Med Pay Associate - Oklahoma City

Job Title

Med Pay Associate – Oklahoma City

Requisition Number

R1353 Med Pay Associate – Oklahoma City (Open)

Location

Oklahoma City, Oklahoma

Additional Locations

Job Information

Job Summary

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.

  • LI-SH1

CSAA123

Knowledge, Skills and Abilities

Required:

Analytical, problem-solving and organizational skills

Ability to work independently

Decision-making ability

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

Preferred:

Negotiating skills

Education, Work Experience, Licenses & Certifications

Required:

BA/BS in business, insurance or related area, or equivalent combination of education and experience

Ability to obtain license in required states

Preferred:

1-2 years of claims experience

Bilingual a plus


Meet Some of CSAA Insurance Group's Employees

Barbara C.

Disaster Recovery Specialist

Barbara focuses on preparing both tools to combat cyber attacks from hackers and backup and recovery programs that can be applied in the event of a large-scale technology disaster.

Caitlin C.

Senior Casualty Specialist

Caitlin works directly with CSAA Insurance Group company clients to coordinate settlements in every personal injury issue that comes across her desk in a given day.


Back to top