Experienced Disability Customer Service Representative – Claims Intake, Case Management & Client Engagement at brighthush

About brighthush

brighthush is a leading provider of disability and workers’ compensation solutions, serving a diverse portfolio of national and regional carriers, third‑party administrators, managed care organizations, and employers. With a proven track record of processing over 200,000 claims annually, we combine cutting‑edge technology with a deep commitment to client service. Our culture is built on collaboration, continuous improvement, and a passion for making a tangible difference in the lives of our clients and the people they serve.

Why Join brighthush?

At brighthush, you’ll be part of a high‑performance team that values innovation, integrity, and impact. We empower our employees to grow through mentorship, professional development, and hands‑on experience across multiple facets of the claims lifecycle. Whether you’re a seasoned professional or just starting your career in customer service, you’ll find a supportive environment that rewards initiative, creativity, and a commitment to excellence.

Key Responsibilities

As a Disability Customer Service Representative, you will be the first point of contact for new claims and the linchpin that ensures each case moves smoothly through our intake, drafting, and assignment processes. Your day‑to‑day tasks will include:

• Intake & Verification: Receive new disability claims, review documentation, verify completeness, and resolve missing information with clients.
• Case Drafting: Enter accurate case data into the brighthush proprietary system (AccessDS), ensuring all fields meet regulatory and client specifications.
• Document Management: Organize, sort, and create medical document lists as required, applying special handling protocols when necessary.
• Case Oversight: Monitor case progress, track deadlines, and proactively flag any delays or compliance issues.
• Assignment & Scheduling: Allocate new cases to the appropriate physicians or reviewers based on location, availability, jurisdictional rules, and client preferences.
• Conflict Management: Verify that assigned reviewers have no conflicts of interest and that all assignments comply with internal policies.
• Client Communication: Provide regular updates to clients, clarify referral details, and ensure all required documentation is delivered in a timely manner.
• Quality Assurance: Participate in periodic audits, contribute to process improvement initiatives, and maintain a high standard of accuracy and compliance.

Essential Qualifications

• Associate’s degree preferred; bachelor’s degree or equivalent experience in business, healthcare, or related fields is acceptable.
• Prior experience in a healthcare or insurance environment, especially in claims processing or customer service.
• Strong written and verbal communication skills, with the ability to explain complex processes to clients and internal stakeholders.
• Excellent critical‑thinking and problem‑solving abilities; able to manage multiple priorities and meet tight deadlines.
• Proficiency with computer systems, data entry, and Microsoft Office Suite; experience with claims management software (e.g., AccessDS) is a plus.
• High level of attention to detail, accuracy, and compliance with regulatory standards.
• Self‑motivated, adaptable, and comfortable working both independently and as part of a collaborative team.

Preferred Skills & Competencies

• Knowledge of disability, workers’ compensation, or medical review processes.
• Experience with electronic health records (EHR) or medical document management.
• Familiarity with HIPAA regulations and data privacy best practices.
• Strong organizational skills and the ability to maintain a structured filing system.
• Proactive approach to learning new technologies and adapting to evolving workflows.
• Customer‑centric mindset with a passion for delivering exceptional service.

Career Growth & Learning Opportunities

At brighthush, we believe that your professional development is as important as the work you do. As a Disability Customer Service Representative, you will:

• Gain exposure to the full claims lifecycle, from intake to resolution.
• Participate in cross‑functional projects that enhance your understanding of medical review, compliance, and data analytics.
• Access internal training programs, certifications, and workshops designed to deepen your expertise in disability claims and healthcare operations.
• Be considered for advancement into senior case management, quality assurance, or process improvement roles.
• Receive mentorship from experienced leaders who are committed to your growth and success.

Work Environment & Culture

brighthush fosters a culture of transparency, respect, and continuous improvement. Our remote‑first approach means you can work from anywhere in the United States while staying connected through:

• Regular virtual team huddles and cross‑departmental collaboration.
• Access to a robust digital workspace equipped with Apple hardware and a media stipend.
• Flexible scheduling options that support work‑life balance.
• A supportive community that celebrates diversity, equity, and inclusion.

Compensation & Benefits

While the starting salary will be determined by your experience, education, and skill set, we offer a comprehensive benefits package that includes:

• Competitive base salary with performance‑based bonuses.
• Health, dental, and vision insurance for you and your family.
• Short‑term and long‑term disability coverage at no cost.
• Basic life insurance and voluntary life insurance options.
• Hospital indemnity, critical illness, and accident indemnity plans.
• Pet insurance options for animal lovers.
• Generous paid time off (PTO) and holiday schedule.
• 401(k) plan with company match to help you plan for the future.
• Apple equipment and media stipend for a productive remote workspace.

Our Commitment to You

brighthush is dedicated to creating an inclusive environment where every employee feels valued and empowered. We offer fair, competitive compensation that reflects your contributions and performance. Our commitment to diversity, equity, and inclusion means we actively seek to build a workforce that reflects the communities we serve.

Ready to Make an Impact?

If you are a motivated, detail‑oriented professional with a passion for customer service and a desire to help clients navigate the disability claims process, we want to hear from you. Join brighthush and become part of a team that is transforming the way disability claims are managed, while advancing your career and making a real difference in people’s lives.

Apply today and take the first step toward a rewarding career at brighthush.