AAA

PIP Claims Specialist

AAA

full-time

Posted on:

Origin:  • 🇺🇸 United States • Alabama, Arizona, California, Colorado

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Job Level

Junior

About the role

  • As a PIP Specialist, you will handle to conclusion moderately complex claims involving first-party Personal Injury Protection (PIP) and Medical Pay claims.
  • Cases are generally reserved up to $30,000.00.
  • Assigned as the owning adjuster when injury exposure is identified for the first party, for files with reserves up to policy limits.
  • 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.
  • Our team handles claims in multiple states and may assist with FNOL calls, Claims Advisory Support and Casualty Support as needed.
  • Cases escalated to senior level when complexity increases beyond proficiency level.

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!
  • Shows respect for differences through excellent communication skills with people from an array of backgrounds.
  • Actively shapes our company culture (e.g., participating in employee resource groups, volunteering, etc.)
  • Lives into cultural norms (e.g., willing to have cameras when it matters: helping onboard new team members, building relationships, etc.)
  • Fulfills business needs, which may include investing extra time, helping other teams, etc.