Pip Claims Adjuster

2 weeks ago

Coral Springs, United States Pearl Holding Group Full time

Position Summary

Classification: Exempt.

Location: Coral Springs, Florida.

Position type and expected hours of work: Full time (40 hours).

Compensation: $50,000-70,000/year dependent on experience and qualifications.

Reports to: PIP Supervisor.

Essential Duties and Functions

The essential functions include, but are not limited to the following:

- Evaluate auto insurance claims promptly and accurately to determine coverage, liability, and settlement options.
- Conduct thorough investigations into the circumstances surrounding each claim, including obtaining statements, collecting evidence, and analyzing policy provisions.
- Maintain detailed and organized claim files, documenting all relevant information, correspondence, and decisions made throughout the claims process.
- Communicate effectively with policyholders, claimants, witnesses, and other involved parties to gather information, explain coverage, and provide updates on claim status.
- Negotiate settlements within authorized limits, considering factors such as liability, damages, and policy coverage.
- Provide exceptional customer service to policyholders and claimants, addressing inquiries, concerns, and complaints in a timely and professional manner.
- Ensure compliance with insurance regulations, company policies, and industry standards in all aspects of claims handling.
- Collaborate with internal teams, including underwriters, legal counsel, and other claims professionals, to resolve complex claims and mitigate risk effectively.
- Identify opportunities for process improvement and contribute to the development of best practices within the claims department.
- Perform quality reviews of claim files to ensure accuracy, consistency, and adherence to company guidelines.
- Ensure timecards are reviewed daily for accurate hours worked.

Minimum Qualifications (Knowledge, Skills, and Responsibilities)
- Strong knowledge of insurance principles, regulations, and industry standards.
- Excellent analytical skills with the ability to assess liability and evaluate damages.
- Exceptional communication and interpersonal skills, both written and verbal.
- Proficiency in insurance claims software, preferably Microsoft Office suite.
- Demonstrated ability to manage multiple priorities and meet deadlines in a fast-paced environment.
- Commitment to providing outstanding customer service and maintaining professionalism in challenging situations.

Required Education and Experience:

- High School Diploma or equivalent experience in auto claims insurance, business administration, or a related field; Bachelor’s or Associates degree preferred.
- Minimum of 1+ years of PIP handling experience for Florida PIP claims
- Florida Adjuster License.

Pay: $50,000.00 - $70,000.00 per year

**Benefits**:

- 401(k)
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance

Schedule:

- 8 hour shift
- Day shift
- Monday to Friday

Travel requirement:

- No travel

Work setting:

- In-person
- Office

Application Question(s):

- Do you have your Florida Adjuster License?
- How many years of experience do you have in PIP?

Ability to Commute:

- Coral Springs, FL 33076 (required)

Ability to Relocate:

- Coral Springs, FL 33076: Relocate before starting work (required)

Work Location: In person

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