PIP Claim Representative
Location: Auburn Hills, MI
Company: Meemic Insurance Company
9/18/2014
 
Job Listing:
 
Contact E-Mail:
 
jobs at meemic dot com
Employment Status:
 
Part Time
Position Type:
 
Other
Managerial Position:
 
No
Required Experience:
 
EXPERIENCE TO INCLUDE: 5. INVESTIGATION, EVALUATION AND SETTLEMENT OF MEDICAL CLAIMS WITHIN A MULTI STATE CLAIM ENVIRONMENT 6. ANALYZING AND PROBLEM SOLVING 7. ORGANIZATION, PLANNING AND ABILITY TO PRIORITIZE IN A FAST PACED HIGH VOLUME CLAIM ENVIRONMENT 8. DECISION MAKING 9. BASIC PC SOFTWARE SKILLS (WORD, EXCEL ETC.) KNOWLEDGE TO INCLUDE: 10. MEDICAL TERMINOLOGY AND HUMAN ANATOMY
Required Education:
 
REQUIRED: 1. ASSOCIATE'S DEGREE IN BUSINESS ADMINISTRATION, INSURANCE OR A RELATED FIELD OR THE EQUIVALENT IN RELATED WORK EXPERIENCE 2. SUCCESSFUL COMPLETION OF BASIC CLAIM REPRESENTATIVE TRAINING PROGRAM OR EQUIVALENT 3. MINIMUM TWO YEARS EXPERIENCE AS A INJURY CLAIM REPRESENTATIVE 4. CANDIDATES MUST BE ELIGIBLE TO ACQUIRE AND MAINTAIN A STATE ADJUSTER’S LICENSE FOR MULTIPLE STATE(S).
Job Details:
 


INDEPENDENTLY PERFORMS DETAILED AND HIGHLY COMPLEX CLAIM FUNCTIONS BOTH AT THE OFFICE AND OCCASSIONALLY AT OFF-SITE LOCATIONS. REVIEWS FILES, OBTAINS COVERAGE INFORMATION AND CONTACTS INSURED TO DISCUSS CLAIM PROCESS. REVIEWS CLAIM FILES WHICH MAY BE BROAD AND/OR COMPLEX IN SCOPE AND REQUIRE SUBSTANTIAL TIME AND EFFORT TO COMPLETE SUCCESSFULLY. EXAMINES POLICIES AND PROCEDURES TO DETERMINE THE STATUS, EXTENT, TYPE OF COVERAGE AND THE NEED FOR ADDITIONAL INFORMATION. OBTAINS NECESSARY MEDICAL, ACCIDENT, LEGAL AND POLICE REPORTS TO COMPLETE FILES.

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