Senior Claims Specialist, First Party Medical

Branch is on a mission to make insurance less expensive, so more people can be covered. We innovate using data, tech, and automation to simplify insurance from start to finish—we eliminated inaccurate quotes in favor of real prices, created a better way to bundle, and cut unnecessary costs in the traditional insurance process. Then we pass those savings along to our members. Basically, we’re doing insurance the way it was meant to be.

But we didn’t just create the insurance we’ve always wanted, we also created the company we’ve always wanted to work for. As we redefine insurance, we also want to redefine what it means to work in insurance. Find out for yourself.

Branch has a preference for candidates in Ohio, but is open to candidates located in AZ, FL, GA, ID, IL, IN, KY, MI, NC, NJ, NV, NY, OH, OK, PA, SC, SD, TN, TX, and WI. This role may require occasional travel to Branch HQ in Columbus, OH.

Branch is remote first, with most Branchers choosing to work from home. Our headquarters are located in Columbus, Ohio, where we come together from time to time to build relationships and connect with each other in real life. Once a year, the entire company gathers for “BranchFest”, a highlight of the year for many Branchers.

Summary

As a Senior First Party Medical Specialist at Branch, you’ll be assisting Branch members in

their time of greatest need. When an auto claim is reported, you’ll be the face and voice of

Branch to our members, ensuring they feel comfortable and have clear expectations about

the claims process.

We’re building a technology-first and data-driven claims experience to enhance client

experience while eliminating traditional claims inefficiencies. We are in need of an

experienced claims professional to investigate and resolve auto PIP & MedPay claims of

varying complexity. The ideal candidate will be a member-focused “do-er”. You should not

be afraid to roll their sleeves up to ensure we’re achieving industry best outcomes all while

making sure we’re delivering on our promise to the Branch members.

Skills Knowledge and Expertise

• 3-5 years of progressive front line PIP & MedPay claims handling experience

• 3 years of experience with resolving litigated claims including directing outside panel counsel is preferred.

• Adjuster license(s) and experience handling claims in multiple states is strongly preferred (MI, NY, NJ, FL)

• Knowledge of venue specific No-Fault laws and Regulations including MCCA

• Experience with bill adjudication

• Willing to go above and beyond to deliver an industry-leading member experience

• Strong interpersonal skills

• Ability to communicate at all levels of the organization

• Creative, out of the box thinker who has a passion for helping others

• Ability to “Call the Play” with imperfect information

• Experience working remotely is preferred

Key Responsibilities

• Investigate and resolve non-litigated and litigated First Party PIP & MedPay claims within the claims department

• Process non-medical benefits such as loss wages, funeral or other benefits

• Contact insureds, attorneys, medical providers and other relevant parts to appropriately complete necessary investigations

• Proactively keep all relevant parties apprised of claim status

• Work within the claims system and with preferred partners to ensure quality documentation

• Evaluate the need for medical management when appropriate

• Process submitted bills in accordance with statutory requirements

• Demonstrated excellent interpersonal written and verbal communication skills identify potential fraud indicators and work closely with siu when appropriate

• Ability to work non-traditional work hours

• Resolve all claims in accordance with state and company guidelines

• May perform other responsibilities as assigned

Why join us at Branch? 

We’re all about getting back to getting each other’s back—that means Branchers, too. So we provide benefits that let you work and live to your fullest.

• Above-market salary—Branch is a data-driven company, so we do the math on salaries, too. If you get an offer from Branch, you can expect compensation that hits above the mark.

• Pay equity and transparency—Our pay isn’t just above market, it’s equitable. We let experience and performance drive your success, never your gender, race, orientation, or beliefs. 

• Remote-first (with perks)—Work from where you’re most comfortable. We’ll take care of your work from home set-up and monthly internet. We also have a Columbus headquarters and Chicago hub if you’d like to join us in an office. 

• Flexible YouTime—We don’t just let you control your own time off.  We actually encourage you to use it. After your first year at Branch, we’ll give you $1000 toward your next vacation. 

• Employee stock options—You’re not just an employee. If you’re full-time, you’re also a part-owner. You’ll have stock options so you can invest in the company you’re helping to grow. 

• Medical, vision, dental—Get all the coverage you need for a healthy, happy life. We’ll also contribute $150 per month to a health savings account (HSA), administered by Branch.

• 401k and contribution matching—Invest in your future. Branch helps you get to retirement on time with a portion of your contributions matched each month. 

What to expect

In light of recent hiring scams across the United States, here’s what the process will look like with Branch (so you know it’s us):

• Please apply to open positions directly through our site. If you don’t see it here, then it shouldn’t exist on another job board. If you’re ever unsure about the legitimacy of a Branch  job posting found on another site, please check the listings here to verify.

• If you're selected to move onto the next phase of the hiring process, a member of our Branch talent team will reach out to you directly from the email domain@ourbranch.com to guide you through our process.

• The process will include a number of interviews, which will all happen either over the phone or on video calls. 

• We will never ask for personal payment or require you to purchase equipment during our interview process. Always be sure to protect your personal information.

Equal Employment Opportunity Employer 

At Branch, we are deeply committed to community. Branch is an Equal Employment Opportunity employer – All qualified applicants and/or employees will receive consideration for employment without regard to the individual’s age, race, color, religion or creed, national origin or ancestry, sex (including pregnancy), sexual orientation, gender, gender identity, physical or mental disability, veteran status, genetic information, ethnicity, citizenship, or any other characteristic protected by law.