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Medical Payments Claim Representative

Company: Ameriprise Financial
Location: Green Bay
Posted on: July 14, 2019

Job Description:

Job DescriptionThis position is responsible for adjusting entry level and intermediate level first party injury claims within delegated settlement authority limits and ensuring compliance with internal procedures and state requirements. The position will investigate the loss facts, determine coverage, gather medical information and documents, evaluate medical bills and records, set expectations, establish and maintain proper reserves, negotiate and resolve claims timely.ResponsibilitiesInvestigate, evaluate and manage entry level and intermediate level first party (Med Pay) claims with insureds, claimants, attorneys, and medical professionals. Determine appropriate coverage and order of priority. Determine injuries, understand and monitor treatment, manage appropriateness of care and focus on appropriate resolution. Identify, open and maintain proper reserves throughout the life of the claim (average of 5 months). Demonstrate an understanding of medical terminology and treatment. Written and phone interactions to gather appropriate documents and information, set expectations, monitor medical care and recovery status. This includes proper documentation of activities within the claim file. Appropriate management and control of expenses. Identify and research process/procedure gaps and develop action plans to close the gaps.Required QualificationsHigh school diploma or equivalent. 1-3 years of relevant experience. Negotiation and organization skills. Verbal and written communication skills. Interpersonal skills and accountability. Ability to produce a high degree of accuracy; strong attention to detail. Ability to obtain state specific property casualty claims licensing as required.Preferred QualificationsExperience with personal lines or workers' compensation claim adjusting Bilingual skillsAbout Our CompanyAmeriprise Auto & Home Insurance is a division of Ameriprise Financial, a FORTUNE 500-- company. Through exclusive partnerships with organizations such as Costco, we are able to offer their clients our personal insurance products. We offer customers across the nation high-quality, cost-effective auto, home and umbrella insurance products. At Ameriprise Auto & Home Insurance, you will work in a culture that is dedicated to driving results with a strong focus on our handle with care culture. Regardless of department or location, we all share in a commitment to our clients, each other, the communities in which we live and work, company goals, and delivering on our mission statement. We invest in our employees with growth and development opportunities via Ameriprise University, competitive pay, and a generous benefits package. Benefits are effective the first day of employment for full-time employees.We are an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic. The EEO is the Law poster is available here.VEVRAA Federal ContractorWe request Priority Protected Veteran & Disabled Referrals for all of our locations within the state.

Keywords: Ameriprise Financial, Green Bay , Medical Payments Claim Representative, Healthcare , Green Bay, Wisconsin

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