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Provider Relations Specialist

Company: Insurance Administrative Solutions, LLC
Location: Largo
Posted on: September 13, 2023

Job Description:

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 speed.
  • 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 date
    • 401(k) Company matching and contributions are immediately vested
    • 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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