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PIP Adjuster 3

PIP Adjuster 3

Location 
US-NY-Hauppauge
US-FL-Tampa
US-TX-Richardson
Job ID 
34557

More information about this job

Responsibilities

Provides customer service, administers, and examines policy coverage for complex injury and fraud claim settlement determinations within authority level.

Job Responsibilities:

  • Handles complex cases (e.g. material misrepresentation, fatality losses according to state specific guidelines, and impact losses with injury claims).
  • Answers questions from insureds, claimants, and attorneys to resolve problems and concerns.
  • Reviews policy coverage and documents/processes complex personal injury protection claims. Uses claims systems to locate prior losses and to maintain claim information.
  • Documents all conversations and recorded statements with involved parties, including correspondence, bills and actions.
  • Documents files and pays submitted bills according to procedures.
  • Sends necessary correspondence and completes actions to satisfy department of insurance and/or state specific regulations.
  • Addresses diaries, correspondence, emails, and voicemail timely.
  • Submits required reports to underwriting regarding claims issues.
  • Opens reserves appropriate to reflect exposure to the policy.
  • Identifies bodily injury and un-insured motorist claims and reassigns to appropriate department.
  • Handles arbitration responses and assists litigation in handling of demands.
  • Refers files to special investigation unit and assists with direction to the investigation.

    Qualifications:
  • Detail-oriented with strong organizational skills, able to work well under deadlines in a changing environment and perform multiple tasks effectively and concurrently.
  • Demonstrated ability to work effectively under pressure and within a collaborative team oriented environment using sound judgment in decision-making.
  • Excellent communication skills both oral and written with strong analytical skills.
  • Excellent customer service and negotiation skills
  • Demonstrated proficiency with Microsoft Office products (Excel, PowerPoint, and Word) and insurance software applications.
  • Demonstrated knowledge of different bodily injury and/or loss claims.
  • Must be able to travel 10%

    Experience / Education:
  • Bachelor?s degree in related field or equivalent education preferred.
  • Four years of personal injury protection claims handling experience with one year arbitration and/or litigation required.

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