Claims Specialist, First Party Medical (PIP/MedPay)

Branch is on a mission to make insurance less expensive, so more people can be covered. We use data, tech, and automation to simplify insurance from start to finish — cutting out the long, bait-and-switch quotes and unnecessary costs in the traditional insurance process. Then we pass those savings along to our members. The result? Prices in seconds. Hundreds in savings.

But we’re not just changing the way home and auto insurance works. We want to change what it means to “work in insurance,” too. Restoring insurance to its original purpose — a force for communal good. Together, we’re getting back to getting each other’s back.

Branch's Claims Team

Our Claims team is our member's best friend on their worst day. Our energetic team works to resolve claims as quickly as possible with empathy and a commitment to ensuring compliance throughout Branch's resolution process. We're building a technology-first and data-driven claims experience to enhance client experience while eliminating traditional claims inefficiencies.

About the First Party Medical Specialist (PIP/MedPay) role

As a First Party Medical Specialist (PIP/MedPay) 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 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.

Branch is remote native, so this position may be located anywhere in the U.S. (although Ohio is strongly preferred) with occasional travel to Columbus, OH (HQ).

Key Responsibilities

• Investigate and resolve non-litigated First Party Medical (MP/PIP) 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

Skills Knowledge and Expertise

• 1-5 years of PIP and MedPay claims handling experience
• Adjuster license(s) and experience handling claims in multiple states is preferred (FL, NY, NJ, and MI are a plus)
• Knowledge of venue specific No-Fault laws and Regulations
• Willing to go above and beyond to deliver an industry-leading member experience
• In depth knowledge of bill adjudication and non-medical benefits processing
• Strong interpersonal skills
• Ability to communicate at all levels of the organization
• Four-year college degree or equivalent experience
• 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

Benefits

Why join us at Branch?

We don’t just get our member’s backs. When you’re a Brancher, we’ve got yours, too — starting with benefits that let you live and work 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 and expense your WFH set up and monthly internet. We’ve also got a Columbus HQ and Chicago hub if you like working in an office.
• “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 even cover up to $1,000 towards your next vacation.
• Employee stock options — You’re not just a worker. All full-time employees are part-owners with your own stock options, so you’re personally invested in the company’s growth.
• Medical, Vision, Dental — Get all the coverage you need for a healthy, happy life. We’ll also contribute $150/month to a Health Savings Account (HSA), administered by Branch.
• 401k and contribution matching — Set yourself up for your future retirement. Branch helps you get there on time with a portion of your contributions matched each month.

About Branch

It’s time we see the forest through the trees.

At Branch, we think insurance has lost its way. We’re restoring insurance back to its original intent: a force for communal good. We’re getting back to getting each other's back.

Introducing Bundled Home & Auto Insurance powered by community.

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.

Job Type: Full-time

Pay: $75,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Parental leave
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Experience:

• PIP and MedPay claims handling: 1 year (Required)

Work Location: Remote