[Remote] PIP Claims Specialist - Remote

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