PIP Claims Specialist - Remote

CSAA Insurance Group, a AAA Insurer

5d•Remote

About The Position

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! 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 $30,000. 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.

Requirements

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.

Nice To Haves

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.

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.