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CSAA Insurance Group, a AAA Insurer · 1 day ago

PIP Claims Specialist - Remote

United States

Full-time

Remote

Entry Level

$27.55/hr - $36.81/hr

1+ years exp

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.

AssociationAuto InsuranceCommunitiesHealth CareInsuranceNon ProfitTravel Agency

Comp. & Benefits

No H1B

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

Qualification

PIP claims handlingAdjuster's LicenseClaims experienceInsurance knowledgeComputer navigationBilingualInterpersonal skills

Required

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

Preferred

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

CSAA Insurance Group, a AAA Insurer

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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.

Founded in 1914

Walnut Creek, California, USA

1001-5000 employees