Bristol West Claims Medpip Rep (Hybrid - Grand Rapids or Kansas City)

We are Farmers!

We are… more than just your favorite commercials.  At Farmers, we strive to deliver peace of mind to our customers by providing protection and comprehensive advice and delivering in the moments of truth. That means having people who can help us meet changing customer and business needs. Farmers high-performance culture is focused on results and the people who achieve them. We hold ourselves and others accountable for sustainably growing the business and each other. We seek solutions, own our actions, and grow through discomfort. We see setbacks as opportunities while continuously asking ourselves how we impact our customers.

Farmers is an award winning, equal opportunity employer, committed to the strength of an inclusive workforce. We are dedicated to supporting the well-being of our people through our extensive suite of benefits, as well as the well-being of the communities we serve through employee volunteer programs and nonprofit partnerships. Helping others in their time of need isn’t just our business – it’s our culture!  To learn more about our high-performance culture and open opportunities, check out www.Farmers.com/careers/corporate and be sure to follow us on Instagram, LinkedIn, and TikTok.

Workplace: Hybrid ( )

Farmers believes in a culture of collaboration, creativity, and innovation, which thrives when we have the ability to work flexibly in a virtual setting as well as the opportunity to be together in person. Our hybrid work environment combines the best of both worlds with at least three (3) days in office and up to two (2) days virtual for employees who live within fifty (50) miles of a Farmers corporate office. Applicants beyond fifty (50) miles may still be considered.

Job Summary

A Bristol West Med Pay/PIP (Personal Injury Protection) representative conducts claims investigations, coverage confirmation, establishes appropriate medical necessity and payment of claims settlement. Using claims systems to accurately document files, they manage a diary and handle first party medical claims promptly, proactively and with a sense of urgency.

• Target Start Dates:
• Unlicensed: February 23rd, 2026.
• Licensed: March 9th 2026.
• Compensation: $52,000 - $70,000. Compensation is determined by a number of factors including skills and experience and may vary based on the job level and your geographic location.
• Locations: This is a Hybrid role and candidates must be located near our Grand Rapids, MI or Kansas City, KS Hubs.
• Kansas City: 10200 Abilities Way, Suite 800, Kansas City, KS 66111
• Grand Rapids: 5665 N Kraft Lake Drive, Caledonia, MI 49316
• Workplace: Hybrid
• Schedule: Monday-Friday 8am-5pm local time
  
  

Essential Job Functions

• Evaluates Personal Injury Protection (PIP) and Med Pay claims for eligibility, medical necessity, and appropriateness of charges in accordance with state fee schedules.
• Determines relatedness, causation, and appropriateness of treatment based on the compensable injury.
• Provides reserve recommendations and makes payment approval to ensure activities are consistent with corporate policies.
• Conducts detail bill reviews and process claims within designated authority levels.
• Makes contacts with stakeholders to investigate and process claims.
• Contacts may include multiple attempts to communicate with various parties and requires telephone conversations or other methods of communication to be a priority.
• Parties involved could include policy holders, claimants, agents, witnesses, contractors, police and fire departments, state and county fraud and arson personnel, special investigators, attorneys, expert witnesses, members of the medical profession and other persons pertaining to the investigation and processing of claims.
• Performs other duties as assigned.
  
  

Experience Requirements

• Less than one year of Insurance industry or related experience preferred.
  
  

Special Skill Requirement

• Strong verbal communication and listening skills. Strong written communication skills with the ability to convey critical decisions and information through written letters.
• Demonstrates excellent judgment and decision-making skills.
• Effective negotiation skills.
• Possesses flexibility to work in a fast-paced, dynamic environment; uses discretion to modify work practices and processes to achieve results or improve efficiency.
• Demonstrated problem-solving skills. Takes a broad perspective on problems and spots new, less obvious solutions.
• Performs work independently with minimal supervision.
• Possesses strong technical aptitude; Proficient in Microsoft Office products. Adaptable and flexible to new technology.
• Effective conflict management skills. Identifies key issues and patterns from partial/conflicting data.
• Strong skills in multi tasking and working with a sense of urgency
  
  

Education Requirements

• High school diploma or equivalent required.
• Bachelor’s degree preferred.
  
  

Physical Actions

• This role, whether performed virtually or in an office setting, will include normal and customary distractions, noise, and interruptions.
• Sits or stands for extended periods of time, up to a full work shift.
• Occasionally reaches overhead and below the knees, including bending, twisting, pulling, and stooping.
• Occasionally moves, lifts, carries, and places objects and supplies weighing 0-10 pounds without assistance.
• Listens to, interprets, and differentiates auditory information (example others speaking) at normal speaking levels with or without correction.
• Visually verifies and reads information.
• Visually locates material, resources and other objects.
• Ability to continuously operate a computer for extended periods of time, up to a full work shift.
• Physical dexterity sufficient to use hands, arms, and shoulders repetitively to operate keyboard and other office equipment up to a full work shift.
  
  

Physical Environment

• This position operates in an open office working environment which will include normal and customary distractions, noise, and interruptions.
  
  

Benefits

• Farmers offers a competitive salary commensurate with experience, qualifications and location.
• Medical
• Dental
• Vision
• Health Savings and Flexible Spending Accounts
• Life Insurance
• Paid Time Off
• For more information, review “What we offer” on https://www.farmers.com/careers/corporate/#offer
  
  

Job Location(s): US - MI - Grand Rapids, US - KS - Kansas City, US - MI - Caledonia, US - MO - Kansas City

Anticipated application deadline: At Farmers, the recruitment process is designed to ensure that we find the best talent to join our team. As part of this process, we typically close open positions within 8 to 21 days after posting. If you are interested in any of our open positions, we encourage you to submit your application promptly.

Farmers will consider for employment all qualified applicants, including those with criminal histories, in accordance with the Los Angeles Fair Chance Initiative for Hiring Ordinance or other applicable law. Pursuant to 18 U.S.C. Section 1033, Farmers is prohibited from employing any individual who has been convicted of any criminal felony involving dishonesty or a breach of trust without prior written consent from the state Department of Insurance.

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Farmers is an Equal Opportunity Employer and does not discriminate in any employer/employee relations based on race, color, religion, gender, sexual orientation, gender expression, genetic information, national origin, age, disability, marital status, military and veteran's status, or any other basis protected by applicable discrimination laws.

Want to learn more about our culture & opportunities? Check out www.Farmers.com/careers/corporate and be sure to follow us on Instagram, LinkedIn, and TikTok.

Spokane, WA only: Residents who prefer not to provide their address click here to submit your resume via email: careers@farmers.com