- Assigned as the owning adjuster when injury exposure is identified for the first party, for files with reserves up to policy limits.
- Investigates, evaluates, and settles medical expense and Personal Injury Protection (PIP) claims.
- Makes coverage determinations and informs customers as to the appropriate course of action.
- Claims may involve additional suffixes such as income continuation and essential services.
- Investigates to rule out exposures: uninsured/underinsured motorist, subrogation, dram shop.
- Presents to committee on coverage issues.
- Actively shapes our company culture (e.g., participating in employee resource groups, volunteering, etc.).
- Lives into cultural norms (e.g., willing to have cameras when it matters: helping onboard new team members, building relationships, etc.).
- Travels as needed for role, including divisional / team meetings and other in-person meetings.
- Fulfills business needs, which may include investing extra time, helping other teams, etc.
- Bachelor's degree in business, insurance, or related field OR equivalent combination of education and experience.
- A minimum of 1-2 years of claims experience is required.
- Required to obtain and/or maintain multiple Adjuster's License's within the first 90 days of employment and/or job transfer if applicable.
- Prior experience handling PIP claims and first-party medical coverage is preferred.
- Knowledge or experience handling collision, loss-of-use, third-party property damage and bodily injury exposures preferred.
- Capability to complete training and perform the job in a remote setting as required.
- Flexibility to work any shift during the operating hours of 5:30 a.m. to 7 p.m. in your time zone, which may include evenings and/or weekends.
- Outstanding interpersonal skills and strong computer navigation abilities.
- Ability to handle several tasks simultaneously.
- Solid understanding of insurance coverages.
- Bilingual a plus
- Shows respect for differences through excellent communication skills with people from an array of backgrounds.
- Actively shapes our company culture (e.g., participating in employee resource groups, volunteering, etc.)
- Lives into cultural norms (e.g., willing to have cameras when it matters: helping onboard new team members, building relationships, etc.)
- Fulfills business needs, which may include investing extra time, helping other teams, etc.
- BELIEVE in a mission focused on building a community of service, rooted in inclusion and belonging.
- COMMIT to being there for our customers and employees.
- CREATE a sense of purpose that serves the greater good through innovation.
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PIP Claims Specialist - Philadelphia, United States - 501 CSAA Insurance Services, Inc.
Description
Job Information
We, here at CSAA IG are one of the top personal lines property and casualty insurance groups in the U.S. Our employees proudly live our core beliefs and fulfill our enduring purpose to help members prevent, prepare for and recover from life's uncertainties, and we're proud of the culture we create together. As we commit to progress over perfection, we recognize that every day is an opportunity to be innovative and adaptable. We hire good people for a brighter tomorrow. We are actively hiring for a PIP Claims Specialist
This position is expected to work Monday - Friday from 9am-6pm EST.
Your Role:
As a PIP Specialist, you will handle to conclusion moderately complex claims involving first-party Personal Injury Protection (PIP) and Medical Pay claims. Cases are generally reserved up to $30, In cases where complexity of file increases beyond proficiency level, file is escalated to senior level for handling. Our team handles claims in multiple states and may assist with FNOL calls, Claims Advisory Support and Casualty Support as needed.
Your work:
Required Experience, Education and Skills
What would make us excited about you?
CSAA IG Careers
At CSAA IG, we're proudly devoted to protecting our customers, our employees, our communities, and the world at large. We are on a climate journey to continue to do better for our people, our business, and our planet. Taking bold action and leading by example. We are citizens for a changing world, and we continually change to meet it.
Join us if you...
Recognition: We offer a total compensation package, performance bonus, 401(k) with a company match, and so much more
