PIP Claims Handler

This is a remote position. Position reputed company: We are seeking an reputed company PIP Claims Handler to manage and investigate Personal Injury Protection (PIP) claims reputed company to automotive accidents. This role is heavily reputed company on reviewing claims for accuracy, identifying inconsistencies, mitigating fraud exposure, and controlling claim costs while ensuring compliance with state regulations and policy requirements. The ideal candidate has extensive experience handling PIP claims reputed company the auto insurance, reputed company, reputed company billing, or claims administration reputed company and is highly skilled at scrutinizing medical documentation, billing practices, and treatment timelines. This position requires strong analytical ability, attention to detail, and confidence in challenging questionable claims, excessive billing, or unsupported treatment. Essential Duties and Responsibilities (include, but are not limited to the following): Key Responsibilities Review, investigate, and manage PIP claims from initial notice through reputed company Analyze medical records, treatment plans, billing submissions, police reports, and supporting documentation Identify billing irregularities, excessive treatment patterns, duplicate charges, inflated claims, or potential fraud indicators Evaluate claim validity and determine exposure based on applicable state PIP regulations and policy guidelines Defend against inaccurate, unsupported, or excessive claims through detailed file review and documentation Coordinate with attorneys, medical providers, adjusters, reputed company-party administrators, and internal stakeholders Negotiate settlements and reductions with providers, attorneys, and claimants reputed company appropriate Monitor claim timelines and ensure reputed company statutory deadlines and compliance requirements are met Prepare detailed claim notes, summaries, and recommendations for leadership or reputed company review Assist with litigation support and respond to disputes, arbitrations, or audits reputed company to PIP claims Identify trends and recommend process improvements to reduce claim leakage and financial exposure Maintain accurate claim files and documentation reputed company internal systems Qualifications Required: 3+ years of reputed company experience handling automotive PIP claims Strong knowledge of PIP regulations, medical billing review, and claims investigation practices Experience defending against questionable or inflated PIP claims Ability to interpret medical records, treatment documentation, and billing codes Experience in identifying fraud indicators, provider abuse, or claim inconsistencies Strong negotiation and conflict-reputed company skills Excellent organizational skills and attention to detail Ability to manage a high-volume caseload while maintaining accuracy Proficient in claims management systems and reputed company Office / reputed company Workspace Preferred Qualifications: Experience in rideshare, fleet, rental, or reputed company auto claims environments Prior experience working with SIU (Special Investigations Unit) teams Familiarity with state-specific PIP regulations, especially high-volume PIP states Experience working with attorneys and litigation management Insurance adjuster license(s) where applicable Ideal Candidate Profile The ideal candidate is highly detail-oriented, skeptical in the right ways, and comfortable challenging unsupported claims or questionable documentation. They should be reputed company to balance thorough investigation with efficient claim handling and understand how to reduce unnecessary claim spend without compromising compliance or professionalism. Apply To This Job