Farmers Insurance · 3 weeks ago
Bristol West Claims Medpip Rep (Hybrid - Grand Rapids or Kansas City)
Grand Rapids, MI
Full-time
Hybrid
Entry Level
$52K/yr - $70K/yr
1+ years expFarmers Insurance is dedicated to delivering peace of mind to customers through protection and comprehensive advice. The Bristol West Med Pay/PIP representative conducts claims investigations and manages first party medical claims, ensuring prompt and proactive handling of claims settlements.
FinanceProperty & Casualty InsuranceHealth InsuranceAuto InsuranceFinancial ServicesInsuranceLife Insurance
Responsibilities
Evaluates Personal Injury Protection (PIP) and Med Pay claims for eligibility, medical necessity, and appropriateness of charges in accordance with state fee schedules
Determines relatedness, causation, and appropriateness of treatment based on the compensable injury
Provides reserve recommendations and makes payment approval to ensure activities are consistent with corporate policies
Conducts detail bill reviews and process claims within designated authority levels
Makes contacts with stakeholders to investigate and process claims
Contacts may include multiple attempts to communicate with various parties and requires telephone conversations or other methods of communication to be a priority
Parties involved could include policy holders, claimants, agents, witnesses, contractors, police and fire departments, state and county fraud and arson personnel, special investigators, attorneys, expert witnesses, members of the medical profession and other persons pertaining to the investigation and processing of claims
Performs other duties as assigned
Qualification
Required
High school diploma or equivalent required
Strong verbal communication and listening skills
Strong written communication skills with the ability to convey critical decisions and information through written letters
Demonstrates excellent judgment and decision-making skills
Effective negotiation skills
Possesses flexibility to work in a fast-paced, dynamic environment; uses discretion to modify work practices and processes to achieve results or improve efficiency
Demonstrated problem-solving skills. Takes a broad perspective on problems and spots new, less obvious solutions
Performs work independently with minimal supervision
Possesses strong technical aptitude; Proficient in Microsoft Office products. Adaptable and flexible to new technology
Effective conflict management skills. Identifies key issues and patterns from partial/conflicting data
Strong skills in multi-tasking and working with a sense of urgency
Preferred
Less than one year of Insurance industry or related experience preferred
Bachelor's degree preferred
Benefits
Medical
Dental
Vision
Health Savings and Flexible Spending Accounts
Life Insurance
Paid Time Off
Company
Farmers Insurance
The companies comprising the Farmers Insurance Group of Companies® currently make up one of the country's largest insurers of vehicles, homes and small businesses, and provide a wide range of other specialty insurance and financial services products.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Jose Tamayo
Agency Owner
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