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Univista Insurance · 1 day ago

PIP Claims Supervisor- Miami, FL

Miami, FL 33166

Full-time

Onsite

Mid, Senior Level

$65K/yr - $75K/yr

5+ years exp

Univista Insurance is seeking a PIP Claims Supervisor to lead a team of Personal Injury Protection claims adjusters. The role involves overseeing claims handling, ensuring compliance with regulations, and driving operational excellence while developing team capabilities.

Insurance

Responsibilities

Supervise and coach a team of PIP adjusters, providing technical guidance, mentoring, and regular performance feedback

Set clear productivity and quality standards; monitor performance metrics to ensure targets are met or exceeded

Facilitate training and professional development to strengthen the team’s claims knowledge and service delivery

Review and approve complex or high-exposure PIP claims, settlements, and denials to ensure compliance with policies and state regulations

Provide direction on coverage interpretation, medical bill review, wage loss calculations, and litigation strategies

Monitor claim reserves and authorize adjustments when necessary

Ensure claims are handled in accordance with applicable laws, regulatory requirements, and company standards

Conduct quality audits on claim files to identify trends, training opportunities, and process improvements

Stay up to date with legislative changes and communicate updates to the team

Collaborate with internal stakeholders (legal, SIU, medical review, vendor management) to drive timely and cost-effective claim resolutions

Analyze claim data to identify trends, control expenses, and recommend improvements to workflows or procedures

Support initiatives to improve customer satisfaction, reduce cycle time, and enhance accuracy

Manage relationships with external partners such as IME (Independent Medical Exam) providers, attorneys, and medical cost containment vendors

Ensure vendor performance aligns with service standards and cost-effectiveness goals

Qualification

PIP claims handlingPIP regulationsClaims management systemsMedical billingMicrosoft Office SuiteLeadership experienceCommunication skillsNegotiation skillsDecision-making skills