Claims Service Representative- Claims Medical Team

FBL Financial Group, Inc.•West Des Moines, IA

10d•Onsite

About The Position

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.

Requirements

Associates degree or equivalent plus 1-3 years of experience.
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.

Nice To Haves

Prior Med Pay/PIP handling OR Medical claims experience is preferred.

Responsibilities

review, investigate, and evaluate medical and Personal Injury Protection (PIP) claims payments
project a positive image of Farm Bureau by fairly and efficiently negotiating and settling claims with all customers
assure claims are settled in accordance with regulations and policy language by reviewing medical bills submitted for accuracy, necessity and reasonableness
adjusting or denying claims, considering deductible amounts and policy limits
take recorded statements from claimants and witnesses
work with defense and plaintiff attorneys to settle claims
ensure only justifiable claims are paid by the company by reviewing the policy and external medical records to determine applicable coverage.