Investigate and analyze surety bond claims while effectively communicating written determinations. Maintain a customer service mindset and manage a caseload, strengthening analytical and communication skills for complex claims resolution.

• process inbound claim contacts from dealers, repair facilities, sales agents, contract holders, etc. via applicable channels • process queue contacts from the claims queues, email and or chat channels from dealers, repair facilities, sales/agents as well as internal and external customers • process various requests from managers and lead adjuster • correspond with various vendors throughout the claim adjudication process as needed • perform other duties as assigned, delegated by management

• Provide prompt, courteous and high-quality customer service to all policyholders and claimants by responding to customer inquiries, initiating investigations and resolving customer claims. • Gather necessary information from customers to initiate the claim and explain policy, coverage, and appropriate course of action • Manage an inventory of claims, establish initial reserves for all potential exposures, and adjust as appropriate throughout the claim • Coordinate the repair of damaged vehicles and assist with rental reimbursement • Recognize recovery opportunities in regards to subrogation and salvage, as well as total loss • Ensure compliance with specific state regulations, policy provisions, and standard operating procedures • Communicate with involved parties and negotiate appropriate settlements with claimants, insureds, and attorneys within approved payment authority • Provide input for continuous development of claims guidelines, best practices, and process improvements • Oversee and direct outside investigative service providers and work closely with the client and client counsel and investigative services to resolve the claim • Engage in learning opportunities to build knowledge of personal lines claims, court decisions impacting the claims function, current guidelines in claims function, and policy changes and modifications

Role Description The Arc of the Ozarks is seeking a detail-oriented Credentialing Specialist to manage provider credentialing, re-credentialing, and payer enrollment processes. This position helps ensure providers remain active, compliant, and connected with commercial insurance, Medicare, Medicaid, and other payer networks. This is a remote position for Missouri residents only. Applicants must currently live in Missouri. What You’ll Do - Manage initial credentialing, re-credentialing, and provider enrollment - Submit provider applications and supporting documentation accurately and on time - Track credentialing status and follow up with payers until approvals are complete - Maintain provider records in CAQH, PECOS, Medicaid portals, payer systems, and internal files - Monitor expiring licenses, certifications, insurance, and required provider documents - Review NPI, taxonomy, provider file requirements, and payer-specific documentation - Serve as a liaison between providers, insurance companies, state agencies, vendors, and internal teams - Help resolve credentialing-related issues, including claim rejections tied to enrollment status - Assist with credentialing audits, reporting, and file reviews - Support billing, revenue cycle, and administrative tasks as needed Qualifications - High school diploma or equivalent - Strong attention to detail and accuracy - Excellent communication, organization, and follow-up skills - Working knowledge of Microsoft Word, Excel, and general computer systems - Ability to work independently in a remote environment - Ability to maintain confidentiality with sensitive provider and organizational information Requirements - 2 or more years of credentialing, provider enrollment, healthcare administration, billing, or revenue cycle experience - Knowledge of Medicare, Medicaid, and commercial payer credentialing processes - Familiarity with CAQH, PECOS, Medicaid portals, payer portals, NPI, taxonomy codes, and provider documentation Benefits - Compensation: $24 - $28 per hour, based on experience and qualifications - Full-time position with standard business hours - Occasional flexibility may be needed based on payer deadlines, audits, or team priorities Company Description At The Arc of the Ozarks, your work supports a mission-driven organization serving individuals and families across Missouri. As a Credentialing Specialist, you will help reduce delays in provider enrollment, payer participation, billing, and reimbursement while supporting a team dedicated to meaningful care and services.