PIP Claims Representative- Gainesville, FL

Southern Farm Bureau Casualty Insurance Company; Gainesville (FL); Hybrid; USD 36,000 - 45,000; Full time

Benefits offered by this job

Health benefits

PTO

Extended Illness Leave

Pension plan

401K match

Job summary

Florida Farm Bureau in Gainesville, FL is seeking a PIP Claims Representative to manage and adjust Personal Injury Protection and Medpay medical claims. The role demands timely, compliant processing and strong communication with claimants and providers.

Starting salary is $40,500 per year, with a robust benefits package including health, dental, vision, PTO, extended illness leave, pension and 401(k) matching.

Qualifications

• H.S. Diploma is required.
• Must obtain Adjuster's license in 6 months.
• Familiarity with medical terminology & treatment protocols.

Responsibilities

• Review, investigate, and process PIP and/or Medpay claims in accordance with applicable laws and policy provisions.
• Determine coverage eligibility, verify medical necessity, and assess reasonableness of charges.
• Communicate with claimants, medical providers, attorneys, etc. to gather necessary documentation to resolve claims.
• Maintain detailed and accurate claim files and documentation.
• Provide clear and empathetic communication to claimants and stakeholders.
• Address inquiries and resolve issues promptly and professionally.
• Prepare reports and summaries for management as needed.
• Regular and predictable attendance is required.

Skills

English proficiency

Technical aptitude

Typing speed

Education

High School Diploma

Adjuster license in 6 months

Job description

Job Category: Claims

Requisition Number: PIPCL002025

• Full-Time
• Salary : $40,500 USD per year

Locations

Showing 1 location

Gainesville, Florida
Gainesville, FL 32614, USA

Description

This job is with Florida Farm Bureau which is the Florida state office for Southern Farm Bureau Casualty Insurance Company, and we currently have an opening for a PIP Claims Representative to work in Gainesville, FL. This position is responsible for managing and adjusting medical insurance claims under Personal Injury Protection and/or Medical Payments coverage. In this role you will ensure timely and accurate processing of claims while maintaining compliance with regulatory requirements and company standards. Starting salary of $40,500. We offer many benefits including health, dental, vision, PTO, Extended Illness Leave, Pension and matching 401K.

SUMMARY: responsible for managing and adjusting medical insurance claims under Personal Injury Protection and/or Medical Payments coverage. The PIP Claims Rep ensures timely and accurate processing of claims while maintaining compliance with regulatory requirements and company standards.

ESSENTIAL DUTIES AND RESPONSIBILITES: Include the following. Other duties may be assigned.

• Review, investigate, and process PIP and/or Medpay claims in accordance with applicable laws and policy provisions.
• Determine coverage eligibility, verify medical necessity, and assess reasonableness of charges.
• Communicate with claimants, medical providers, attorneys, etc. to gather necessary documentation to resolve claims.
• Maintain detailed and accurate claim files and documentation.
• Provide clear and empathetic communication to claimants and stakeholders.
• Address inquiries and resolve issues promptly and professionally.
• Prepare reports and summaries for management as needed.
• Regular and predictable attendance is required.

Education and/or Experience

• H.S. Diploma is required
• Must obtain Adjuster's license in 6 months
• Familiarity with medical terminology & treatment protocols

Skills/Ability

• Proficient in English written and Verbal communication skills
• Possesses strong technical aptitude
• Ability to type approximately 50wpm

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.