ArlingtonTXRecruiter
the smart solution for Arlington jobs

Med/PIP Claims Representative - Arlington, TX

Company: Farmers Insurance
Location: Arlington
Posted on: January 15, 2019

Job Description:

We are Farmers! Join a team of diverse professionals at Farmers to acquire skills on the job and apply your learned knowledge to future roles at Farmers. Farmers Insurance also offers extensive training opportunities through the award winning University of Farmers named by Training magazine amongst top 10 corporate training units in the world. Start your career at Farmers today! Job Summary Proactively processes Med Pay and/or Personal Injury Protection (PIP) claims while delivering superior customer service. Confirms coverage and eligibility. Investigates and establishes damages. Negotiates and/or pays assigned claims. Communicates with claim owners and other specialists to facilitate claim resolution.
Essential Job Functions Customer Relationship Makes timely contact with customer Explains claims process to customer Explains policy benefits to customer Confirms facts of loss Establishes expectations (future contact timing, m method of contact, etc.) Investigation Determines policy coverage applicability Determines eligibility Identifies policy and coverage issues and escalates to supervisor Secures supporting documents such as, medical records, bills, and wage loss verification Identifies subrogation opportunities and refers claim to Subrogation department to follow-up Obtain additional information from all parties as needed to confirm proximate cause of loss and mechanism of injury Recognizes potential fraudulent claims and escalates to supervisor for review Communicates with underwriting on policy issues Evaluation Reviews and analyzes medical bills, records, wage loss documentation, and other information Reviews all investigation materials for causal relationship between the claim incident and the injuries reported Utilizes available resources and tools to ensure accuracy of evaluation of medical treatment. Assesses owed benefits Reviews claims with more complex investigation questions or issues with supervisor Claim Resolution Identifies need for medical intervention, such as an Independent Medical Exam or peer review, and initiates the process Recognizes and resolves disputes over covered benefits, medical bill amounts, etc. with customer or provider as appropriate Negotiates and settles claims based on the merits of the claim File Management Proactively manages claim inventory to ensure all assigned claims are handled to completion in a timely fashion, including follow-up contacts, bill payment, etc., compliant with regulatory requirements Utilizes claim system and other technologies to document file activities, strategy, and communication with customers, attorneys and medical providers Ensures that all correspondence to customers is appropriate and professional Discusses status of injuries and medical treatment plans with customers and medical providers Identifies Medicare eligibility and provides appropriate notification to customer as required Responds to customer and provider inquiries and resolves complaints promptly Completes assigned training and activities to develop the knowledge, skills and abilities required to complete the job duties. Performs other duties as assigned Physical Actions Physical Environment Education Requirements Four-year college degree preferred. Experience Requirements Basic critical thinking, negotiation, analytical and time management skills. Strong customer service skills. Proficient in use of computer, internet and Microsoft Office applications (Word, Excel). General work experience with demonstrated customer service and time management skills is preferred. Maintain an active adjuster's license in states as required. Special Skill Requirement Farmers is an equal opportunity employer, committed to the strength of a diverse workforce.

Schedule: Full-time

Job Posting: 01/03/2019

Keywords: Farmers Insurance, Arlington , Med/PIP Claims Representative - Arlington, TX, Other , Arlington, Texas

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Other Jobs


Airline Reservationist - Work From Home
Description: Responsible for assisting customers with travel requests by answering incoming calls and matching the features and benefits of the airlines to the needs of the passengers Answer customers inquiries regarding (more...)
Company: Mommy Jobs Online
Location: Dallas
Posted on: 01/24/2019

Universal Banker
Description: The Universal Banker is responsible for providing teller based transactions and handling maintenance and service requests for consumer and business products/services for new and existing customers while (more...)
Company: North Dallas Bank & Trust
Location: Frisco
Posted on: 01/24/2019

Sewer
Description: -- Stuffing Responsible for placing pillow shell over stuffer, filling shell with fiber, then placing pillow on conveyor for further processing. --- Sewing Responsible
Company: American Textile
Location: Dallas
Posted on: 01/24/2019


Seeking Healthcare Professionals
Description: Seeking homeworkers for a National Healthcare Benefits company. No experience is necessary,
Company: FAHT
Location: Palmer
Posted on: 01/24/2019

Loan Officer - Competitive Salary!
Description: Are you interested in helping the next generation of homeowners fulfill their dream of home PennyMac is looking for Loan Officers in LOCATION assisting new customers as well as existing PennyMac customers (more...)
Company: PennyMac
Location: Plano
Posted on: 01/24/2019

Personal Banker
Description: Financial Service Officer Role Responsibilities Branch based sales and service position whose primary goal is to help members by discovering financial needs, helping with problem resolutions, and processing (more...)
Company: Texas Trust Credit Union
Location: Hurst
Posted on: 01/24/2019

Personal Banker
Description: Financial Service Officer Role Responsibilities Branch based sales and service position whose primary goal is to help members by discovering financial needs, helping with problem resolutions, and processing (more...)
Company: Texas Trust Credit Union
Location: Bedford
Posted on: 01/24/2019

Now Interviewing- PT/FT From Home
Description: Are you looking to embark on a new career We have two open positions available. We are seeking multi talented, driven individuals
Company: Professional Career Advantage Network
Location: Mesquite
Posted on: 01/24/2019

Loan Servicing Specialist Level 1
Description: A Loan Servicing Specialist monitors and maintains collateral documentation pertaining to security interests in collateral pledged against the Bank's secured loans. They perform all duties and responsibilities (more...)
Company: North Dallas Bank & Trust
Location: Dallas
Posted on: 01/24/2019

University Programs: Operations Intern
Description: Great opportunity for current college students entering their Junior or Senior year by Fall 2019 or college graduate students entering or currently enrolled in a graduate program by Fall 2019. If (more...)
Company: Raytheon
Location: Dallas
Posted on: 01/24/2019

Log In or Create An Account

Get the latest Texas jobs by following @recnetTX on Twitter!

Arlington RSS job feeds