PIP Claims Specialist - Remote

AAA - CSAA Insurance Group; Town of Florida (NY); Remote; USD 50,000 - 70,000; Full time

Job summary

A leading insurance provider is seeking a claims handler to manage Personal Injury Protection and Medical Pay claims. Responsibilities include investigating claims and providing support during the claims process. Ideal candidates will have 1-2 years of insurance experience and a bachelor's degree in a relevant field. This opportunity includes bonuses, a 401(k) plan, and a culture that promotes inclusion and professional growth.

Benefits

Performance bonuses

401(k) plan with company match

Professional development opportunities

Qualifications

• 1-2 years of claims experience in the insurance industry.
• Ability to obtain multiple Adjuster’s Licenses within the first 90 days.
• Strong ability to manage multiple tasks simultaneously.

Responsibilities

• Manage first-party Personal Injury Protection (PIP) and Medical Pay claims.
• Investigate, evaluate, and settle claims accurately.
• Provide claims advisory support and assist with FNOL calls.

Skills

Claims experience

Interpersonal communication

Computer navigation skills

Education

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

Job description

Employer Industry: Personal Lines Property and Casualty Insurance

Why consider this job opportunity:

• Opportunity for performance bonuses and a comprehensive total compensation package
• 401(k) plan with company match to support your financial future
• Flexibility to work remotely from various states across the U.S.
• Culture promoting inclusion, belonging, and community service
• Chance to contribute to a company focused on sustainability and positive social impact
• Professional development opportunities to enhance your career growth

What to Expect (Job Responsibilities):

• Manage moderately complex first-party Personal Injury Protection (PIP) and Medical Pay claims from initiation to resolution
• Investigate, evaluate, and settle claims, ensuring accurate coverage determinations
• Handle claims with reserves up to $30,000 and escalate complex cases as necessary
• Provide claims advisory support and assist with First Notice of Loss (FNOL) calls
• Present coverage issues to the committee for discussion and resolution

What is Required (Qualifications):

• Minimum of 1-2 years of claims experience in the insurance industry
• Bachelor's degree in business, insurance, or a related field, or equivalent combination of education and experience
• Ability to obtain and maintain multiple Adjuster’s Licenses within the first 90 days of employment
• Strong computer navigation skills and ability to manage multiple tasks simultaneously
• Exceptional interpersonal communication skills, with a respect for diverse backgrounds

How to Stand Out (Preferred Qualifications):

• Prior experience with PIP claims and first-party medical coverage
• Knowledge of collision, loss-of-use, third-party property damage, and bodily injury exposures
• Flexibility to work various shifts during operating hours, including evenings and weekends
• Bilingual proficiency is a plus
• Active participation in company culture initiatives, such as employee resource groups

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