No-Fault Claims Specialist

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

1d•Hybrid

About The Position

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 Med Pay/PIP or Casualty Claims experience and a strong customer service mindset? If so, this No-Fault Claims Specialist opportunity could be a great fit for you! Who is Farm Bureau Financial Services? 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 No-Fault Claim Specialist, you will review, investigate, and evaluate medical and Personal Injury Protection (PIP) claims. 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

College Degree or equivalent is required, plus 3-5 years of relevant experience
Strong negotiation and communication skills are required in order to explain your decisions to insureds, claimants, attorneys, and agents.
Effective time management skills in order to process claims within state mandated time frames.
Strong written communication skills are important to properly document internal claim systems as well drafting correspondence to internal and external customers.
Strong knowledge of medical terminology and procedures is imperative to be successful in this role.
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.
This position will be located out of our West Des Moines, IA location. After 90 days this job is eligible for our hybrid work arrangement (2 days remote, 3 days in office).

Responsibilities

Review, investigate, and evaluate medical and Personal Injury Protection (PIP) claims.
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.