Provider Relations Specialist

About Carisk Partners , Inc.

Carisk Partners , a Best Places to Work award winning organization, is a specialty risk transfer, care-coordination company servicing insurers, government entities, self-insured plan sponsors and other managed care organizations. Through its Pathways 2 Recovery care model, Carisk Partners aims to improve outcomes and reduce overall cost of quality care by applying best practices in a patient – centered approach to manage complex challenges for the group health, casualty and auto markets.

Role Overview

The Provider Relations Specialist serves as a key liaison between healthcare providers and the Workers' Compensation Payment Integrity Department. This position is responsible for supporting provider engagement, resolving reimbursement inquiries, facilitating provider education, and assisting with dispute resolution activities. The Specialist works collaboratively with internal teams to ensure accurate reimbursement outcomes while maintaining positive provider relationships and supporting organizational payment integrity objectives. The role requires strong knowledge of workers' compensation reimbursement methodologies, provider billing practices, and payment integrity processes, as well as exceptional communication and problem-solving skills.