Complex PIP Specialist (Remote)

AAA - CSAA Insurance Group; Scottsboro (AL); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading insurance firm in Scottsboro is seeking an experienced claims manager to handle complex PIP claims. You will negotiate settlements, investigate claims, and represent the company at hearings. This role requires 3-5 years of related experience and a strong skill set in problem-solving and communication. A commitment to diversity and career development is central to our culture.

Benefits

Performance bonuses

Comprehensive total compensation package

401(k) plan with company match

Qualifications

• 3-5 years of experience handling complex PIP first-party medical benefits.
• Ability to obtain necessary licenses in required states.
• Proficient oral and written communication skills in English.

Responsibilities

• Manage first-party Personal Injury Protection (PIP) claims.
• Negotiate, settle, and resolve claims.
• Represent the employer at arbitration hearings and court proceedings.

Skills

Analytical skills

Problem-solving skills

Organizational skills

Negotiating skills

Communication skills

Education

High School diploma or GED

Job description

Employer Industry: Insurance

Why consider this job opportunity:

• Opportunity for performance bonuses and a comprehensive total compensation package
• Flexible working options including remote, hybrid, or in-person arrangements
• Career development within a supportive and inclusive company culture
• Chance to handle complex claims and make a significant impact in the insurance industry
• 401(k) plan with company match to support your financial future
• Commitment to diversity and inclusion, fostering a welcoming environment for all employees

What to Expect (Job Responsibilities):

• Manage first-party Personal Injury Protection (PIP) claims, including litigated cases and complex claims
• Negotiate, settle, and resolve claims within authority levels
• Represent the employer at arbitration hearings and court proceedings
• Investigate claims to rule out exposures and make coverage determinations
• Assist in handling catastrophic claims and other complex cases across multiple states

What is Required (Qualifications):

• 3-5 years of experience handling complex PIP first-party medical benefits, including litigation
• Ability to obtain necessary licenses in required states
• High School diploma or GED, or 3 years of directly related work experience
• Strong analytical, problem-solving, and organizational skills
• Proficient oral and written communication skills in English

How to Stand Out (Preferred Qualifications):

• Strong negotiating skills with the ability to develop effective strategies
• Ability to work independently and make sound decisions
• Knowledge of litigation file handling for minor to complex claims
• Willingness to participate in company culture-building activities
• Basic math and computer skills

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