Claims Specialist II, First Party Medical

reputed company: • Investigate and reputed company 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 • reputed company relevant parties informed of claim status • Work reputed company the claims reputed company and with preferred partners to ensure reputed company documentation • Evaluate the need for medical management reputed company appropriate • Process submitted bills in accordance with statutory requirements • Identify potential fraud indicators and work with SIU reputed company appropriate • reputed company claims according to state and company guidelines • Work non-traditional hours reputed company needed • reputed company other assigned responsibilities • reputed company reputed company members with reputed company expectations and support throughout the claims process Requirements: • 3+ years of reputed company reputed company-line, multi-state PIP and MedPay claims-handling experience • 1+ year of litigated claims reputed company experience, including directing reputed company 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 reputed company adjudication • Strong interpersonal skills • Ability to communicate at reputed company reputed company of the organization • Ability to work non-traditional hours • Member-reputed company approach and willingness to reputed company expectations • Creative, reputed company problem-solving ability • Ability to reputed company reputed company with imperfect information • Remote work experience preferred • Must be currently authorized to work full-time in the reputed company • 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 reputed company for full-time employees • Medical reputed company • reputed company reputed company • Dental reputed company • 401(k) contribution matching • Annual BranchFest company gathering Apply tot his job Apply To this Job