PIP Claims Adjuster

Frankenmuth Insurance Company

15h•Hybrid

About The Position

Under general supervision and following standard procedures with independent judgment, the PIP Claims Adjuster investigates, evaluates, and resolves/disposes of MI Personal Injury Protection (PIP) claims. This role determines the extent of company liability, which may include the determination and evaluation of coverage, compensability, liability, and damage in accordance with policy provisions.

Requirements

Michigan PIP experience
Ability to perform each essential duty satisfactorily
Two to Four years related experience and/or training; or associate's degree (A.A.) from two-year college/technical school; or equivalent combination of education and related experience/training
Ability to work legally in the United States

Responsibilities

Follows corporate policies, procedures, and fair claims handling practices
Investigates claims to determine validity and extent of liability
Obtains information necessary to properly investigate and evaluate each case by corresponding with agents, insureds, claimants, witnesses and others
Reviews and evaluates documentation, including applications, reports, and statements
Monitors appropriate claim outcomes through self-audit process
Delivers superior customer service to policyholders and agents, ensuring appropriate and timely resolution of claims service issues
Ensures legal, regulatory and fair claims handling compliance
Sets or recommends reserves based on results of claim investigation
Within defined authority, manages, evaluates and concludes claims
Prepares and maintains claim reports
May provide extensive interaction with insureds, agents, claimants, attorneys, and other service providers
Conducts in-depth interviews and/or scene inspections
Attends settlement conferences and/or trials
May serve as a member of project teams, contributing to the achievement of project objectives
Performs other duties as assigned