Remote PIP Coverage & Qualification Adjuster

United Automobile Insurance Company; Miami (FL); Remote; USD 55,000 - 75,000; Full time

Benefits offered by this job

401(k) retirement plan

Comprehensive medical insurance

Paid time off and holidays

Flexible spending accounts

Life insurance

Job summary

United Automobile Insurance Company is seeking Coverage and Qualification Adjusters to review and process Personal Injury Protection (PIP) claims. The fully remote role supports agents and customers with efficient claims handling, coverage determinations, and timely settlements.

Ideal candidates hold an active Adjuster’s license (FL or TX preferred) and are bilingual in English and Spanish. Familiarity with Guidewire, MS Office, and strong analytical/communication skills are essential.

Qualifications

• Associate or bachelor’s degree preferred and/or 3 years of related work experience, preferably with PIP claims.
• 9
• Active Adjuster’s license required.

Responsibilities

• Review and assess PIP claims to determine coverage eligibility.
• Analyze medical records, police reports and other documents to evaluate injuries and loss.
• Interpret policies, contracts and state regulations to determine coverage.
• Communicate with claimants, medical professionals, attorneys and others to gather information.
• Provide clear explanations of coverage decisions to claimants.
• Conduct interviews with claimants to gather information for disposition of claims.
• Maintain organized claim files with correspondence, medical records and reports.
• Issue payments for approved claims per policy and procedures.
• Ensure compliance with state laws and company policies in claim handling.
• Generate reports on claims activity, trends and performance metrics.
• Identify and investigate potentially fraudulent activities; collaborate with SIU.

Skills

Bilingual English/Spanish

Insurance principles

Analytical skills

Negotiation skills

Communication skills

Independent work

Caseload management

Education

Associate or Bachelor's degree preferred

Active Adjuster’s license required

Tools

Guidewire

Microsoft Word

Microsoft Excel

Job description

United Automobile Insurance Company is seeking Coverage and Qualification Adjusters to review and process Personal Injury Protection (PIP) claims. The fully remote role supports agents and customers with efficient claims handling, coverage determinations, and timely settlements.

Ideal candidates hold an active Adjuster’s license (FL or TX preferred) and are bilingual in English and Spanish. Familiarity with Guidewire, MS Office, and strong analytical/communication skills are essential.