Claims Specialist II, First Party Medical

Senior Claims Specialist, First Party Medical

As a Senior Claims Specialist, First Party Medical at Branch, you'll be assisting Branch members in their time of greatest need. When an auto claim is reported, you'll be the face and voice of Branch to our members, ensuring they feel comfortable and have clear expectations about the claims process.

We're building a technology-first and data-driven claims experience to enhance client experience while eliminating traditional claims inefficiencies. We are in need of an experienced claims professional to investigate and resolve auto PIP & Med Pay claims of varying complexity. The ideal candidate will be a member-focused "do-er". You should not be afraid to roll their sleeves up to ensure we're achieving industry best outcomes all while making sure we're delivering on our promise to the Branch members.

• Investigate and resolve non-litigated and litigated First Party PIP & Med Pay claims within the claims department
• Process non-medical benefits such as loss wages, funeral or other benefits
• Contact insureds, attorneys, medical providers and other relevant parts to appropriately complete necessary investigations
• Proactively keep all relevant parties apprised of claim status
• Work within the claims system and with preferred partners to ensure quality documentation
• Evaluate the need for medical management when appropriate
• Process submitted bills in accordance with statutory requirements
• Demonstrated excellent interpersonal written and verbal communication skills
• Identify potential fraud indicators and work closely with SIU when appropriate
• Ability to work non-traditional work hours
• Resolve all claims in accordance with state and company guidelines
• May perform other responsibilities as assigned

• 3+ years of progressive front line multi-state PIP & Med Pay claims handling experience
• 1+ years of experience with resolving litigated claims including directing outside panel counsel is preferred
• Adjuster license(s) and experience handling claims in multiple states is strongly preferred (MI, NY, NJ, FL)
• Knowledge of venue specific No-Fault laws and Regulations including MCCA
• Experience with bill adjudication
• Willing to go above and beyond to deliver an industry-leading member experience
• Strong interpersonal skills
• Ability to communicate at all levels of the organization
• Creative, out of the box thinker who has a passion for helping others
• Ability to "Call the Play" with imperfect information
• Experience working remotely is preferred

We're all about getting back to getting each other's back - that means Branchers, too. So we provide benefits that let you work and live to your fullest.

• Above-market salary - Branch is a data-driven company, so we do the math on salaries, too. If you get an offer from Branch, you can expect compensation that hits above the mark.
• Pay equity and transparency - Our pay isn't just market-driven, it's equitable. We let experience and performance drive your success, never your gender, race, orientation, or beliefs.
• Remote-first (with perks) - Work from where you're most comfortable. We'll take care of your work from home set-up and monthly internet. We also have a Columbus headquarters if you'd like to join us in an office.
• Flexible You Time - We don't just let you control your own time off. We actually encourage you to use it. After your first year at Branch, we'll give you $1000 toward your next vacation.
• Employee stock options - You're not just an employee. If you're full-time, you're also a part-owner. You'll have stock options so you can invest in the company you're helping to grow.
• Medical, vision, dental - Get all the coverage you need for a healthy, happy life.
• 401k and contribution matching - Invest in your future. Branch helps you get to retirement on time with a portion of your contributions matched each month.

In light of recent hiring scams across the United States, here's what the process will look like with Branch (so you know it's us):

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