Claims Specialist Ii
CurrentEvaluate complex Personal Injury Protection (PIP), Med Pay, wage loss, funeral and accidental death claims for eligibility while providing a high level of customer service. Determine if individual policy covers specific medical procedures and pay claims based on policy, state mandates, department guidelines, and best practices. Review and research medical bills and surgical reports for contestability. Maintain communications with policyholders, agents, providers, and field reps.