Job Description of a Provider Relations Representative

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The language and terms of insurance policies are frequently difficult for consumers to understand and interpret. A provider relations representative serves as a liaison between the insurance company and customers to explain coverage terms and answer questions. Based on data provided at, the average annual salary for a provider relations representative in the United States in August 2010 was $33,708.

Job Duties

Delivering optimum customer service is the primary job of a provider relations representative. He explains complex concepts in easy to understand language and answers a wide range of questions regarding coverage and exemptions. His job requires familiarizing himself with frequently updated policies and procedures of providers.

Skill Requirements

Patience and empathy help the representative deal with customers who are often anxious and under duress. Good judgment enables him to make decisions regarding coverages that may be vague or confusing. Attention to detail is necessary to review and interpret documents and claims.

Preferred Background

Two years of experience in insurance claims processing is preferred. Some employers require a bachelor’s degree in business or a related field. Familiarity with insurance industry terminology is desirable.