PIP Claims Specialist
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Job Description
PIP Claims Specialist at CSAA IG handling personal injury claims with reserves up to $30,000. Responsible for claims investigation, evaluation and customer communication.
Responsibilities:
- handle to conclusion moderately complex claims involving first-party Personal Injury Protection (PIP) and Medical Pay claims.
- Investigates, evaluates, and settles medical expense and Personal Injury Protection (PIP) claims.
- Makes coverage determinations and informs customers as to the appropriate course of action.
- Claims may involve additional suffixes such as income continuation and essential services.
- Investigates to rule out exposures: uninsured/underinsured motorist, subrogation, dram shop.
- Presents to committee on coverage issues.
Requirements:
- A minimum of 1-2 years of claims experience is required.
- Bachelor's degree in business, insurance, or related field OR equivalent combination of education and experience.
- Required to obtain and/or maintain multiple Adjuster’s License’s within the first 90 days of employment and/or job transfer if applicable.
- Prior experience handling PIP claims and first-party medical coverage is preferred.
- Knowledge or experience handling collision, loss-of-use, third-party property damage and bodily injury exposures preferred.
- Capability to complete training and perform the job in a remote setting as required.
- Flexibility to work any shift during the operating hours of 5:30 a.m. to 7 p.m. in your time zone, which may include evenings and/or weekends.
- Outstanding interpersonal skills and strong computer navigation abilities.
- Ability to handle several tasks simultaneously.
- Solid understanding of insurance coverages.
- Bilingual a plus!
Benefits:
- total compensation package
- performance bonus
- 401(k) with a company match
- flexible work arrangements
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