PIP Claims Specialist
AAA
Sr. Commercial Casualty Claims Specialist
AAA
full-time
Posted on:
Origin: • 🇺🇸 United States
Visit company websiteJob Level
Senior
About the role
- Resolve all aspects of 1st and 3rd party injury claims of low to moderate complexity for personal lines as well as our commercial claims
- Manage all claims efficiently and effectively to an appropriate resolution with minimal supervision
- Handle all aspects of liability injury claims of low to moderate complexity to include all coverage, liability and damage concerns
- Handle 1st party exposures to include Medical Payment coverage, PIP, Uninsured Motorists, Under-insured Motorists claims as well as ADB (Auto-Death Benefit) claims
- Assist in taking first notice of loss calls (FNOL) and participate in the department phone queue as needed
- Make coverage determinations and conduct investigative work of a complex nature, advising customers as to accurate course of action related to coverage issues
- Make appropriate liability determinations based upon the evidence gathered
- Evaluate any potential for subrogation and initiate an initial notice of subrogation request
- Develop negotiation strategies to resolve claims effectively and efficiently with insureds, claimants, or representatives of the injured parties
- Communicate pertinent case facts to a supervisor, manager or committee when appropriate
- Travel as needed for role, including divisional / team meetings and other in-person meetings
- Fulfills business needs, which may include investing extra time, helping other teams, etc.
Requirements
- 4-5 years of claims experience with a minimum of 3-5 years in casualty adjuster experience
- High school (HS/GED) or a minimum of 3 years experience in casualty claims role within P&C insurance industry
- Must hold an Adjuster's license for all applicable states or obtain license(s) within 90 days of filling position as a condition of employment
