling guidelines, practices and processes.
Ā Demonstrated organizational skills to manage assignments and workload effectively and efficiently.
Ā Basic knowledge utilizing the internet, claim and policy systems, and informational research systems and databases.
Ā Demonstrated written and verbal communication skills.
Ā Demonstrated analytical skills to include information gathering, critical thinking and decision making.
In this primarily home-based role, you will spend 80% of your time (4+ days per week) working from home. Candidates must reside within a 50-mile radius (or 35-mile radius for Boston / Chicago) of one of the following locations: Madison, WI 53783; Boston, MA 02110, Denver, CO 80112; Eden Prairie, MN 55343; Keene, NH 03431; St. Joseph, MO 64507; Phoenix, AZ 85034; Atlanta, GA
On occasion you may be asked to travel to an office location for in person engagement activities such as team meetings, trainings, and culture events.
Internal candidates are encouraged to apply regardless of location and will be considered based upon the needs of the role.
We encourage you to apply even if you do not meet all of the requirements listed above. Skills can be used in many different ways, and your life and professional experience may be relevant beyond what a list of requirements will capture. We encourage those who are passionate about what we do to apply!
We provide benefits that support your physical, emotional, and financial wellbeing. You will have access to comprehensive medical, dental, vision and wellbeing benefits that enable you to take care of your health. We also offer a competitive 401(k) contribution, a pension plan, an annual incentive, 9 paid holidays and a paid time off program (23 days accrued annually for full-time employees). In addition, our student loan repayment program and paid-family leave are available to support our employees and their families. Interns and contingent workers are not eligible for American Family Insurance Group benefits.
We are an equal opportunity employer. It is our policy to comply with all applicable federal, state and local laws pertaining to non-discrimination, non-harassment and equal opportunity. We also consider qualified applicants with criminal histories, consistent with applicable federal, state and local law.
Apply Now