Claims Intermediary I
The Claim Intermediary receives, researches, and processes transportation service requests and all the required billing associated with a reservation while serving as a point of contact between new and existing transportation providers and members to answer questions and resolve any claims/billing related issues. In addition, the Claim Intermediary is required to identify and monitor utilization and billing trends that may signal abusive practices. The Claim Intermediary will leverage internal and external resources as well as outreaching to members, facilities, clients and other parties to accurately fulfill reservations. Performs other administrative duties as requested. This job involves heavy computer usage and public telephone contact.
Entry level role to the organization, however, experience is preferred in either health care or logistics. A strong background in customer service is required. Moderate level skills and proficiency required, as demonstrated from prior work history. Generally performs a high volume of inquiries about One Call’s products and services by following standard scripts and procedures. Works under close supervision with little latitude for independent judgment. Consults with senior peers and team leads on non-complex issues to learn through experience. Typically requires one year or more of experience in a call center or customer service-related position in a service industry with an added preference of one year or more of experience in the health care or logistics industry. Claim Intermediary I’s will typically handle one service line, while learning others, and will become knowledgeable in all products/services before moving into a level II role.
GENERAL DUTIES & RESPONSIBILITIES:
EDUCATIONAL REQUIREMENTS:
POSITION REQUIREMENTS:
GENERAL KNOWLEDGE, SKILLS & ABILITIES:
Claims Intermediary I
Entry level role to the organization, however, experience is preferred in either health care or logistics. A strong background in customer service is required. Moderate level skills and proficiency required, as demonstrated from prior work history. Generally performs a high volume of inquiries about One Call’s products and services by following standard scripts and procedures. Works under close supervision with little latitude for independent judgment. Consults with senior peers and team leads on non-complex issues to learn through experience. Typically requires one year or more of experience in a call center or customer service-related position in a service industry with an added preference of one year or more of experience in the health care or logistics industry. Claim Intermediary I’s will typically handle one service line, while learning others, and will become knowledgeable in all products/services before moving into a level II role.
EEO Employer
841 Prudential Dr, Suite 204
Jacksonville, Florida, 32207
United States
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