PIP Claims Specialist - Remote

AAA - CSAA Insurance Group; Remote; USD 60,000 - 80,000; Full time

Job summary

A notable insurance provider is seeking a PIP Claims Specialist to manage moderately complex PIP claims with reserves up to $30,000, remotely anywhere in the United States (excluding Hawaii and Alaska). The ideal candidate will have 1-2 years of claims experience and a bachelor's degree in a related field. Responsibilities include investigating claims, making coverage determinations, and ensuring customer satisfaction. This position offers a comprehensive compensation package, including performance bonuses and 401(k) with company match.

Benefits

Performance bonus

401(k) with company match

Diversity and inclusion programs

Qualifications

• A minimum of 1-2 years of claims experience is required.
• Bachelor's degree in business, insurance, or related field OR equivalent combination of education and experience.
• Required to obtain and/or maintain multiple Adjuster’s License within the first 90 days.

Responsibilities

• Handle moderately complex claims involving PIP and Medical Pay claims.
• Investigate, evaluate, and settle claims.
• Make coverage determinations and inform customers.

Skills

Claims experience

Interpersonal skills

Computer navigation

Bilingual

Education

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

Job description

Job Title

PIP Claims Specialist - Remote

Requisition Number

R7542 PIP Claims Specialist - Remote (Open)

Location

Oklahoma - Home Teleworkers

Additional Locations

Alabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, California - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker {+ 20 more}

Job Information

We, here at CSAA IG are one of the top personal lines property and casualty insurance groups in the U.S. Our employees proudly live our core beliefs and fulfill our enduring purpose to help members prevent, prepare for and recover from life's uncertainties, and we're proud of the culture we create together. As we commit to progress over perfection, we recognize that every day is an opportunity to be innovative and adaptable. We hire good people for a brighter tomorrow. We are actively hiring for a PIP Claims Specialist!

Your Role:

As a PIP Specialist, you will handle to conclusion moderately complex claims involving first-party Personal Injury Protection (PIP) and Medical Pay claims. Cases are generally reserved up to $30,000. In cases where complexity of file increases beyond proficiency level, file is escalated to senior level for handling. Our team handles claims in multiple states and may assist with FNOL calls, Claims Advisory Support and Casualty Support as needed.

Your work:

• Assigned as the owning adjuster when injury exposure is identified for the first party, for files with reserves up to policy limits.
• Investigates, evaluates, and settles medical expense and Personal Injury Protection (PIP) claims.
• Makes coverage determinations and informs customers as to the appropriate course of action.
• Claims may involve additional suffixes such as income continuation and essential services.
• Investigates to rule out exposures: uninsured/underinsured motorist, subrogation, dram shop.
• Presents to committee on coverage issues.

Required Experience, Education and Skills:

• A minimum of 1-2 years of claims experience is required.
• Bachelor's degree in business, insurance, or related field OR equivalent combination of education and experience.
• Required to obtain and/or maintain multiple Adjuster’s License’s within the first 90 days of employment and/or job transfer if applicable.

What would make us excited about you:

• Prior experience handling PIP claims and first-party medical coverage is preferred.
• Knowledge or experience handling collision, loss‑of‑use, third‑party property damage and bodily injury exposures preferred.
• Capability to complete training and perform the job in a remote setting as required.
• Flexibility to work any shift during the operating hours of 5:30 a.m. to 7 p.m. in your time zone, which may include evenings and/or weekends.
• Outstanding interpersonal skills and strong computer navigation abilities.
• Ability to handle several tasks simultaneously.
• Solid understanding of insurance coverages.
• Bilingual a plus!
• Shows respect for differences through excellent communication skills with people from an array of backgrounds.
• Actively shapes our company culture (e.g., participating in employee resource groups, volunteering, etc.)
• Lives into cultural norms (e.g., willing to have cameras when it matters: helping onboard new team members, building relationships, etc.)
• Fulfills business needs, which may include investing extra time, helping other teams, etc.

CSAA IG Careers

At CSAA IG, we’re proudly devoted to protecting our customers, our employees, our communities, and the world at large. We are on a climate journey to continue to do better for our people, our business, and our planet. Taking bold action and leading by example. We are citizens for a changing world, and we continually change to meet it.

Join us if you…

• BELIEVE in a mission focused on building a community of service, rooted in inclusion and belonging.

• COMMIT to being there for our customers and employees.

• CREATE a sense of purpose that serves the greater good through innovation.

Recognition: We offer a total compensation package, performance bonus, 401(k) with a company match, and so much more! Read more about what we offer and what it is like to be a part of our dynamic team at https://careers.csaa-insurance.aaa.com/us/en/benefits

Submit your application to be considered. We communicate via email, so check your inbox and/or your spam folder to ensure you don’t miss important updates from us. If a reasonable accommodation is needed to participate in the job application or interview process, please contact [e-mail].

As part of our values, we are committed to supporting inclusion and diversity at CSAA IG. We actively celebrate colleagues’ different abilities, sexual orientation, ethnicity, and gender. Everyone is welcome and supported in their development at all stages in their journey with us.

We are always recruiting, retaining, and promoting a diverse mix of colleagues who are representative of the U.S. workforce. The diversity of our team fosters a broad range of ideas and enables us to design and deliver a wide array of products to meet customers’ evolving needs.

CSAA Insurance Group is an equal opportunity employer.

If you apply and are selected to continue in the recruiting process, we will schedule a preliminary call with you to discuss the role and will disclose during that call the available salary/hourly rate range based on your location. Factors used to determine the actual salary offered may include location, experience, or education.

Must have authorization to work indefinitely in the US

Please note we are hiring for this role remote anywhere in the United States with the following exceptions: Hawaii and Alaska.

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