Note: The job is a remote job and is open to candidates in USA. CSAA Insurance Group is one of the top personal lines property and casualty insurance groups in the U.S. They are seeking a PIP Claims Specialist to handle moderately complex claims involving first-party Personal Injury Protection and Medical Pay claims. The role involves investigating, evaluating, and settling claims while making coverage determinations and providing customer support.
Responsibilities
- 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
Skills
- A minimum of 1-2 years of claims experience is required
- Bachelor's degree in business, insurance, or related field OR equivalent combination of education and experience
- 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 530 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
Benefits
- Performance bonus
- 401(k) with a company match
Company Overview
Why we're forever forward -- At CSAA IG, one thing will always endure: our commitment to excellence in everything we do for our members, employees and communities. It was founded in 1914, and is headquartered in Walnut Creek, California, USA, with a workforce of 1001-5000 employees. Its website is https://csaa-insurance.aaa.com.
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