Medical Representative Senior

As a senior medical representative, you'll analyze and adjust complex medical claims that involve multiple policies. In this role, you'll review and research policy contracts, regulations, and injury causation to make informed coverage decisions. You'll evaluate and resolve economic loss claims, such as attendant care and transportation costs. You'll also interpret medical records, understand medical terminology, and investigate various aspects of claims, including coverage, liability, fraud, and subrogation. Additionally, you'll maintain detailed documentation, adjust reserves based on potential exposure, and complete all necessary tasks to resolve claim files efficiently.

Must-havequalifications

• Five years of relevant work experience with two years in claims handling
• {OR} Associate's degree and four years relevant work experience with two years in claims handling
• {OR} Bachelor's degree and two years in claims handling

Preferredskills

• Proficient in coverage and liability investigations
• Catastrophic injury claims handling
• Knowledge of medical coding rules and local statutes

Schedule

• Monday-Friday,8:00 AM-5:00 PM

Officeaddress

• This is a hybrid role, which means you'll work in-office4 days per month.
• 46333 Five Mile Rd Plymouth, MI 48170

Compensation

• $84,500-$92,000/year
• Gainshare annual cash incentive program up to24% of your eligible earnings based on company performance.

Benefits

• 401(k) with dollar-for-dollar company match up to 6%.
• Medical, dental & vision, including free preventative care.
• Wellness & mental health programs.
• Health care flexible spending accounts, health savings accounts, & life insurance.
• Paid time off, including volunteer time off.
• Paid & unpaid sick leave where applicable, as well as short & long-term disability.
• Parental & family leave; military leave & pay.
• Diverse, inclusive & welcoming culture with Employee Resource Groups.
• Career development & tuition assistance.

Energage recognizes Progressive as a 2024 Top Workplace for: Innovation, Purposes & Values, Work-Life Flexibility, Compensation & Benefits, and Leadership.

For ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/

Equal Opportunity Employer

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