Associate PIP Claims Rep (Remote)

Selective Insurance Company of America; United States; Remote; USD 48,000 - 73,000; Full time

Benefits offered by this job

Health benefits

Retirement savings plan

Tuition assistance

Paid time off

Employee Stock Purchase Program

Job summary

Selective Insurance Company of America is seeking an Associate PIP Claim Representative for a remote role. You will investigate, negotiate, and conclude Personal Injury Protection and Medical Payment claims, up to $50,000, through telephone, mail, or written correspondence, in compliance with policy and regulatory requirements.

The position requires knowledge of PIP laws across states, familiarity with medical terminology, and a valid driver's license (travel ~10%).

Qualifications

• Knowledge of PIP law and medical cost containment across states.
• Familiar with medical terminology and claims processes.
• Valid driver's license and ability to travel as needed.

Responsibilities

• Receive, investigate, and determine action on PIP claims up to $50,000.
• Record and maintain claim files with updates for reserves and investigations.
• Coordinate with medical experts and arrange examinations when required.
• Ensure compliance with state and federal regulations and company policies.
• Communicate decisions via phone or written correspondence.
• Process payments and assist with subrogation efforts as appropriate.
• Proactively manage claims to settlement or denial within authority.

Skills

PIP law

Medical terminology

Driver's license

Education

College degree preferred

Job description

About Us

At Selective, we don't just insure uniquely, we employ uniqueness.

Selective is a midsized U.S. domestic property and casualty insurance company with a history of strong, consistent financial performance for nearly 100 years. Selective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and honors, including listing in Forbes Best Midsize Employers in 2025 and certification as a Great Place to Work® in 2025 for the sixth consecutive year.

Employees are empowered and encouraged to Be Uniquely You by being their true, unique selves and contributing their diverse talents, experiences, and perspectives to our shared success. Together, we are a high-performing team working to serve our customers responsibly by helping to mitigate loss, keep them safe, and restore their lives and businesses after an insured loss occurs.

Overview

Selective Insurance is seeking an Associate PIP Claim Representative for this remote position. Investigates, negotiates, and concludes by settlement or denial assigned Personal Injury Protection and Medical Payment claims, including claims from multiple states with different laws and regulations, and medical cost containment requirements, through telephone, personal contact or written correspondence, up to $50,000.00. These duties are performed consistent with company claim’s policies and procedures, prescribed authority, and standards of performance. All job duties and responsibilities must be carried out in compliance with applicable legal and regulatory requirements.

Responsibilities

• Receive assigned claims, verify coverage and determine course of action on claims up to $50,000.
• Process claims which includes following the activities: set up file in 365, establish initial reserves, conduct claim investigation, analyze investigational data, use effective cost containment strategies, settle non-litigated claims, process expenses/loss incurred, prepare check requisitions, explore subrogation potential, and close claims.
• Document claim files and maintain control of work through documentation or diary system.
• Send checks, letters of denial and complete reporting forms for file assigned and assist the department with payments, letters and phone calls when needed.
• Assign medical or other experts to case and arrange for medical examinations when necessary.
• Ensure compliance with company, state, and federal regulations.
• Must be able to drive an automobile. Car travel represents approximately 10% of employee’s time and a valid drivers license.

Qualifications

Knowledge and Requirements

• Knowledge of PIP law, regulations, and medical cost containment requirements from multiple states.
• Working knowledge of medical terminology.
• Must have a valid state-issued driver’s license in good standing and be able to drive an automobile

Education and Experience

• College degree preferred
• Minimum of one year claims experience and 1 year data entry experience

Total Rewards

Selective Insurance offers a total rewards package that includes a competitive base salary, incentive plan eligibility at all levels, and a wide array of benefits designed to help you and your family stay healthy, achieve your financial goals, and balance the demands of your work and personal life. These benefits include comprehensive health care plans, retirement savings plan with company match, discounted Employee Stock Purchase Program, tuition assistance and reimbursement programs, and 20 days of paid time off. Additional details about our total rewards package can be found by visiting our benefits page. The actual base salary is based on geographic location, and the range is representative of salaries for this role throughout Selective's footprint. Additional considerations include relevant education, qualifications, experience, skills, performance, and business needs.

Pay Range

USD $48,000.00 - USD $73,000.00 /Yr.

Additional Information

Selective is an Equal Employment Opportunity employer. That means we respect and value every individual’s unique opinions, beliefs, abilities, and perspectives. We are committed to promoting a welcoming culture that celebrates diverse talent, individual identity, different points of view and experiences - and empowers employees to contribute new ideas that support our continued and growing success. Building a highly engaged team is one of our core strategic imperatives, which we believe is enhanced by diversity, equity, and inclusion. We expect and encourage all employees and all of our business partners to embrace, practice, and monitor the attitudes, values, and goals of acceptance; address biases; and foster diversity of viewpoints and opinions.

For Massachusetts Applicants

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.