Senior PIP Claims Examiner — Hybrid/Remote

Philadelphia Insurance Companies; Roseville (CA); Hybrid; USD 77,000 - 86,000; Full time

Benefits offered by this job

Hybrid work model

401K match

Tuition reimbursement

Job summary

Philadelphia Insurance Companies, a member of the Tokio Marine Group, expands its PIP Team with nationwide consideration for a Senior Claims Examiner - PIP. Analyze claims to determine coverage, set reserves, and settle claims per policy provisions and law.

A hybrid work model is offered, with remote consideration for qualified candidates outside the primary region, and competitive compensation based on experience and location.

Qualifications

• High School Diploma; Bachelor's degree from a four-year college or university 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.
• Compensation Range: $76,700 - $85,700. Ultimate salary offered will be based on applicant experience and geographic location.

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; affirm or deny coverage; investigate to establish proper reserves; settle or deny claims promptly.
• Communicate with relevant parties and document communications and investigation results.
• Thoroughly understand coverage and policy terms for broad insurance areas; travel to attend customer service calls, mediations, and other legal proceedings.

Skills

Claim analysis

Communication

Investigations

Education

High School Diploma

Bachelor's degree preferred

AIC Designation (advantage)

Job description

Philadelphia Insurance Companies, a member of the Tokio Marine Group, expands its PIP Team with nationwide consideration for a Senior Claims Examiner - PIP. Analyze claims to determine coverage, set reserves, and settle claims per policy provisions and law.

A hybrid work model is offered, with remote consideration for qualified candidates outside the primary region, and competitive compensation based on experience and location.