PIP Claims Specialist - Remote

AAA - CSAA Insurance Group; Oregon (WI); Remote; USD 50,000 - 70,000; Full time

Job summary

A leading insurance provider is seeking a Claims Adjuster to manage moderate PIP and Medical Pay claims. This role involves investigating claims, making coverage decisions, and providing support for First Notice of Loss calls. Ideal candidates will have at least 1-2 years of claims experience and a bachelor's degree in business or insurance. The position offers a total compensation package, including performance bonuses, and the flexibility to work remotely from various states across the U.S.

Benefits

Performance bonuses

401(k) with company match

Career advancement opportunities

Supportive company culture

Qualifications

• Minimum of 1-2 years of claims experience required.
• Strong computer navigation skills and outstanding interpersonal abilities.
• Ability to manage multiple tasks simultaneously.

Responsibilities

• Handle moderately complex PIP and Medical Pay claims to conclusion.
• Investigate, evaluate, and settle medical expense claims.
• Make coverage determinations and inform customers of appropriate actions.

Skills

Claims experience

Interpersonal skills

Computer navigation skills

Ability to multitask

Education

Bachelor’s degree in business or insurance

Job description

Employer Industry: Property and Casualty Insurance

Why consider this job opportunity:

• Total compensation package including performance bonuses and 401(k) with company match
• Opportunity for career advancement and growth within the organization
• Flexibility to work remotely from various states across the U.S.
• Supportive and inclusive company culture that values diversity
• Chance to make a positive impact by helping clients navigate life’s uncertainties

What to Expect (Job Responsibilities):

• Handle moderately complex PIP and Medical Pay claims to conclusion
• Investigate, evaluate, and settle medical expense claims
• Make coverage determinations and inform customers of appropriate actions
• Assist with FNOL calls and provide Claims Advisory Support as needed
• Present coverage issues to the committee

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
• Required to obtain and maintain multiple Adjuster’s Licenses within the first 90 days
• Strong computer navigation skills and outstanding interpersonal abilities
• Ability to manage multiple tasks simultaneously

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
• Flexibility to work shifts between 5:30 a.m. to 7 p.m. in your time zone
• Bilingual skills are a plus
• Active participation in company culture initiatives

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