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CURE Auto Insurance (Citizens United Reciprocal Exchange) · 2 months ago

PIP Claims Representative

Detroit, MI

Full-time

Hybrid

Entry, Mid Level

$58K/yr - $77K/yr

2+ years exp

CURE Auto Insurance is a leading direct writer of auto insurance in New Jersey, Pennsylvania, and Michigan. The PIP Claims Representative will handle the investigation, evaluation, and disposition of complex Personal Injury Protection claims, ensuring compliance with company policies and regulatory requirements.

Auto InsuranceInsurance

No H1B

Responsibilities

Receive assigned claims, verify coverage, confirm eligibility and determine course of action

Complete detailed, thorough claim investigation through telephone and/or written correspondence with subscribers, attorneys, witnesses and any others with information relevant to the claim

Analyze information obtained through investigation in order to evaluate the claim, determine PIP eligibility and determine the extent of the injuries and claim exposure

Establish and maintain the proper reserves for the exposure

Assign medical case managers or other experts to a case when appropriate and arrange for independent medical examinations when necessary to determine medical necessity and causal relationship of treatment

Handle incoming calls and correspondence from subscribers, claimants, attorneys and providers regarding questions or problems associated with a claim

Document claim files and maintain a diary system for reporting and claim follow-up

Handle claims in accordance with CURE's Decision Point Review Plan

Work closely with the Special Investigation Unit, Underwriting Department, attorneys, and other members of the Claim Department to ensure that CURE achieves optimum results on all files

Manages allocated loss adjustment expense. Employs outside vendors when activities cannot be completed by a staff member and directs the activities of vendors to ensure only necessary work is completed

Comply with all conditions outlined in the Unfair Claim Practices Acts

Perform other duties as assigned

Qualification

PIP claim handlingPropertyCasualty licensePersonal injury protection knowledgeLitigation experienceAnalytical skillsDetail orientedWritten communicationVerbal communicationInterpersonal skills