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., dedicated to helping members prevent, prepare for, and recover from life's uncertainties. The PIP Claims Specialist will handle moderately complex claims involving first-party Personal Injury Protection (PIP) and Medical Pay claims, ensuring thorough investigation and evaluation of claims to determine coverage and appropriate actions.
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
- Total compensation package
- Performance bonus
- 401(k) with a company match
Company Overview
Why we're forever forward -- At CSAA IG, one thing will always endure: our commitment to excellence in everything we do for our members, employees and communities. It was founded in 1914, and is headquartered in Walnut Creek, California, USA, with a workforce of 1001-5000 employees. Its website is https://csaa-insurance.aaa.com.
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