PIP Claims Specialist - Remote

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

Job summary

A leading insurance company is seeking candidates for a claims handling position focused on Personal Injury Protection (PIP) and Medical Pay claims. The role requires 1-2 years of claims experience and a bachelor’s degree. The ideal candidate will possess strong communication skills and the ability to obtain necessary licenses. This position offers opportunities for remote work and prioritizes employee development within a mission-driven organization.

Benefits

Performance bonus

401(k) plan with company match

Flexible remote work

Strong emphasis on employee development

Qualifications

• Minimum of 1-2 years of claims experience required.
• Ability to obtain and maintain multiple Adjuster’s Licenses within the first 90 days.
• Outstanding interpersonal and communication skills.

Responsibilities

• Handle moderately complex first-party Personal Injury Protection (PIP) and Medical Pay claims.
• Investigate, evaluate, and settle claims effectively.
• Make coverage determinations and communicate actions to customers.

Skills

Claims experience

Interpersonal skills

Computer navigation skills

Multitasking abilities

Education

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

Job description

Employer Industry: Insurance

Why consider this job opportunity:

• Performance bonus included in the total compensation package
• 401(k) plan with company match for future financial security
• Flexibility to work remotely from various states across the U.S.
• Opportunity to work within a mission-driven organization focused on community service and inclusion
• Strong emphasis on employee development and fostering a supportive company culture

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 effectively
• Make coverage determinations and communicate appropriate actions to customers
• Rule out exposures such as uninsured/underinsured motorist and subrogation during investigations
• Present coverage issues to committee as necessary

What is Required (Qualifications):

• Minimum of 1-2 years of claims experience required
• Bachelor’s degree in business, insurance, or a related field, or equivalent experience
• Ability to obtain and maintain multiple Adjuster’s Licenses within the first 90 days of employment
• Strong computer navigation skills and multitasking abilities
• Outstanding interpersonal and communication skills

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 exposures
• Flexibility to work various shifts within operating hours
• Bilingual skills are a plus
• Active participation in company culture initiatives and employee resource groups

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