PIP Adjuster

Kemper•Birmingham, AL

About The Position

Kemper is seeking PIP Adjusters to investigate, value, establish exposure for, negotiate, and settle assigned No-fault and Med Pay claims within stipulated monetary authority. The role ensures claims are concluded promptly, equitably, and economically, in accordance with the policy contract and the damages presented. The adjuster reviews medical bills, lost-wage claims, and other expense claims; evaluates coverage and damages; establishes appropriate loss, expense, and subrogation reserves; researches injury-related statutory provisions and case law; gathers medical, wage, and other supporting information; and develops settlement strategies. Adjusters may use IME and peer-review processes and apply offsets when appropriate. All claims must be processed in compliance with standard operating procedures and applicable regulatory, statutory, and best-practice requirements.

Requirements

High school degree and one year of full-time work experience after graduation.
Good computer skills.
Good planning and organizing skills.
Excellent written and verbal communication skills.
Ability to deal with conflict.

Nice To Haves

Four-year college degree.
Specific bilingual skills may be required for some positions.

Responsibilities

Investigate, value, establish exposure for, negotiate, and settle assigned No-fault and Med Pay claims within stipulated monetary authority.
Identify parties eligible for coverage and thoroughly review medical bills, lost-wage claims, and other expense claims.
Establish accurate loss reserves and, when applicable, expense and subrogation reserves based on assessed damages.
Research and interpret injury-related statutory provisions and case law.
Examine points of impact and the extent of damage in relation to the injury claimed, and access prior injury information.
Develop and maintain rapport with claimants or their representatives.
Obtain proper release documentation and detailed medical reports, medical bills, wage information, and other expense information.
Conduct detailed research relating to damages submitted for payment.
Use IME and peer-review processes and take applicable offsets when appropriate.
Document injury-related treatment, lost-wage, and other expense histories, and develop comprehensive settlement strategies.
Use appropriate medical, wage, and other expense claim investigation forms and form letters.
Process claims in compliance with standard operating procedures, regulatory and statutory requirements, and applicable best practices.