Senior PIP Claims Examiner, Hybrid/Remote

Philadelphia Insurance Companies; Leawood (KS); Hybrid; USD 77,000 - 86,000; Full time

Benefits offered by this job

Tuition reimbursement

401K match

Job summary

Philadelphia Insurance Companies, a Tokio Marine Group member, is expanding our PIP Team with Nationwide consideration for a Senior Claims Examiner - PIP.

A typical day includes evaluating claims, confirming coverage, reserving and settling as needed, and traveling for mediations and other legal proceedings. We offer a hybrid work model with remote consideration for qualified candidates outside the primary region.

Qualifications

• High School Diploma; Bachelor's degree preferred.
• Five plus years related experience and/or training; or equivalent combination of education and experience.
• Three plus years of PIC related experience and an AIC Designation will be considered for employees in good standing with excellent claim audit scores.

Responsibilities

• Analyze insurance claims to determine extent of Insurer's obligations.
• Settle claims with first claimants in accordance with policy provisions and applicable law.
• Evaluate each claim in light of facts; affirm or deny coverage; investigate to establish proper reserves; and settle or deny claims in a fair and expeditious manner.
• Communicate with all relevant parties and document communication as well as results of investigation.
• Thoroughly understands coverage, policy terms and conditions for broad insurance areas, products or special contracts.
• Travel is required to attend customer service calls, mediations, and other legal proceedings.

Education

Bachelor's degree (preferred)

High School Diploma

Job description

Philadelphia Insurance Companies, a Tokio Marine Group member, is expanding our PIP Team with Nationwide consideration for a Senior Claims Examiner - PIP.

A typical day includes evaluating claims, confirming coverage, reserving and settling as needed, and traveling for mediations and other legal proceedings. We offer a hybrid work model with remote consideration for qualified candidates outside the primary region.