PIP Claims Adjuster — Fast Settlements & Compliance

First Acceptance Corporation; United States; On-site; USD 50,000 - 65,000; Full time

Job summary

First Acceptance Corporation seeks a Claims Adjuster to manage claim files end-to-end, analyzing medical bills, lost wages, and expenses for timely settlements.

The role requires strong analytical and communication skills, multitasking in a fast-paced environment, and the Florida Adjuster License within 60 days. A 2-year degree and relevant experience are preferred, with commitment to company values.

Qualifications

• 2-year degree or higher in a related field is highly desirable; high school diploma or equivalency is required.
• Minimum of 2 years of relevant claims, insurance or other administrative experience is required.
• Knowledge of medical and legal terminology a plus.
• Must currently hold or have the ability to secure and maintain Florida adjuster license(s) within 60 days of employment.
• Strong customer service skills and related behaviors are required. Requires the ability to multi-task.
• Strong analytical and problem-solving skills.

Responsibilities

• Receives and responds to correspondence regarding claim files in a timely manner.
• Identifies involved parties eligible for coverage; analyzes medical bills, lost wages, and/or other expense claims submitted for payment.
• Follows-up on claims to ensure all pertinent information is received to settle claims.
• Authorizes payment of claims within company guidelines and stays current with procedures and policy changes.
• Maintains compliance with SOPs, regulatory and statutory requirements, and best practices.
• Identifies potential fraud indicators and works with SIU when appropriate.
• Investigates No-fault and Medpay losses; evaluates exposures.
• Processes incoming mail and data through various systems and software.
• Completes incoming and outgoing phone calls, taking statements when appropriate; writes correspondence.
• Documents injury-related treatment and lost wages; maintains expense history.
• Performs other duties as assigned.

Skills

Customer service

Analytical skills

Communication skills

Multitasking

Time management

Detail oriented

Education

Associate degree or higher in related field

Adjuster's License (Florida)

Job description

First Acceptance Corporation seeks a Claims Adjuster to manage claim files end-to-end, analyzing medical bills, lost wages, and expenses for timely settlements.

The role requires strong analytical and communication skills, multitasking in a fast-paced environment, and the Florida Adjuster License within 60 days. A 2-year degree and relevant experience are preferred, with commitment to company values.