Provider Relations Specialist
Company: Insurance Administrative Solutions, LLC
Posted on: September 13, 2023
Integrity is one of the nation's leading independent
distributors of life, health and wealth insurance products. With a
strong insurtech focus, we embrace a broad and innovative approach
to serving agents and clients alike. Integrity is driven by a
singular purpose: to help people protect their health and wealth so
they can be ready for the good days ahead.Headquartered in Dallas,
Texas, Integrity is committed to meeting Americans wherever they
are - in person, over the phone or online. Integrity's employees
support hundreds of thousands of independent agents who serve the
needs of millions of clients nationwide. For more information,
visit.ABOUT INSURANCE ADMINISTRATIVE SOLUTIONSInsurance
Administrative Solutions (IAS) is a third-party provider of
comprehensive administrative solutions for our clients in the
insurance industry. We offer a business process outsourcing
solution that helps insurers optimize administrative workload,
bolster their industry expertise, leverage emerging technologies,
and streamline operations. With strong industry knowledge, we
deliver value to our customers by providing compassionate customer
service, efficient processing, and quality results. Here at IAS, we
embrace the fact that great things are only accomplished by working
as a team. We believe that all of our employees have valuable input
no matter the level. Our highly collaborative team environment
offers each of our employees a place where they can excel.JOB
SUMMARY: - The provider specialist is responsible for maintaining
control of the provider database in all aspects. - - Handles all
provider-related claims issues with internal and external
customers, processes electronic claims with provider-related
problems, contacts providers when necessary and handles other
provider information issues. - Responsible for obtaining W-9s, as
well as recognizing, researching and resolving any discrepancies
noted. - System generated provider reports are monitored and worked
daily. - - - ESSENTIAL DUTIES & RESPONSIBILITIES (Other duties may
be assigned as necessary.):
- Maintain provider database; adding new entries, making changes
to provider information.
- Process incoming provider correspondence.
- Process electronic claims in a special provider mailbox.
- Research provider checks returned by post office.
- Make Excel spreadsheets from provider information.
- Handle provider-related problems that are referred to the unit
from the claims departments.
- Make and receive phone calls to and from providers.
- Send correspondence to providers via mail, email or fax.
- Review and work a variety of reports, i.e. a report on
providers with invalid zip codes.
- All duties above need to be performed with accuracy and
- Actively participate in cross training to maximize team
efficiency and maintain or exceed service standards.
- Must understand the broad strategic concept of our business and
link these to the day-to-day business functions of other processing
areas, keeping in mind compliance process dates.
- Arrive to work and return from breaks & lunch as scheduled.
Punctuality and dependability are imperative.
- As needed, miscellaneous duties as assigned by the Supervisor
and other Management.QUALIFICATIONS: 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.
Must have the ability to understand our mail flow process. - Must
display excellent research and filing skills when needed. - Must
have a clear understanding of the business procedures within the
claims and customer service areas. - Good interpersonal and
decision making skills required. - Good written and oral
communication skills with the ability to speak effectively and
clearly in person and over the phone. - Must be organized and able
to manage time effectively with all claim information from or to
other departments. - Good PC application skills and typing to 30
wpm with accuracy and clarity of content. - Attention to detail and
ability to listen / type simultaneously. - Must be able to exhibit
flexibility in performing multiple functions. - Must have excellent
attendance and work ethic. - Team Centered. - Honesty and respect
for the company and its policies and procedures is required. -
EDUCATION and/or EXPERIENCE REQUIRED: - High school education, with
experience working in an office setting, preferably some experience
working on databases and Excel.Benefits:
- Medical/Dental/Vision Benefits first of the month after hire
- 401(k) Company matching and contributions are immediately
- 15 days PTO after 90 days
- Referral program
- 11 Paid Holidays
- Employee Assistance Program
- Tuition ReimbursementSchedule:
- Monday to Friday
- 37 hour work weekIntegrity offers you the opportunity to start
a career in a family-like environment that is rewarding and cutting
edge. Why? Because we put our people first! At Integrity, you can
start a new career path at company you'll love, and we'll love you
back. We're proud of the work we do and the culture we've built,
where we celebrate your hard work and support you daily.Joining us
means being part of a hyper-growth company with tons of
professional opportunities for you to accelerate your career.
Integrity offers our people a competitive compensation package,
including benefits that make work more fun and give you and your
family peace of mind. -Integrity Marketing Group, LLC is an Equal
Opportunity employer. All qualified applicants will receive
consideration for employment without regard to race, color,
religion, sex, gender identity, national origin, disability,
veteran status, or any other characteristic protected by federal,
state, or local law. In addition, Integrity Marketing Group, LLC
will provide reasonable accommodations for qualified individuals
with disabilities -PandoLogic. Keywords: Provider Relations
Representative, Location: Largo, FL - 33773
Keywords: Insurance Administrative Solutions, LLC, Largo , Provider Relations Specialist, Other , Largo, Florida
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