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Description

Justification for contractor: Additional headcount for emergency claims Responsibilities and Experience Required: As Provider Support Representative (PSR) you will be a part of a dynamic team and will manage the daily interactions with providers. Including daily oversight of service request hubs which consist of the Need Provider, Emergency request and White Glove items. Responsibilities include but are not limited to: Your responsibilities will include but are not limited to arranging with appropriate network and non-network providers to complete claims that cannot be automatically dispatched, processing provider inquiries, assisting with special handling claims, and service follow-up. Includes inbound and outbound calls, provider paperwork, provider profile maintenance, liaison with other teams, Workflow/Queue Management, and overflow Provider Support Experience and Qualifications of the Role · Develop & nurture relationship with key vendors, customers, and members of our team · Engage daily with potential new leads and provide impeccable support to each individual · Document and track various activities/request in company systems · Follow all policy and procedures for daily task · Finding a provider to service claim when no in network provider is available. · Answer incoming calls and makes outbound calls, as well as re-directing calls as required · Respond to email inquires · Interpret contract language as it relates to AWR enrollments, contracts, and agreements with providers. · Data entry and update for provider profiles. · Facilitate for emergency/urgent work orders to be completed by coordinating with both customer and contractor. · Research contractors who are not currently under agreement and arrange one-time agreements to complete work orders · May negotiate with contractors to reach agreeable terms for unusual, inconvenient, or urgent work orders. · Dispatch work orders following established guidelines. · Answer inbound and places outbound calls; provides necessary follow-up. · Generate requests using applicable forms and software. · Proactively review the open claims by following up with contractors on open work orders. · Respond promptly to emails from customers and other departments regarding the status of open claims. · Prepare and respond to data requests and execute work orders, service orders, error reports, set-ups, etc. in various configurations such as Agent Desktop and CMS More Basic Description of the Role: · Inbound and outbound phone calls · When they have emergency claims come in they need to watch and make sure the emergency claim gets worked and following the claim through the process · If no provider- find a provider in the area to assign to the claim · Calling providers off google who can go into the area

Skills

microsoft office, customer service oriented, customer support, dispatch, dispatch customer service, Claim, Customer service, Claims processing, invoicing, invoice processing, invoice entry

Top Skills Details

microsoft office,customer service oriented,customer support,dispatch,dispatch customer service

Additional Skills & Qualifications

• Demonstrated critical thinking to understand, analyze, evaluate, and negotiate in complex situations Demonstrated knowledge of home systems repair methods • Detail oriented and shows strong data entry and documentation skills Demonstrated a sense of urgency as appropriate • Great organizational, time management, and independent problem-solving skills • Self-driven and demonstrates the ability to thrive in a fast-paced environment • Strong written and verbal communication skills • Demonstrate the ability to anticipate & embrace change • Collaborative team player • Strong work ethic and adaptability • Ability to work OT during peak demand • Service-oriented and collaborative team player • Good attention to detail

Experience Level

Expert Level

Pay and Benefits

The pay range for this position is $19.23 - $25.00/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:

• Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a hybrid position in Naperville,IL.

Application Deadline

This position is anticipated to close on Jun 4, 2025.

About Aston Carter:

Aston Carter provides world-class corporate talent solutions to thousands of clients across the globe. Specialized in accounting, finance, human resources, talent acquisition, procurement, supply chain and select administrative professions, we extend the capabilities of industry-leading companies. We draw on our deep recruiting expertise and expansive network to meet the evolving needs of our clients and talent community with agility and excellence. With offices across the U.S., Canada, Asia Pacific and Europe, Aston Carter serves many of the Fortune 500. We are proud to be a ClearlyRated Best of Staffing® double diamond winner for both client and talent service.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email [email protected] (%[email protected]) for other accommodation options.