Commercial Auto Claims Rep - PIP (Temp to hire)

Jonus Group; Omaha (NE); Remote; USD 51,000 - 56,000; Full time

Job summary

Jonus Group is seeking a highly skilled Commercial Auto Claims Representative (PIP) for a fully remote, temporary-to-hire role in the United States. The ideal candidate has 3+ years of PIP/MedPay experience across multiple states and will handle first-party medical benefits, coverage verification, and claim adjudication.

Responsibilities include reviewing policy language, applying state-specific statutes, processing expenses, and maintaining accurate payment ledgers.

Qualifications

• Interpret insurance policy language and evaluate medical documentation.
• Excellent written and verbal communication with providers and attorneys.
• Strong organizational, analytical, and time-management skills.
• Proficient with computer systems and adaptable to new claim systems.

Responsibilities

• Investigate and manage assigned commercial auto first-party medical benefit claims.
• Verify coverage, eligibility, benefits, limits, deductibles, exclusions, and coordination-of-benefits requirements.
• Review policy language and apply state-specific PIP, no-fault, and MedPay statutes and fee schedules.
• Evaluate accident information, medical records, bills, treatment notes, and wage documentation for eligibility and payment.
• Review medical bills for coding accuracy and necessity.
• Process covered medical expenses and wage-loss benefits per policy and law.
• Maintain benefit payment ledgers and monitor limits, deductibles, offsets.
• Communicate professionally with insureds, claimants, providers, attorneys, and internal teams.
• Escalate disputed treatments and potential fraud for legal/supervisory review.
• Prepare timely correspondence and information requests.
• Manage active claim inventory with quality and timeliness targets.
• Coordinate with Bodily Injury, Liability, Litigation, SIU, and vendor teams.
• Obtain and maintain required state adjuster licenses.

Skills

Policy language interpretation

Written and verbal communication

Organization and time management

Adaptability with claim systems

Education

Bachelor’s degree

Tools

Claim systems

Job description

Commercial Auto Claims Representative (PIP) – Temp to Hire

Job Summary

Seeking a highly skilled and experienced Commercial Auto Claims Representative (PIP) to join a team on a temporary-to-hire basis. This fully remote position offers an exciting opportunity to work with a reputable organization known for its strong commitment to service, innovation, and integrity. The ideal candidate will have a proven track record in handling commercial auto claims, particularly Personal Injury Protection (PIP) and Medical Payments (MedPay), with multi-state experience being a significant advantage.

Compensation Package

• Hourly Rate: $37 - $41 per hour
• Employment Type: Temporary to Hire
• Remote Work: 100% remote

Responsibilities

As a Commercial Auto Claims Representative (PIP), your primary responsibilities will include:

• Investigating and managing assigned commercial auto first-party medical benefit claims.
• Verifying applicable coverage, eligibility, benefits, limits, deductibles, exclusions, and coordination-of-benefits requirements.
• Reviewing policy language and applying state-specific PIP, no-fault, and MedPay statutes, regulations, and fee schedules.
• Evaluating accident information, medical records, itemized bills, treatment notes, and wage documentation to determine benefit eligibility and payment.
• Reviewing medical bills for coding accuracy, duplication, relatedness, reasonableness, and necessity.
• Processing covered medical expenses, wage-loss benefits, and other PIP benefits in compliance with policy terms and applicable laws.
• Maintaining accurate benefit payment ledgers and monitoring remaining limits, deductibles, and offsets.
• Communicating professionally with insureds, claimants, medical providers, attorneys, and internal partners regarding claim status and benefit determinations.
• Recognizing and escalating disputed treatments, suspected fraud, coverage concerns, and other issues requiring legal or supervisory review.
• Preparing timely and accurate correspondence, including requests for information, explanations of benefits, and coverage decisions.
• Managing an active claim inventory efficiently while meeting quality, timeliness, and customer-service expectations.
• Coordinating with bodily injury, liability, litigation, SIU, and vendor teams as necessary.
• Obtaining and maintaining required state adjuster licenses.

Qualifications/Requirements

We are looking for candidates who meet the following criteria:

• Experience: Minimum of 3+ years of auto claims experience, including hands-on PIP and/or MedPay claim handling. Multi-state PIP experience is preferred.
• Knowledge: Strong understanding of no-fault/PIP and MedPay coverage, medical terminology, medical billing, benefit limits, fee schedules, and state-specific claim deadlines.
• Skills:
  • Ability to interpret insurance policy language and evaluate medical documentation.
  • Excellent written and verbal communication skills, including professional correspondence with providers and attorneys.
  • Strong organizational, analytical, and time-management skills.
  • Proficiency in computer systems and the ability to adapt quickly to new claim systems and procedures.
• Education: Bachelor’s degree required. Equivalent relevant claims experience may be considered. Insurance industry designations are a plus.
• Licensing: Must have a home state adjuster license and the ability to obtain Texas and Florida licenses (costs covered by the company).
• Additional Requirements:
  • Familiarity with salvage platforms and total loss claims is preferred.
  • Cargo claims experience is a plus.
  • Ability to travel for company or claim-related events if needed.