Med Pay Claims Representative
Location: De Pere, WI
Company: Ameriprise Auto & Home Insurance
rachel.m.juley at ampf dot com
A Bachelor's degree or equivalent relevant work experience is required. 1-2 years of claims-related experience is required. Must possess proven negotiation skills and strong organizational skills. Excellent verbal, written, and interpersonal communication skills are required. Must possess the ability to multi-task and manage workflow in a high volume, fast paced environment. Must also have the ability to work with a high degree of accuracy and attention to detail, work independently and also contribute to a team environment. Must be a self-starter with willingness to accept change, and demonstrate a strong work ethic. The work schedule involves daytime hours, but must be flexible to some schedule variance as dictated by claims volume.
Investigate, assess, negotiate and settle automobile First Party Medical claims. Set up claim file, initiate first contact with injured parties, confirm coverages, deny claim when appropriate, verify and investigate facts, set and maintain claim reserves, establish follow-up on claims, document claim files, and order Independent Medical Exams (IME) / Peer Reviews when necessary. Achieve timely and fair negotiations and settlements. Refer files to subrogation or special investigation unit as needed.