Medical Representative Intermediate (PIP Claims) - Plymouth, MI | Progressive Insurance United States-Michigan-Plymouth

Job Details:
Medical Representative – Mid-Level - Plymouth, MI
Working as a Medical Representative, you will have an opportunity to use your customer service and investigative skills to successfully manage the injury portion of auto claims. Every day is different as you work independently to resolve problems, research to understand the extent of injuries and negotiate with providers and attorneys to bring the claims to settlement. We’re looking for someone with the skill to assess situations while investigating the details and effectively negotiating and bringing the injury claims to resolution.
Work Schedule: Monday-Friday 9am - 6pm (Must be available to work rotating Saturday)
Primary Responsibilities:
• Identify wage loss expenses and wage exposures on medical claims
• Interact daily with customers taking statements and research medical records to understand nature and extent of injury and medical conditions
• Plan and conduct coverage investigations
• Evaluate medical claims for potential fraud issues, loss control and recovery in accordance with insurance policy contracts, medical bill coding rules and state regulations
• Review a variety of claims related mail each day, including claim forms, medical bills, medical records, and attorney correspondence
Requirements:
• Proficient in the use of various internet systems
• Knowledge of medical terminology, medical coding and local statutes (heavily preferred)
• Strong customer service and negotiating skills
• High School Diploma or GED
What Progressive Offers:
• Gainshare bonus (Our annual Gainshare bonus program rewards employees based on the company’s achievement of annual performance objectives)
• Ongoing training, tuition assistance and opportunities for career advancement
• Award winning, supportive environment including Employee Resource Groups
• Medical, dental, vision and life insurance benefits
• 401k plan
• Employee discounts
• Child care subsidy..
..More Details» [Apply]

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