PIP Claims Specialist - Remote

AAA - CSAA Insurance Group; Idaho; Remote; USD 50,000 - 70,000; Full time

Job summary

A leading insurance services provider is seeking a Claims Handler to manage complex Personal Injury Protection (PIP) claims. This role offers the flexibility to work remotely and comes with a comprehensive total compensation package, including bonuses and a 401(k) with company match. Ideal candidates will have claims experience, strong interpersonal skills, and be prepared to obtain Adjuster’s Licenses shortly after hire.

Benefits

Performance bonus

401(k) with company match

Career advancement opportunities

Qualifications

• Minimum of 1-2 years of claims experience.
• Required to obtain and maintain Adjuster’s Licenses within 90 days.
• Solid understanding of insurance coverages.

Responsibilities

• Handle moderately complex first-party PIP and Medical Pay claims.
• Investigate, evaluate, and settle medical expense and PIP claims.
• Make coverage determinations for customers.

Skills

Claims experience

Interpersonal skills

Computer navigation

Education

Bachelor's degree in business, insurance, or related field

Job description

Employer Industry: Insurance Services

Why consider this job opportunity:

• Total compensation package including performance bonus and 401(k) with company match
• Opportunity for career advancement and growth within the organization
• Work remotely from anywhere within the U.S.
• Supportive and inclusive company culture that values diversity
• Chance to make a positive impact by helping customers navigate life's uncertainties

What to Expect (Job Responsibilities):

• Handle moderately complex first-party Personal Injury Protection (PIP) and Medical Pay claims
• Investigate, evaluate, and settle medical expense and PIP claims
• Make coverage determinations and inform customers of appropriate actions
• Manage claims involving additional suffixes like income continuation and essential services
• Present coverage issues to the committee as needed

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
• Solid understanding of insurance coverages
• Outstanding interpersonal skills and strong computer navigation abilities

How to Stand Out (Preferred Qualifications):

• Prior experience handling PIP claims and first-party medical coverage
• Knowledge or experience with collision, loss-of-use, third-party property damage, and bodily injury exposures
• Flexibility to work any shift during operating hours from 5:30 a.m. to 7 p.m.
• Bilingual skills are a plus
• Active participation in company culture initiatives, such as employee resource groups or volunteering

We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.