POSITION TITLE: MMU Representative
STATUS: Non-Exempt
COMPENSATION RANGE: $49,000-$52,000 Annually
LOCATION: Based out of our beautiful West Creek Office, located at 12580 West Creek Pkwy, Richmond, VA 23238. Hybrid schedule is offered, after in office 6-month training period is completed.
REPORTS TO: Claims Medical Manager
PRIMARY DUTIES
- Promptly and equitably handle and investigate medical expense and medical pay claims
- Responsible for the evaluation, reserving, adjustment and negotiation of all assigned medical expense and med pay losses and claims.
- Responsible for updating all information for Medicare reporting and responding promptly and thoroughly to all correspondence from Medicare.
- Serve as a technical resource for other claim department personnel.
- Develop and maintain professional relationship with various doctors, medical professionals, audit vendors, lawyers and court personnel.
- Pursue professional development
- Assist the CCHU with phone call handling, to include taking loss reports and answering general claims inquiry calls.
- Assist claims staff and other departments as needed
ADDITIONAL DUTIES
- Answer phones and back-up all other representatives
- All other duties as assigned by the supervisor
MINIMUM EDUCATIONAL/EXPERIENCE QUALIFICATIONS
- High School diploma or equivalent
- Previous claims work experience
- Previous experience in investigation, evaluation, and reserving techniques
MINIMUM SKILL QUALIFICATIONS
- Previous experience with online and stand-alone computer systems
- Proven customer service skills
- Dependable
- Proven analytical skills
- Excellent verbal and written communication skills
- High level of initiative/motivation
- Strong organizational skills
- Excellent attention to detail and time management
- Able to multi-task, prioritize and organize with limited supervision
- Able to build rapport quickly
PREFERRED QUALIFICATIONS
- INS Insurance courses
- AIC Insurance courses
At VA Farm Bureau, we provide an exceptional benefits package, including ongoing job development and support in all roles, paid training and continuing education reimbursement, medical and dental insurance available on your first day, generous employee 401K contribution, excellent Paid Time off (PTO) plan and more!
Virginia Farm Bureau Companies provide equal employment opportunity in all aspects of employment without regard to race, color, national origin, religion, gender, pregnancy, age, disability, orientation or veteran status.
Skills Required
- High school diploma or equivalent
- Previous claims work experience
- Experience with investigation, evaluation, and reserving techniques
- Experience with online and stand-alone computer systems
- Proven customer service skills
- Proven analytical skills
- Excellent verbal and written communication skills
- Strong organizational skills
- Excellent attention to detail and time management
- Ability to multitask, prioritize, and organize with limited supervision
- Ability to build rapport quickly
- Dependability and high initiative or motivation
- INS Insurance courses
- AIC Insurance courses
What We Do
Nearly a century ago, Virginia Farm Bureau made the state’s farmers a promise – to protect and preserve what they’d labored so hard to create. A promise to do our part to ensure a bright future for our children, and our children’s children. Today that promise extends beyond farmers. And when you’re with Virginia Farm Bureau, you have an important role in upholding it. The Virginia Farm Bureau family of companies includes: • Virginia Farm Bureau Federation • Virginia Farm Bureau Mutual Insurance Co. • Benefit Design Group Inc. • Employee Benefits Corporation of America • Countryway Insurance Co. Virginia Farm Bureau Federation is a membership organization focused on supporting and growing Virginia agriculture. Membership includes access to exclusive leadership programs, commodity representation, agricultural marketing and business development assistance, products, insurance and other services. Since 1950, Virginia Farm Bureau Mutual Insurance Co. has been protecting our members’ interests. We offer auto, home, farm and life insurance and more. We strive to be a leading insurer for all Virginians while remaining the foremost provider to Virginia's farmers. Employee Benefits Corporation of America is among the largest marketers of group insurance plans in the mid-Atlantic region and provides a variety of health care products and carriers. Benefit Design Group Inc. is a licensed and bonded third-party administrator providing sales, service, billing and administrative support for more than 400 brokers and 2000 employer groups in the Mid-Atlantic region. Countryway Insurance Co. sells products through a network of independent agents in eight northeastern states, Virginia and Kentucky. We focus on the needs of farms and rural communities. Virginia Farm Bureau is based in Richmond, Va., with over 1,000 employees throughout the state and on the Eastern Seaboard. We’re a community-oriented company deeply rooted in every county across the state, and we're expanding!
