Medical Claims Representative
OBJECTIVE
Medical Claims Representative Objective
To provide efficient investigation, evaluation and negotiation of Michigan No-Fault and/or Michigan Assigned Claims Plan.
RESPONSIBILITIES
Medical Claims Representative Responsibilities
Respond to and control the disposition of all assigned Michigan No Fault Michigan Assigned Claims Plan.
Work with computer systems keying functions, including but not limited to letter composition, log entry, diary entry, report of investigation composition and draft production.
Read and apply policy of Michigan No-Fault MACP acts as written.
Mathematically calculate work loss benefits for Michigan No-Fault Michigan Assigned Claims Plan claimants.
Conduct business via frequent use of telephone.
Review, evaluate an adjust reserves within company guidelines.
Develop professional relationships with attorneys, physicians, and claims related professionals both inside and outside of the company.
Maintain a personal development program.
Read and interpret medical reports.
Gain a general understanding of Michigan No-Fault/Michigan Assigned Claims Plan and laws.
Periodically attend trials and court appearances and give testimony as may be required.
Actively participate in meetings, round table discussions, and other collaborative efforts.
QUALIFICATIONS
Medical Claims Representative Qualifications
Required
High school diploma or equivalent required.
Minimum two to three years medical claims handling experience required,
Must possess a valid drivers license with an acceptable driving record.
Preferred
Bachelor's degree in business administration preferred.
Designation in claims insurance preferred.
Note: Farm Bureau offers a full benefit package including medical, dental, vision, and 401K.
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