Med Pay Associate - Oklahoma City
Med Pay Associate – Oklahoma City
R1353 Med Pay Associate – Oklahoma City (Open)
Oklahoma City, Oklahoma
Handles to conclusion non-complex claims involving some or all: first-party Personal Injury Protection (PIP), Medical Pay, collision, loss-of-use, third-party property damage and third-party bodily injury exposures up to $3,000. In cases where complexity of file increases beyond proficiency level, file is escalated to next level for handling. Handles claims in multiple states. May take First Notice of Loss (FNOL) calls.
Essential Functions / Principal Responsibilities
Assigned as owning adjuster when injury exposure is identified for first-party medical benefits and any associated non-complex suffix.
Resolves claims within authority level.
May handle income continuation and essential services suffixes, and may handle liability investigations to determine the at-fault party and apply comparative negligence or issue denial of third-party property damage claims.
Advises customer on coverages and benefit levels, explains the claim process and collects required information.
Researches to determine coverage eligibility for applicant(s) according to policy conditions.
Knowledge, Skills and Abilities
Analytical, problem-solving and organizational skills
Ability to work independently
Strong customer service orientation
Basic math and computer skills
Oral and written communication skills and good command of the English language
Ability to function in a team environment
Ability to successfully complete training courses pertinent to job duties
Developing understanding of statutory and regulatory requirements
Developing understanding of AAA claims policies and procedures
Ability to work extended hours and/or weekends
Education, Work Experience, Licenses & Certifications
BA/BS in business, insurance or related area, or equivalent combination of education and experience
Ability to obtain license in required states
1-2 years of claims experience
Bilingual a plus
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