PIP Claims Investigator 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

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