Personal Injury Protection (PIP) Claim Adjuster

Reserv

104d • Remote

About The Position

We're looking for a Personal Injury Protection Resolution (PIP) Adjuster to join our growing team. You'll investigate and evaluate PIP/MP claims and coverage while managing your own inventory of claims. If you bring strong analytical skills, excellent communication, and a passion for exceptional customer service—we want to hear from you! We're excited about building a tech-driven claims organization, passionate about the customer experience, empathetic and patient with everyone you interact with, driven by a sense of urgency (without working around the clock), creative in finding the right resolution that serves the insured's best interest, comfortable with conflict—see it as conversational, not adversarial, curious about the whole story so you can make the right decisions early, anti-status quo—you don't just wish things were different, you make them different, a strong communicator, and have a sense of humor (claims are hard enough as it is!).

Requirements

• 3+ years of experience in Personal Injury Protection (don't let a lack of a degree stop you from applying if you have the experience!)
• Experience handling NJ (required) and at least one other state to include MI, FL, NY, TX and/or KY
• You understand subrogation referrals
• Knowledge of Bodily Injury and coordination of benefits between PIP and UM/UIM
• Arbitration and/or formal PIP/MP litigation experience
• You must have an active adjuster license in your home state or designated home state (if your state does not offer one) and be willing to obtain all required licenses within 60 days
• Strong knowledge of state regulations and policy provisions
• Eager for continuous learning and professional development
• Willing to travel for client and claims needs

Nice To Haves

• Commercial, rideshare, or trucking policy experience

Responsibilities

• Provide high-quality customer service by handling calls, filing claims, and resolving requests
• Investigate PIP/MP claims to determine coverage, injury extent, and evaluate medical billing
• Gather documentation, interview parties, explain coverage, and resolve medical expenses
• Assess claim validity and determine appropriate settlement amounts or next steps
• Manage claim inventory and establish/adjust reserves throughout the claim lifecycle
• Ensure compliance with state regulations, policy provisions, and SOPs
• Communicate regularly with claimants, policyholders, attorneys, and medical providers
• Prepare thorough claim reports with investigation findings and decision rationale
• Provide input for continuous improvement of claims guidelines and processes
• Oversee outside service providers and work with client counsel to resolve claims
• Engage in learning opportunities to build your claims expertise

Benefits

• Generous health-insurance package with nationwide coverage, vision, & dental
• 401(k) retirement plan with employer matching
• Competitive PTO policy – we want our employees fresh, healthy, happy, and energized!
• Generous family leave policy after 8 months of continuous work
• Work from anywhere to facilitate your work life balance
• Apple laptop, large second monitor, and other quality-of-life equipment you may want. Technology is something that should make your life easier, not harder!
• Listen to your feedback to enhance and improve upon the long-standing challenges of an adjuster and the claims role
• Work toward reducing and eliminating all the administrative work from an adjuster role
• Foster a culture of empathy, transparency, and empowerment in a remote-first environment

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed