Bristol West MedPay Representative

Bristol West Claims Medpip Rep

We are Farmers – where ambition meets opportunity.

At Farmers, we’re not just known for unforgettable jingle – we’re a team with a passion for purpose and making a real difference in people’s lives. We deliver peace of mind when it matters most. Our results-driven, high-performance culture thrives on creativity, accountability and bold solutions. Here, growth isn’t just a goal – it’s a way of life for both the organization and every individual on our team. We tackle challenges head-on, learn from every experience and measure our impact on the customers who trust us.

Join an award-winning,  equal opportunity employer, where you’ll find more than a job – you’ll find a supportive community. Enjoy competitive benefits, take part in meaningful volunteer projects, and help shape the future alongside talented colleagues across all backgrounds. At Farmers, helping others is at the heart of what we do.

Ready to make your mark? Discover our vibrant culture and explore career opportunities at www.Farmers.com/careers/corporate. Connect with us on Instagram, LinkedIn and TikTok, and let’s build something incredible together!

Workplace: Hybrid ( #LI-Hybrid ), Remote ( #LI-Remote )

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 Date: June 1st, 2026 
• Starting Pay: $54,100 - $77,854. Compensation is determined by a number of factors including skills and experience and may vary based on the job level and your geographic location. 
• Location: Candidates must be located within 50 miles of Lake Mary, FL, Kansas City, KS, or Caledonia, MI. 
• 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 and if hired may be classified as Remote. 

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.

Education Requirements

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

Experience Requirements

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

Special Skill Requirement

• Proven problem solving skills 
• Ability to work in a fast paced environment 
• Solid decision making skills 

Benefits

• Farmers offers a competitive salary commensurate with experience, qualifications and location.
• Bonus Opportunity (based on Company and Individual Performance)
• 401(k)
• Medical
• Dental
• Vision
• Health Savings and Flexible Spending Accounts
• Life Insurance
• Paid Time Off
• Paid Parental Leave
• Tuition Assistance
• For more information, review “What we offer” on https://www.farmers.com/careers/corporate/#offer

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