What to ExpectIn this role you will be investigating, confirming, paying or denying and resolving claims involving first and third party medical payments coverage or PIP that involve moderate to severe complexity.  This person will also be providing outstanding customer service and have the ability to handle a large volume of claims.What You’ll DoAnalyze, review, and interpret policies to assess coverageHandle complex to highly complex Medpay/PIP files inclusive of 3rd party claimantsReview and process reimbursement requests under the applicable 1st party medical coverage based on fee schedules, policy terms limits and reasonable or customary charges Analyze file documentation, medical bills, medical records, employment, wage information and other documentation providedResponds promptly to written or verbal inquiries from injured parties, medical providers, and attorneys What You’ll Bring Comprehensive knowledge of medical terminology, CPT and ICD 10 codes3+ years’ experience handling Medpay and/or PIP claims, including understanding and interpreting auto policiesSuperior knowledge of and adherence to the state laws and regulations governing the handling of auto Medpay/PIP claimsState adjuster’s license where domiciled or obtained within 90 day of start date   Exceptional organization skills while moving from task to task in a high pace environment

AUSTIN, Texas

Full time