Claims Specialist II, First Party Medical

Branch HQ · Remotefull timeRemote

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mid

$60k–$85k

H1B: no

Branchinsurance Claims Specialist II, First Party Medical at Branch responsible for investigating and resolving auto PIP & MedPay claims. This role involves communication with insureds, attorneys, and medical providers to complete investigations.

Responsibilities

As a Claims Specialist II, 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.
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

Qualification

Experienced claims professionalMember-focusedStrong communication skills

Required

Experienced claims professional
Member-focused
Ability to investigate and resolve claims
Strong communication skills

Benefits

Dental
Vision
401(k)
Equity/RSU

Company

Branchinsurance

View company page

Source: ashby

Active within the past hour

Remote-friendly

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Experienced claims professionalMember-focusedStrong communication skills

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