PIP Adjuster I

AAMGA AssuranceAmerica Managing General Agency, LLC; Tampa (FL); On-site; USD 52,000 - 68,000; Full time

Job summary

AAMGA AssuranceAmerica Managing General Agency, LLC in Florida is seeking a PIP Claims Adjuster to investigate and adjust moderate complexity PIP and Medpay claims through resolution. You will manage coverage questions, medically manage files, and pay medical bills when warranted.

Responsibilities include contacting insureds, providers, and attorneys; obtaining recorded statements; reviewing policy language and case law; establishing reserves; and working with SIU on potential fraud indicators

Qualifications

• Bachelor's Degree or equivalent work experience is required.
• Minimum of 2 years handling non-standard insurance PIP claims.

Responsibilities

• Complete initial and ongoing contact with insureds, medical providers and attorneys.
• Obtain recorded statements as warranted.
• Review and analyze policy language, case law and statutes and apply to claims handling.
• Establish proper reserves in accordance with company reserving guidelines.
• Identify potential fraud indicators and work closely with Special Investigations Unit when appropriate.

Education

Bachelor's Degree or equivalent work experience

Job description

Job Summary:

Investigate and adjust PIP claims of moderate complexity through their conclusion. The PIP adjuster will investigate coverage, medically manage files, pay medical bill as warranted and identify potential fraud indicators. This is inclusive of both PIP and Medpay claims.

Key Responsibilities

Complete initial and ongoing contact with insureds, medical providers and attorneys. Obtain recorded statements as warranted. Review and analyze policy language, case law and statutes and apply to claims handling. Complete accurate coverage investigations to proper resolution. Coordinate Independent Medical Examinations as warranted. Establish proper reserves in accordance with company reserving guidelines. Identify potential fraud indicators and work closely with Special Investigations Unit when appropriate. Ability to work in a high volume, fast paced environment while maintaining accurate and detailed file handling.

Experience/Education:

Education: Bachelor's Degree or equivalent work experience. Experience: Minimum of 2 years handling non-standard insurance PIP claims. Must have an active Florida Adjuster's License

We strive for excellence in how we serve our policy holders and agents, and have since we opened our doors in 1998. We believe in creating a culture where all associates have a chance to learn and grow. We also take part in directing 5% of our earnings to fight homelessness, which gives hope with every policy purchased. We're grateful for the team we've created and the values we stand behind. We've pledged to be direct, results driven, and dedicated to the success of our business and each other.