Permanent General Companies, Inc.

Claims MedPIP Adjuster I

US-NY-Albany
2 weeks ago
# Positions
1
Category
Claims

Overview

The General – A Leading Non-standard Auto Insurance Provider

 

Currently, we are seeking qualified applicants for an Claims MedPIP Adjuster I.   Reporting to a Claims Supervisor, the MedPIP Adjuster I will be primarily responsible for investigating and resolving first party medical claims in multiple states in accordance with company guidelines.

 

Why The General?

 

The General has been writing auto insurance throughout the country for 50 years. We offer an employee-friendly and challenging work environment where the right candidate will learn and grow with the company. We pride ourselves on teamwork and quality customer service.

  • We Pursue Excellence
  • We Act with Integrity
  • We Provide Exceptional Service
  • We are Adventurous, Creative, Open-minded, and We Embrace Change
  • We are Engaged

The General offers a generous benefits package including medical, dental, vision, and life insurance after one month of employment; health care and dependent care flexible spending accounts; tuition reimbursement, paid time off (vacation, sick, holidays), wellness initiatives, 401(k) participation with a matching contribution and much more!

Responsibilities

  • Works with individuals involved in car accidents to help them understand the medical claims process and benefits they are entitled to receive.
  • Investigates first party medical coverage and determines eligibility for benefits.  Investigations may include reviewing medical records, coordinating independent medical examinations and taking recorded statements.
  • Determines reimbursement of medical, wage loss, and other benefits available under the policy.
  • Assists customers by phone and gathers information regarding the accident, injuries and other pertinent information.  Inputs all claim information into the claims system.
  • Adjusts Medpay claims by reviewing medical records and other information from claimants, medical providers, employers and attorneys.
  • Responds to written requests for policy, claims and payment information.
  • Utilizes bill audit software tools to ensure payment accuracy.
  • Issues payments to medical providers and customers within specified timeframes.
  • Works closely with the Med/PIP Supervisor and/or senior level Medpay adjusters regarding complex claims to determine the best course of action for accurate claim resolution.
  • Performs other duties as assigned.

Qualifications

  1. Interest in learning about physical injuries, medical terminology, medical treatment protocols, and the wage loss claims process.
  2. Excellent customer service skills including both verbal and written communication.
  3. Prior experience in medical claims, medical bill coding, and casualty claims adjusting experience, or personal injury legal environment preferred.
  4. Ability to multi-task, manage time effectively and has strong organizational skills.
  5. Bi-lingual a plus.
  6. Must know how to type and be proficient with basic PC and Windows skills including Microsoft Office software.
  7. Ability to perform basic math calculations (addition, subtraction, multiplication, and division) as well as the calculation of averages and percentages.

Education Requirements

 

High school diploma or equivalent required.  Bachelor’s degree in business field or equivalent field preferred.

 

State Licensing may be required.

 

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