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Provider Relations Specialist

UNUM Baton Rouge, LA
  • Expired: October 04, 2019. Applications are no longer accepted.

Job Posting End Date: 10/08

Unum is a company of people serving people. As one of the world's leading employee benefits providers and a Fortune 500 company, Unum's financial protection benefits help protect more than 36 million working people and their families from the financial impact of illness or injury. Unum's three distinct, but similarly focused US businesses - Unum US, Colonial Life, and Starmount Life - are each a market leader in making disability, life, accident, critical illness, dental, and vision insurance accessible in the workplace.

Headquartered in Chattanooga, Tennessee, Unum has significant US operations in Portland, Maine, Worcester, Massachusetts, and Glendale, California with over 35 field offices nationwide. Colonial Life is headquartered in Columbia, South Carolina with over 40 field offices nationwide. Starmount Life is based in Baton Rouge, Louisiana, and is the dental and vision center of excellence for Unum in the US.

General Summary:Specialist acts as an internal contact and works in cooperation with the claims department, member service staff, and other internal staff as necessary to perform Provider services. Provider services vary and include maintaining accurate and current provider databases, resolving problems, and advising providers of new protocols, policies and procedures. Representatives apply knowledge to diversified subject matter, requiring some judgment in established procedures and guidelines. This team is a critical component to the delivery of quality healthcare services to our members by maintaining highly efficient and functioning relationships with providers.

+ Assist in the basic operations of the Provider Relations Department
+ Assist with the development and monitoring of provider contracts
+ Resolve administrative problems affecting network providers, patients, and plans within contracted guidelines for which the network is responsible
+ Assure the provider documentation is complete and accurate
+ Process contracts and contract edits in multiple provider databases while ensuring the accuracy of the data
+ Communicate any new or updated policy and/or procedure to providers
+ Collect, clean and ensure the quality of data in the provider data systems
+ Train others on new systems and serves as provider database helpdesk
+ Respond to phone calls and emails regarding network providers
+ Communicate with large retail corporations, vendors and business partners
+ Process dental and vision requests
+ Update provider website
+ Coordinate "Ask an Eye Doctor" questions received via website
+ Notify providers of new groups via mailings, email and phone calls
+ Prepare reports for providers listing groups in their service area
+ Prepare provider directories
+ Request GEO Access reports
+ Complete 1099 Projects/Returns
+ Work with other departments, groups, members, and/or agents to resolve provider related issues s
+ Coordinate vision screenings
+ Assist in state reporting and filings
+ Perform other duties as required

Knowledge, Skills & Abilities
+ Ability to communicate in a professional and sales-oriented manner
+ Excellent written and oral communication skills
+ Strong critical thinking skills, listening, and problem solving skills
+ Excellent attention to detail
+ Strong Microsoft Office skills

Education & Experience Requirement
+ Minimum 2 years of college
+ 2-3 years related experience, preferably in the insurance industry
+ Experience using the Internet and databases as research tools

Unum and its family of businesses offer world-class training and development, generous compensation and benefits packages, and a culture built on employee ideas.

Unum is an equal opportunity employer, considering all qualified applicants and employees for hiring, placement, and advancement, without regard to a person's race, color, religion, national origin, age, genetic information, military status, gender, sexual orientation, gender identity or expression, disability, or protected veteran status.

Starmount Life
A Fortune 500 company, Unum's family of 10,000 employees spans three countries and dozens of office locations. Our employees focus each day on delivering financial protection benefits to millions of workers and their families when they need it most.

The Unum enterprise includes Unum in the U.S. and U.K., Colonial Life and Starmount Life Insurance - each a market leader in making disability, life, accident, critical illness, dental and vision insurance accessible in the workplace.



Baton Rouge, LA
70806 USA