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Branch is a technology-first insurance company on a mission to make auto insurance more accessible through data, tech, and automation. As a Senior Claims Specialist for First Party Medical, you'll be the primary point of contact for Branch members during their claims process, handling auto PIP (Personal Injury Protection) and MedPay claims of varying complexity.
You'll investigate and resolve both non-litigated and litigated first-party claims, working directly with insureds, attorneys, medical providers, and internal teams. Key responsibilities include processing claims within the claims system, evaluating medical management needs, processing submitted bills in accordance with state statutory requirements, identifying potential fraud indicators, and maintaining clear communication with all relevant parties throughout the claims lifecycle. You'll also handle non-medical benefits such as loss of wages and funeral benefits.
The ideal candidate brings 3+ years of progressive front-line, multi-state PIP and MedPay claims handling experience, with 1+ years of litigated claims experience preferred. An adjuster license and experience in multiple states (particularly MI, NY, NJ, FL) is strongly preferred. You should have deep knowledge of venue-specific no-fault laws and regulations, including MCCA, and experience with bill adjudication. This is a member-focused role requiring excellent interpersonal and communication skills, the ability to work non-traditional hours, and a passion for delivering industry-leading customer experience. Remote-first position with flexibility to visit Branch offices in Columbus, Ohio; Columbia and Concordia, Missouri; or Forreston, Illinois as needed.
