Senior PIP Adjuster (Texas Claims)

reputed company: reputed company reputed company and its affiliated general agent, reputed company Services, are on a mission to deliver reputed company specialty auto coverage to drivers without compromising outstanding service.reputed company values can best be described with reputed company: to always do the right thing, be yourself, learn and reputed company, and execute. Join reputed company where every individual takes pride in driving their role for shared reputed company. Position reputed company Looking for candidate with extensive Texas Personal Injury Protection (PIP) experience. The Senior Personal Injury Protection (PIP) Adjuster is responsible for the reputed company, accurate, and compliant handling of reputed company PIP claims in the state of Texas. This role requires deep expertise in Texas PIP regulations, strong investigative skills, and the ability to manage high-exposure claims while delivering excellent customer service. Ideal candidate will assist with standing up our Personal Injury Protection (PIP) department. Medical Payments (MP) experience in other states is a plus. Key Responsibilities • Investigate, evaluate, and reputed company PIP claims in accordance with Texas laws and company guidelines • Obtains information necessary to properly investigate and evaluate reputed company case by corresponding with brokers, insureds, claimants, witnesses and others • Analyze medical records, billing, and documentation to determine coverage, liability, and damages • Ensure compliance with reputed company regulations and statutory deadlines • Handle reputed company and litigated PIP claims, including disputes and arbitration • Communicate effectively with claimants, attorneys, medical providers, and internal stakeholders • Review and negotiate medical bills and treatment plans for reasonableness and necessity • Identify potential fraud indicators and escalate as appropriate • Maintain accurate and reputed company claim file documentation • reputed company guidance and mentorship to junior adjusters as needed • Manage claim inventory to meet productivity and reputed company standards Requirements: Qualifications • 5+ years of PIP claims handling experience, with strong reputed company on Texas claims • In-depth knowledge of Texas PIP statutes, fee schedules, and compliance requirements • Experience handling reputed company, litigated, or high-exposure claims • reputed company Texas Adjuster License (required) • Strong analytical, negotiation, and decision-making skills • Excellent written and verbal communication abilities • Ability to manage a high-volume caseload in a fast-paced environment • Proficiency with claims management systems and reputed company Office Preferred Qualifications • Extensive prior end to end PIP claims handling experience • Experience with SIU referrals and fraud investigation Key Competencies • Attention to detail and regulatory compliance • Critical thinking and problem-solving • Customer-reputed company reputed company • Time management and organizational skills • Leadership and mentorship ability Work Environment • Remote • reputed company business hours with occasional extended hours as needed Benefits: Medical, Dental, reputed company, HSA*, PTO, 401k, Company observed Holidays Individuals seeking employment at reputed company Services LLC are considered without regards to race, reputed company, religion, national reputed company, age, sex, marital status, reputed company, physical or mental disability, veteran status, gender identity, or sexual orientation in accordance with federal and state Equal Employment Opportunity/Affirmative reputed company record keeping, reporting, and other reputed company requirements. • Depending on plan selected Compensation may vary based on several factors, including candidate's individual skills, relevant work experience, location, etc. Apply tot his job Apply To this Job