[Remote] Demand Adjuster PIP
Note: The job is a remote job and is open to candidates in USA. United Automobile Insurance Company is an innovative and established organization looking for a Demand Adjuster to join their team. The role involves the accurate and timely adjustment of personal injury claim demands, ensuring compliance with relevant statutes and company guidelines while maintaining organized claim files and issuing demand payments.
Responsibilities
• Review and analyze PIP demands submitted on behalf of policyholders or medical providers
• Evaluate the validity of claims by assessing medical records, police reports, and other relevant documents
• Ensure compliance with state regulations, company policies, and industry standards in processing PIP claims
• Maintain accurate and organized claim files, documenting all interactions, decisions, and payments
• Assess and approve reasonable and necessary medical expenses in accordance with policy terms
• Issue timely and accurate demand payments to claimants and service providers
• Document all adjustments and relevant information accurately in the company's system
Skills
• Adjusters license required
• Minimum 3 years related work experience as a PIP adjuster
• Familiarity with medical terminology and billing practices
• Proficient in Word, Excel, Windows-based applications, and internet usage
• Knowledge of Personal Injury Protection (PIP) insurance regulations and laws
• Strong analytical and problem-solving skills
• Excellent verbal and written communication skills
• Negotiation and conflict resolution abilities
• Attention to detail and strong organizational skills
• Proficiency in relevant computer software and claims management systems
Education Requirements
• Associate or bachelor’s degree in a related field (e.g., business, finance, or law)
Benefits
• 401(k) Retirement Savings Plan with employer match
• Comprehensive Medical, Prescription Drug, Vision, and Dental Insurance
• Paid Time Off, Holidays, and Leave programs
• Flexible spending accounts
• Basic Life Insurance and Voluntary Life/ADD
• Short Term and Long-Term Disability
Company Overview
• Provide a high quality and low cost insurance product to the non-standard automobile insurance market. It was founded in 1989, and is headquartered in Hialeah Gardens, Florida, USA, with a workforce of 501-1000 employees. Its website is https://www.uaig.net/.
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