PIP Claims Specialist - Remote

AAA - CSAA Insurance Group; Delaware; Remote; USD 50,000 - 65,000; Full time

Job summary

A leading insurance provider is seeking a Claims Specialist to handle first-party Personal Injury Protection (PIP) and Medical Pay claims. The successful candidate will investigate and settle claims, while communicating with customers on coverage issues. A Bachelor's degree and 1-2 years of claims experience are required, with flexibility for remote work. Opportunity for a performance bonus and participation in a company committed to community service is included.

Benefits

Performance bonus

401(k) plan with company match

Flexibility to work remotely

Supportive and dynamic team environment

Qualifications

• Minimum of 1-2 years of claims experience.
• Required to obtain and/or maintain multiple Adjuster’s Licenses within 90 days.
• Ability to work flexible hours and manage multiple tasks.

Responsibilities

• Handle first-party PIP and Medical Pay claims.
• Investigate and settle medical expense and PIP claims.
• Make coverage determinations and communicate with customers.

Skills

Claims handling

Strong computer navigation abilities

Outstanding interpersonal skills

Ability to multitask

Education

Bachelor’s degree in business, insurance, or a related field

Job description

Employer Industry: Insurance

Why consider this job opportunity:

• Opportunity to earn a performance bonus
• 401(k) plan with company match
• Flexibility to work remotely from various states across the U.S.
• Join a company committed to community service and employee inclusion
• Work in a supportive and dynamic team environment

What to Expect (Job Responsibilities):

• Handle first-party Personal Injury Protection (PIP) and Medical Pay claims with reserves up to $30,000
• Investigate, evaluate, and settle medical expense and PIP claims
• Make coverage determinations and communicate appropriate actions to customers
• Investigate potential exposures such as uninsured/underinsured motorists and subrogation
• Present coverage issues to committee for review

What is Required (Qualifications):

• Minimum of 1-2 years of claims experience
• Bachelor’s degree in business, insurance, or a related field, or equivalent combination of education and experience
• Required to obtain and/or maintain multiple Adjuster’s Licenses within the first 90 days of employment
• Strong computer navigation abilities and outstanding interpersonal skills
• Ability to handle multiple tasks simultaneously and work flexible hours

How to Stand Out (Preferred Qualifications):

• Prior experience handling PIP claims and first-party medical coverage
• Knowledge of collision, loss-of-use, and third-party property damage
• Ability to perform job duties effectively in a remote setting
• Bilingual skills
• Active participation in company culture initiatives such as employee resource groups

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