Claims Specialist II, First Party Medical
BranchAbout the role
About Branch
Branch is on a mission to make insurance more accessible, so more people can be covered. We innovate using data, tech, and automation to simplify insurance from start to finish—we eliminated inaccurate quotes in favor of real prices, created a better way to bundle, and cut unnecessary costs in the traditional insurance process. Then we pass those savings along to our members. Basically, we’re doing insurance the way it was meant to be.
But we didn’t just create the insurance we’ve always wanted, we also created the company we’ve always wanted to work for. As we redefine insurance, we also want to redefine what it means to work in insurance. Find out for yourself.
Branch is open to candidates located in AL, AK, AZ, AR, CO, DE, FL, GA, ID, IL, IN, IA, KS, KY, LA, ME, MD, MI, MN, MS, MO, NE, NV, NH, NM, NY, NC, ND, OH, OK, PA, RI, SC, SD, TN, TX, UT, VA, WV, WI, and WY, unless the role is specific to a location. Applicants must be currently authorized to work in the United States on a full-time basis. We are unable to sponsor or take over sponsorship of an employment visa at this time.
Branch is remote first, with most Branchers choosing to work from home. Our headquarters are located in Columbus, Ohio, where we come together from time to time to build relationships and connect with each other in real life. We also have office space in Columbia and Concordia, Missouri as well as Forreston, Illinois. Once a year, the entire company gathers for “BranchFest”, a highlight of the year for many Branchers.
About the role
As a Senior Claims Specialist, First Party Medical at Branch, you’ll be assisting Branch members in their time of greatest need. When an auto claim is reported, you’ll be the face and voice of Branch to our members, ensuring they feel comfortable and have clear expectations about the claims process.
We’re building a technology-first and data-driven claims experience to enhance client experience while eliminating traditional claims inefficiencies. We are in need of an experienced claims professional to investigate and resolve auto PIP & MedPay claims of varying complexity. The ideal candidate will be a member-focused “do-er”. You should not be afraid to roll their sleeves up to ensure we’re achieving industry best outcomes all while making sure we’re delivering on our promise to the Branch members.
Key Responsibilities
Investigate and resolve non-litigated and litigated First Party PIP & MedPay claims within the claims department
Process non-medical benefits such as loss wages, funeral or other benefits
Contact insureds, attorneys, medical providers and other relevant parts to appropriately complete necessary investigations
Proactively keep all relevant parties apprised of claim status
Work within the claims system and with preferred partners to ensure quality documentation
Evaluate the need for medical management when appropriate
Process submitted bills in accordance with statutory requirements
Demonstrated excellent interpersonal written and verbal communication skills
identify potential fraud indicators and work closely with siu when appropriate
Ability to work non-traditional work hours
Resolve all claims in accordance with state and company guidelines
May perform other responsibilities as assigned
Skills, Knowledge, and Expertise
3+ years of progressive front line multi-state PIP & MedPay claims handling experience
1+ years of experience with resolving litigated claims including directing outside panel counsel is preferred
Adjuster license(s) and experience handling claims in multiple states is strongly preferred (MI, NY, NJ, FL)
Knowledge of venue specific No-Fault laws and Regulations including MCCA
Experience with bill adjudication
Willing to go above and beyond to deliver an industry-leading member experience
Strong interpersonal skills
Ability to communicate at all levels of the organization
Creative, out of the box thinker who has a passion for helping others
Ability to “Call the Play” with imperfect information
Experience working remotely is preferred
Why join us at Branch?
We’re all about getting back to getting each other’s back - that means Branchers, too. So we provide benefits that let you work and live to your fullest.
Above-market salary - Branch is a data-driven company, so we do the math on salaries, too. If you get an offer from Branch, you can expect compensation that hits above the mark.
Pay equity and tra
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