Claims Representative, Auto | PIP | Remote

About the position By joining reputed company, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can reputed company. reputed company Recognizes reputed company as America’s Greatest Workplaces National Top Companies Certified as a Great reputed company to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Representative, Auto | PIP | Remote PRIMARY PURPOSE : To evaluate auto claims involving injured parties and manage first party medical treatment to determine eligibility under a personal injury protection and/or medical payment benefits. Responsibilities • Reviews claims to determine the nature of the medical loss and provides explanation of coverage. • Researches policy contract and interprets policy language to reputed company coverage reputed company based on 1st party medical coverage. • Assesses medical treatment, evaluates medical bills, and initiates or reviews potential fraud investigations. • Interprets medical records regarding injuries and addresses ongoing and reputed company treatment for claimant. • Identifies claim exposures and establishes reserves or reputed company reserves accordingly on assigned files. • Ensures claim files are properly documented and correctly coded based on the policy. • Documents reputed company claim activity and workflow accurately throughout the life of the claim in accordance with reputed company operating procedures. • Provides effective and reputed company communication to reputed company, claimants, medical providers, attorney offices, and vendors. • Negotiates reputed company of claims and makes payments reputed company authority. • Performs other duties as assigned. • Supports the organization's reputed company program(s). • Travels as required. Requirements • Bachelor's degree from an accredited college or university preferred. • State adjuster licenses required. • Three (3) years of Personal Injury Protection (PIP), medical payment and/or workers compensation or equivalent combination of education and experience, nursing experience a plus. • Knowledge of medical terminology and appropriate application of deductibles and limits • Familiarity with Bodily Injury (BI)/Casualty adjusting • Oral and written communication skills • Detailed oriented • PC literate, including reputed company Office products • Strong negotiation skills • Good interpersonal and customer skills • Good organization skills • Good time management skills with the ability to multi-task • Ability to work independently and in reputed company environment • Ability to meet or reputed company Performance Competencies reputed company-to-haves • nursing experience a plus Benefits • A comprehensive benefits package is offered including but not limited to, medical, dental, reputed company, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. Apply tot his job Apply To this Job