Provider Hotline Representative

At Windhaven we are always looking for "A" players who want a challenge. Are you a driven person who wants to achieve great feats of growth within your career? Then we want to talk to you!  

We are a successful, fast growing Property & Casualty Insurance group of companies headquartered in Miami, Florida. We thrive in an environment that feels more like a successful start-up, than an insurance company, and we are committed to our mission, culture, core values, and data-driven decision making.  

The Provider Hotline Customer Service Representative will provide support to the Claims PIP Department on customer service calls from providers and/or attorneys regarding PIP benefits and payment inquiries.

Principal Responsibilities:

•     Provide exceptional customer service by responding to all inbound calls from providers and attorneys in a timely and courteous manner.
•     Maintain first call resolution with providers and attorneys by learning and applying PIP claim basics.
•     Explain payment amounts and send out updated PIP logs.
•     Explain check disbursement breakdowns.
•     Explain PIP claims status.
•     Utilize the AIS Medical bill review system to send out accurate Explanation of Benefits and/or PIP logs to providers and attorneys.
•     Build rapport with providers and attorneys and actively listen to requests and inquiries.
•     Enter information into the internal system to record, track and monitor inquiries.
•     Assist the PIP team with miscellaneous tasks.

Qualifications/Requirements:

•     High school diploma or equivalent
•     At least 1 year of experience working in an office environment, preferably a call center
•     Previous PIP or General auto insurance experience preferred
•     Bilingual Spanish preferred
•     Adjuster 6-20 License preferred
•     Pleasant phone voice and ability to discuss billing inquiries
•     Strong organizational, interpersonal, communication and writing skills
•     Team oriented mindset and strong work ethic
•     Ability to multitask

 Windhaven Insurance is an Equal Opportunity Employer.  We do not discriminate in employment opportunities or practices on the basis of race, color, religion, sex, sexual orientation, national origin, age, genetic information, disability or any other characteristic.