PIP Claims Evaluator

2 weeks ago


Chicago, Illinois, United States First Chicago Insurance Company (FCIC) Full time
Job Overview

As a Personal Injury Protection ("PIP") Claims Evaluator, your primary role will be to assess and manage claims associated with Personal Injury Protection coverage under various insurance policies. You will conduct investigations, evaluate injuries, negotiate settlements, and ensure adherence to applicable laws and regulations.


Key Responsibilities

  • Analyze and evaluate PIP claims to ascertain coverage, liability, and injury severity.
  • Conduct comprehensive investigations into each claim's circumstances, including gathering medical records, police documentation, and witness statements.
  • Assess the nature and extent of injuries reported by claimants through medical evidence, diagnostic evaluations, and expert assessments.
  • Determine the relevance of PIP coverage based on policy specifics, state laws, and individual claim details.
  • Negotiate fair settlements with claimants, legal representatives, and healthcare providers to effectively resolve claims.
  • Maintain meticulous records of claim files, including all correspondence, investigation outcomes, settlement proposals, and payment details.
  • Communicate effectively with claimants, legal counsel, medical professionals, and other involved parties to provide updates, address issues, and facilitate the claims process.
  • Ensure compliance with all relevant regulations, laws, and company policies throughout the claims management process.
  • Deliver outstanding customer service to claimants by promptly addressing inquiries and providing assistance throughout the claims journey.
  • Stay informed on industry trends, legal changes, and medical advancements related to PIP claims to enhance your expertise and effectiveness in this role.

Qualifications

  • Bachelor's degree or equivalent professional experience.
  • Prior experience in claims adjusting, particularly with a focus on PIP claims.
  • Strong understanding of insurance principles, coverage types, and regulations pertaining to PIP.
  • Excellent analytical abilities to evaluate complex situations and make informed decisions.
  • Effective negotiation skills to resolve conflicts and disputes amicably.
  • Exceptional verbal and written communication skills, with the ability to convey information clearly.
  • Detail-oriented with strong organizational and time management capabilities.
  • Proficiency in relevant software for claims management and documentation.
  • Experience with non-standard insurance claims is preferred.
  • PA P&C/All Lines License is preferred.

First Chicago Insurance Company offers a competitive benefits package to all full-time employees, including:

  • Competitive Salaries
  • Commitment to Training & Development
  • Medical and Dental Coverage
  • Telemedicine Benefits
  • 401k with a generous company match
  • Paid Time Off and Holidays
  • Tuition Reimbursement Programs
  • Wellness Initiatives
  • Company-sponsored events
  • And much more
Job Posted by ApplicantPro
  • PIP Claims Evaluator

    2 weeks ago


    Chicago, Illinois, United States First Chicago Insurance Company (FCIC) Full time

    Job OverviewAs a Personal Injury Protection ("PIP") Claims Evaluator at First Chicago Insurance Company (FCIC), you will play a pivotal role in the assessment and management of claims associated with PIP coverage. Your responsibilities will include investigating claims, evaluating injuries, negotiating settlements, and ensuring adherence to applicable laws...

  • PIP Claims Specialist

    2 weeks ago


    Chicago, Illinois, United States First Chicago Insurance Company Full time

    As a Personal Injury Protection ("PIP") Claims Specialist, your primary role will involve the assessment and management of claims submitted under the Personal Injury Protection coverage of insurance policies. You will be tasked with investigating claims, evaluating injuries, negotiating settlements, and ensuring adherence to applicable laws and...


  • Chicago, Illinois, United States First Chicago Insurance Company (FCIC) Full time

    Job OverviewAs a Personal Injury Protection ("PIP") Claims Specialist at First Chicago Insurance Company (FCIC), you will play a crucial role in the evaluation and management of claims associated with Personal Injury Protection coverage. Your responsibilities will include investigating claims, assessing injuries, negotiating settlements, and ensuring...


  • Chicago, Illinois, United States Iamic Full time

    Liability Claims Specialist - RemoteIamic is looking for a committed Liability Claims Specialist to become part of our dynamic team. In this role, you will be tasked with the investigation, assessment, and resolution of both first and third-party bodily injury and liability claims. Candidates should possess a minimum of 5 years of experience in managing...


  • Chicago, Illinois, United States Warrior Insurance Network Full time

    Job OverviewWe are looking for a skilled Auto Claims Field EvaluatorThe Auto Claims Field Evaluator will engage in specialized technical assessments related to vehicle damage, aiming to generate accurate damage estimates, identify unrelated prior damages, and evaluate total loss scenarios.KEY RESPONSIBILITIES:Assess damaged vehicles to gauge the extent of...


  • Chicago, Illinois, United States Warrior Insurance Network Full time

    Job OverviewWe are looking for a skilled Auto Claims Field EvaluatorThe Auto Claims Field Evaluator will engage in specialized technical tasks related to assessing vehicle damage to create accurate damage estimates, identify unrelated prior damage, and evaluate total loss situations.KEY RESPONSIBILITIES:Assess damaged vehicles to ascertain the extent of...

  • Claims Consultant

    4 weeks ago


    Chicago, Illinois, United States CNA Full time

    You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential. Individual contributor responsible for direct handling and management of...


  • Chicago, Illinois, United States First Chicago Insurance Company Full time

    About the Role:The First Chicago Insurance Company is seeking a highly skilled Claims Training Specialist to join our team. As a Claims Training Specialist, you will be responsible for designing and implementing comprehensive training programs for our Claims Department.Key Responsibilities:Training Program Development: Design and implement training programs...


  • Chicago, Illinois, United States Selby Jennings Full time

    My client is hiring claims professionals experienced in Non Standard, Auto Liability, and Bodily Injury claims. Key Responsibilities:Review each assigned file and determine the appropriate course of action, utilizing technical knowledge and experience to support the final resolution of losses.Conduct thorough investigations and maintain accurate...


  • Chicago, Illinois, United States General Search & Recruitment Full time

    About the RoleWe are seeking a highly skilled Claims Management Professional to join our team at General Search & Recruitment. As a Liability Claims Manager, you will play a critical role in overseeing a variety of liability claims, including Automobile Liability, General Liability, Employers Liability, Public Entity, Cyber, Excess, Umbrella, and...


  • Chicago, Illinois, United States HDI Global SE Full time

    About the RoleHDI Global SE, a leading commercial property and casualty insurer, is seeking an experienced Commercial Claims Specialist to join our team. As a key member of our claims department, you will be responsible for handling complex and severe commercial casualty claims.Key ResponsibilitiesClaims Investigation and Resolution: Investigate, evaluate,...


  • Chicago, Illinois, United States HDI Global Insurance Company Full time

    Job DescriptionCompany OverviewHDI Global Insurance Company is a leading commercial property and casualty insurer, headquartered in Chicago, IL. As a wholly owned subsidiary of HDI Global SE, we offer a wide range of domestic and global insurance solutions for U.S. based multinational companies.Job SummaryWe are seeking a highly skilled Property Claims...


  • Chicago, Illinois, United States HDI Global Insurance Company Full time

    Job DescriptionCompany OverviewHDI Global Insurance Company is a leading commercial property and casualty insurer, headquartered in Chicago, IL. As a wholly owned subsidiary of HDI Global SE, we offer a broad and flexible portfolio of products and services, combined with an international network of local insurers in over 150 countries.Job SummaryWe are...


  • Chicago, Illinois, United States General Search & Recruitment Full time

    About the RoleWe are seeking a highly skilled Claims Management Specialist to join our team at General Search & Recruitment. As a Liability Claims Professional, you will be responsible for overseeing a wide range of liability claims, including Automobile Liability, General Liability, Employers Liability, Public Entity, Cyber, Excess, Umbrella, and...


  • Chicago, Illinois, United States First Chicago Insurance Company Full time

    About the Role:The First Chicago Insurance Company is seeking a highly skilled Claims Training Specialist to join our team. As a Claims Training Specialist, you will be responsible for designing and implementing comprehensive training programs for our Claims Department.Key Responsibilities:Training Program Development: Design and implement training programs...


  • Chicago, Illinois, United States CNA Full time

    Job SummaryWe are seeking a highly skilled and experienced Surety Claims Consultant to join our team at CNA. As a key member of our claims department, you will be responsible for managing highly complex claims and providing expert guidance to our clients.Key ResponsibilitiesManage highly complex investigations of claims, including coverage issues, liability,...


  • Chicago, Illinois, United States CNA Full time

    Job SummaryWe are seeking a highly skilled and experienced Surety Claims Consultant to join our team at CNA. As a key member of our claims department, you will be responsible for managing highly complex claims and providing expert guidance to our clients.Key ResponsibilitiesManage highly complex investigations of claims, including coverage issues, liability,...


  • Chicago, Illinois, United States The Ladders Full time

    Job Type: Permanent Shape a promising future with The Ladders The Senior Claims Team Leader is a frontline supervisor tasked with facilitating the achievement of team goals by nurturing, managing, and inspiring a team of dedicated, high-performing claims specialists. This individual merges exceptional technical claims expertise with strong leadership and...

  • Senior Claims Counsel

    2 months ago


    Chicago, Illinois, United States CNA Full time

    You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential. This is a Senior Claim Counsel position in the Financial Lines Claim...


  • Chicago, Illinois, United States First Chicago Insurance Company (FCIC) Full time

    Position OverviewIf you are a seasoned CLAIMS EXPERT with extensive experience in auto claims, particularly in nonstandard auto scenarios, we recognize and value your expertise.We are looking for a skilled Auto Bodily Injury Claims Specialist to join our team.The Auto Bodily Injury Claims Specialist will be tasked with the investigation and resolution of...