Arrange with appropriate network and non-network providers to complete claims that cannot be automatically dispatched. Process provider inquiries and assist with special handling claims and service follow-up. Handle both inbound and outbound calls, manage provider paperwork, and maintain provider profiles. Coordinate with other teams to ensure workflow and queue management. Develop and nurture relationships with key vendors, customers, and team members. Engage daily with potential new leads, offering impeccable support. Document and track various activities and requests in company systems. Adhere to policies and procedures for daily tasks. Find providers to service claims when no in-network provider is available. Respond to email inquiries and interpret contract language related to enrollments, contracts, and agreements. Facilitate emergency or urgent work orders by coordinating with both customers and contractors. Research and negotiate one-time agreements with contractors not under agreement. Dispatch work orders following established guidelines. Proactively review open claims and follow up with contractors. Respond promptly to emails regarding the status of open claims. Prepare and respond to data requests and execute work orders, service orders, and error reports.
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Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed