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Auto Claims Representative:
2 months ago
Job Details for Auto Claims Representative:
- Monday- Friday, 8:30am-5pm ( Hybrid after training- 2 days at home, 3 days in office)
- Direct Hire- Medical, Dental, Vision, 401k, PTO
- $60k-$65k salary
- 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 the companies decision Point Review Plan.
- Work closely with the Special Investigation Unit, Underwriting Department, attorneys, and other members of the Claim Department
- 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.
- Reserve authority ranges from $5,000-$10,000.
- Bachelor's degree or commensurate experience in the insurance industry.
- A minimum of 2 years PIP claim handling experience or commensurate medical experience. Litigation experience is a plus.
- Licenses/Designations: Property and Casualty license a plus.
- Specific Skills: Must have the ability to analyze coverages, liability and damages.
- Strong technical knowledge of the statutes and regulations governing personal injury protection claims. Working practical knowledge of litigation from assignment to discovery and trial.
- Other Required or Preferred Qualifications: Detail oriented with strong written and verbal communication skills. Must be able to work independently as well as possess strong interpersonal skills necessary to contribute as a team player.
PeopleShare is the leading Staffing Agency in the region and has temporary to hire and permanent jobs across 8 states. Our openings include receptionist, data entry, customer service, collections, office managers, call center, administrative assistant, accounts payable clerk, accounts receivable clerk, file clerk, warehouse, assembly, production, pickers, packers, forklift, machine operators, and maintenance mechanics.
PeopleShare provides equal opportunities to all employees and applicants for employment without regard to race, religion, color, age, sex, national origin, sexual orientation, gender identity, genetic disposition, neurodiversity, disability, veteran status, or any other protected category or class under federal, state, and/or local laws. This policy applies to all locations and all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
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Requirements: Job Type: Permanent Post Date: 09/08/2024