Claims Service Representative- Claims Medical Team

Claims Service Representative- Claims Medical Team West Des Moines, IA Job Details Permanent | Full-time 1 day ago Benefits Paid holidays Disability insurance Dental insurance Paid time off Vision insurance 401(k) matching Qualifications Customer relationship building Medical claims processing Phone communication Customer service Regulatory compliance in claims processing Mid-level Medical records Decision making Organizational skills Insurance investigations Settlement negotiation 1 year Associate's degree Communication skills Stakeholder relationship building Full Job Description Claims Service Representative- Claims Medical Team Do you thrive in a work environment where you must multi-task and have strong organizational skills? Are you a go-getter with high initiative and a positive attitude? Do you have past MedPay/PIP experience or a background in the medical field with a strong customer service mindset? If so, this Claims Service Representative opportunity could be a great fit for you!

Who We Are:

With Farm Bureau Financial Services, our client/members can feel confident knowing their family, home, cars and other property are protected. We value a culture where integrity, teamwork, passion, service, leadership and accountability are at the heart of every decision we make and every action we take. We're proud of our more than 80-year commitment to protecting the livelihoods and futures of our client/members and creating an atmosphere where our employees thrive.

What You'll Do:

As a Claim Service Representative - MedPay/PIP, you will review, investigate, and evaluate medical and Personal Injury Protection (PIP) claims payments. You will project a positive image of Farm Bureau by fairly and efficiently negotiating and settling claims with all customers. You will also assure claims are settled in accordance with regulations and policy language by reviewing medical bills submitted for accuracy, necessity and reasonableness. You will be responsible for adjusting or denying claims, considering deductible amounts and policy limits. You will take recorded statements from claimants and witnesses, as well as work with defense and plaintiff attorneys to settle claims. It is your responsibility to ensure only justifiable claims are paid by the company by reviewing the policy and external medical records to determine applicable coverage. What It Takes to

Join Our Team:

Associates degree or equivalent plus 1-3 years of experience. Prior Med Pay/PIP handling OR Medical claims experience is preferred. Strong negotiation and communication skills are required in order to explain your decisions to insureds, claimants, and agents. It will be necessary to maintain a professional and productive relationships with agents, policyholders, claimants, doctors, attorneys and others, to bring credit to the claims department and company. Ability to keep a service-oriented attitude at all times. Strong written communication skills are important to prepare running documentation and written reports. Ability to spend up to 50% of your day on the telephone, while spending the majority of your time at a desk. You will be expected to learn and keep up to date on Unfair Claims Practice Act, policy knowledge, and other governmental or company rules and regulations. The ability to exercise independent judgment and arrive at decisions through sound, logical reasoning in order to handle more complex claims is required. Ability to work from our office located in West Des Moines, IA.

What We Offer You:

When you're on our team, you get more than a great paycheck. You'll hear about career development and educational opportunities. We offer an enhanced 401K with a match, low cost health, dental, and vision benefits, and life and disability insurance options. We also offer paid time off, including holidays and volunteer time, and teams who know how to have fun. Add to that an onsite wellness facility with fitness classes and programs, a daycare center, a cafeteria, and for many positions, even consideration for a hybrid work arrangement. Farm Bureau....where the grass really IS greener!

Work Authorization/Sponsorship:

At this time, we are not considering candidates that need any type of immigration sponsorship now or in the future, such as additional or permanent work authorization. Applicants must be currently authorized to work in the United States on a full-time, permanent basis. We are not able to sponsor now or in the future, or take over sponsorship of, an employment visa or work authorization for this role. For example, we are not considering candidates with OPT status.