Claims Specialist II, First Party Medical

🔥 0 minutes ago

🏈 Alabama, Alaska, +35 more states – Remote

🏈 Alabama – Remote 🐻 Alaska – Remote 🌵 Arizona – Remote ⛰️ Colorado – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🐎 Kentucky – Remote ⚜️ Louisiana – Remote 🦞 Maine – Remote 🌾 Nebraska – Remote 🎰 Nevada – Remote 🗻 New Hampshire – Remote 🌶️ New Mexico – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🌾 North Dakota – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🦀 Maryland – Remote 🚗 Michigan – Remote ❄️ Minnesota – Remote 🎸 Mississippi – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote ⚓ Rhode Island – Remote 🌴 South Carolina – Remote 🗿 South Dakota – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote ⚔️ Virginia – Remote ⛰️ West Virginia – Remote 🧀 Wisconsin – Remote 🦬 Wyoming – Remote

💵 $59.5k - $85k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Claims Specialist

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Branch

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2017

🚘 Automotive

💼 Consulting

📦 Logistics

Automotive • Consulting • Logistics

Branch is a digital insurance company that simplifies the process of purchasing home and auto insurance by offering users a quick and straightforward way to obtain coverage. By leveraging technology and secure data, Branch provides accurate pricing and personalized policies while ensuring affordability through reduced advertising and community-focused savings. They emphasize excellent customer service and fast claims processing, making the experience seamless for their customers.

📋 Description

• Investigate and resolve non-litigated and litigated First Party PIP and MedPay claims of varying complexity • Process non-medical benefits such as loss wages, funeral benefits, and other benefits • Contact insureds, attorneys, medical providers, and other relevant parties to complete investigations • Keep relevant parties informed 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 • Identify potential fraud indicators and work with SIU when appropriate • Resolve claims according to state and company guidelines • Work non-traditional hours when needed • Perform other assigned responsibilities • Provide Branch members with clear expectations and support throughout the claims process

🎯 Requirements

• 3+ years of progressive front-line, multi-state PIP and MedPay claims-handling experience • 1+ year of litigated claims resolution experience, including directing outside panel counsel, preferred • Adjuster license(s) and multi-state claims-handling experience strongly preferred, especially MI, NY, NJ, and FL • Knowledge of venue-specific No-Fault laws and regulations, including MCCA • Experience with bill adjudication • Strong interpersonal skills • Ability to communicate at all levels of the organization • Ability to work non-traditional hours • Member-focused approach and willingness to exceed expectations • Creative, out-of-the-box problem-solving ability • Ability to make decisions with imperfect information • Remote work experience preferred • Must be currently authorized to work full-time in the United States • Employer does not sponsor or take over sponsorship of employment visas

🏖️ Benefits

• Above-market salary • Pay equity and transparency • Remote-first work arrangement • Work-from-home setup provided • Monthly internet coverage • Flexible YouTime/time off • $1,000 vacation contribution after the first year • Employee stock options for full-time employees • Medical insurance • Vision insurance • Dental insurance • 401(k) contribution matching • Annual BranchFest company gathering