PIP Adjuster I

AssuranceAmerica Corporation; Tampa, Northern (FL, KY); Hybrid; USD 52,000 - 75,000; Full time

Job summary

AssuranceAmerica Corporation is seeking a PIP Adjuster I in Tampa, FL to investigate and adjust moderately complex PIP and Medpay claims. You will conduct coverage reviews, manage medical aspects of files, obtain statements when warranted, and maintain accurate reserves while identifying potential fraud indicators.

The role requires a Florida Adjuster’s License and a Bachelor’s degree or equivalent experience.

Qualifications

• Bachelor’s Degree or equivalent work experience.
• Minimum of 2 years handling non-standard insurance PIP claims.
• Active Florida Adjuster’s License.

Responsibilities

• Complete initial and ongoing contact with insureds, medical providers and attorneys.
• 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.

Skills

Claims handling

Fraud indicators

Medical management

Stakeholder communication

Policy analysis

Education

Bachelor's Degree or equivalent

Job description

## PIP Adjuster IApply: TAMPA, FL: Full time: Posted Today: JR100431**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