Senior PIP Claim Adjuster

4 days ago


Buffalo, New York, United States Merchants Insurance Group Full time
Job Title: Senior PIP Claim Adjuster

Merchants Insurance Group is seeking a highly skilled Senior PIP Claim Adjuster to join our Central Claim Operations team in Buffalo, New York.

Job Summary:

The Senior PIP Claim Adjuster will be responsible for evaluating coverage, conducting and directing timely and quality claim investigation, and negotiating fair and equitable settlements directly with claimants, medical providers, and/or attorneys.

Key Responsibilities:
  • Evaluate coverage by interpreting and applying policy language to claim facts and preparing appropriate and timely coverage position letters.
  • Conduct and direct timely and quality claim investigation, evaluation, and equitable settlement of all assigned claims.
  • Ensure timely and accurate reserves consistent with established reserving philosophy and practices.
  • Negotiate fair and equitable settlements directly with claimants, medical providers, and/or attorneys.
  • Identify subrogation and/or risk transfer opportunities.
  • Cultivate relationships with claims and other internal staff, policyholders, attorneys, agents, and a variety of service providers and experts.
  • Provide a high level of customer service while managing an inventory of litigated PIP claims involving casual relationship, fee schedule disputes, medical necessity, and coverage issues.
Requirements:
  • Qualified candidates will have a 4-year degree or equivalent work-related experience.
  • A minimum of 5 years' experience handling personal injury protection claims, with a concentration in PIP litigation resolution.
  • Professional designations or working towards industry-specific designations are a plus.
  • Exceptional organization, negotiation, verbal, and written communication skills are required.
  • Experience managing litigated and non-litigated PIP claim issues.
  • Ability to oversee and manage defense counsel, select retain appropriate experts, and develop appropriate resolution strategies.
What We Offer:
  • Competitive pay scale.
  • Welcoming and positive work environment.
  • Colleague Appreciation events.
  • Flexible work arrangements, including flex scheduling and summer hours.
  • Hybrid work schedule.
  • Generous paid time off package.
  • Full benefits, including health, dental, vision, life insurance, short-term disability, and 401(k) employer match.


  • Buffalo, New York, United States Merchants Insurance Group Full time

    Senior PIP Claim Adjuster OpportunityWe are seeking a highly skilled Senior PIP Claim Adjuster to join our Central Claim Operations team in Buffalo, New York. As a key member of our team, you will be responsible for evaluating coverage, conducting claim investigations, and negotiating settlements.Key Responsibilities:Evaluate coverage by interpreting policy...


  • Buffalo, New York, United States Merchants Insurance Group Full time

    Senior Claim Adjuster Personal Injury ProtectionAt Merchants Insurance Group, we are seeking a highly skilled Senior Claim Adjuster to join our Central Claim Operation in Buffalo, NY. As a Senior Claim Adjuster, you will be responsible for handling Personal Injury Protection (PIP) claims with a hybrid work schedule that offers flexibility and work-life...


  • Buffalo, New York, United States Merchants Insurance Group Full time

    Senior PIP Claim Adjuster OpportunityMerchants Insurance Group, a leading Property and Casualty Insurer in the Northeast, is seeking a Senior PIP Claim Adjuster to join our Central Claim Operation.About the RoleThis hybrid work schedule position is based in Buffalo, NY, and requires a strong understanding of personal injury protection claims. The successful...


  • Buffalo, New York, United States Newman Group Search Full time

    First Party Property Claims AdjusterWe are seeking an experienced professional to join our team as a First Party Property Claims Adjuster. This role involves managing large, complex property claims, driving efficiency, accuracy, and customer satisfaction across all aspects of claims management.Key Responsibilities:Oversee, investigate, and review property...


  • Buffalo, New York, United States Newman Group Search Full time

    Job Summary:We are seeking an experienced professional to join our team as a First Party Property Claims Adjuster at Newman Group Search. As a leading national insurance recruiter, we specialize in commercial risk and insurance.Key Responsibilities:Oversee, investigate, and review property claims applications to ensure accuracy and efficiency.Collaborate...


  • Buffalo, New York, United States Bartech Full time

    Position Overview: As a dedicated Workers Compensation Adjuster, you will play a vital role in managing and resolving claims efficiently. This position is ideal for those who possess a keen understanding of workers' compensation and are looking to contribute to a leading staffing organization. Key Responsibilities: Handle and oversee workers' compensation...


  • Buffalo, New York, United States Newman Group Search Full time

    Job SummaryWe are seeking an experienced Property Claims Adjuster to join our team at Newman Group Search. As a leading commercial risk and insurance recruiter, we specialize in connecting top talent with industry-leading organizations.About the RoleIn this critical position, you will be responsible for managing large, complex property claims. Your expertise...


  • Buffalo, New York, United States Sedgwick Full time

    About the RoleSedgwick is a leading global provider of technology-enabled risk, benefits, and integrated business solutions. We're seeking a skilled Workers Compensation Claims Adjuster to join our team.Key ResponsibilitiesAnalyze and process Workers Compensation claims to determine benefits due, ensuring timely resolution within service expectations and...


  • Buffalo, New York, United States Merchants Group Full time

    **Job Summary**Merchants Insurance Group is seeking an experienced Auto Physical Damage Claims Adjuster to join our Central Claim Operations team. As a key member of our team, you will be responsible for handling Auto Physical Damage claims, providing exceptional customer service, and working towards achieving optimal outcomes for Merchants and our...


  • Buffalo, New York, United States Sedgwick Full time

    About the RoleSedgwick is a leading global provider of technology-enabled risk, benefits, and integrated business solutions. We're seeking a skilled Workers Compensation Claims Adjuster to join our team.Key ResponsibilitiesAnalyze and process complex Workers Compensation claims to determine benefits due, ensuring timely and accurate resolution.Negotiate...

  • Claims Examiner

    4 weeks ago


    Buffalo, New York, United States Sedgwick Full time

    About the RoleSedgwick is seeking a skilled Claims Adjuster to join our team. As a Claims Adjuster, you will play a critical role in analyzing and resolving workers' compensation claims in a timely and efficient manner.Key ResponsibilitiesAnalyze and determine the compensability of workers' compensation claimsManage claims files, ensuring accurate and...


  • Buffalo, New York, United States Bartech Full time

    Job SummaryBartech is seeking a highly skilled Workers Compensation Adjuster to join our team. As a Workers Compensation Adjuster, you will be responsible for handling workers' compensation claims, including corporate and industry best practices, RTW programs, and claims handling procedures.Key ResponsibilitiesCompensation (Range): $26-28/hrKnowledge of WC...


  • Buffalo, New York, United States Merchants Insurance Group Full time

    Job Title: Litigation Claim AdjusterMerchants Insurance Group is seeking a skilled Litigation Claim Adjuster to join our Claim Legal team in Buffalo, New York.About the Role:We are looking for a highly motivated and detail-oriented individual to handle litigation claims and provide expert advice to our clients. The successful candidate will have excellent...


  • Buffalo, New York, United States Merchants Insurance Group Full time

    Job Title: Litigation Claim AdjusterMerchants Insurance Group is seeking a skilled Litigation Claim Adjuster to join our Claim Legal team in Buffalo, New York.About the Role:Assess and investigate insurance claims to determine liability and damages.Communicate with policyholders, agents, and other stakeholders to gather information and resolve...


  • Buffalo, New York, United States Benderson Development Company Full time

    Job SummaryBenderson Development Company is seeking a seasoned attorney to join our team as Litigation Counsel. As a key member of our risk management team, you will be responsible for overseeing pre-suit claim investigations, managing litigation from inception to conclusion, and providing strategic advice on contractual risk management.Key...

  • Claims Investigator

    2 weeks ago


    Buffalo, New York, United States Chubb Full time

    Job SummaryWe are seeking a skilled Claims Investigator to join our team at Chubb. As a Claims Investigator, you will be responsible for investigating and settling claims promptly, equitably, and within established best practices guidelines.Key ResponsibilitiesInvestigate claims and gather necessary information to determine the extent of liability and...


  • Buffalo, New York, United States Bartech Full time

    Position Overview: As a Workers Compensation Adjuster, you will play a crucial role in managing and overseeing claims related to workers' compensation. This position requires a detail-oriented individual with a strong background in claims handling and an understanding of industry best practices. Key Responsibilities: Your primary duties will include: ...


  • Buffalo, New York, United States Bartech Full time

    Position Overview: As a key member of our team, the Workers Compensation Adjuster will play a vital role in managing and processing claims efficiently. This position is designed for individuals who are experienced in the field and are looking to contribute to a reputable organization. Key Responsibilities: Your responsibilities will include: Thoroughly...


  • Buffalo, New York, United States Newman Group Search Full time

    Job Summary:We are seeking an experienced Property Claims Adjuster to join our team at Newman Group Search. As a leading commercial risk and insurance recruiter, we specialize in connecting top talent with industry-leading organizations.Key Responsibilities:Claims Oversight: Oversee and investigate complex property claims, ensuring accuracy and efficiency in...


  • Buffalo, New York, United States Bartech Full time

    Position Overview: As a Workers Compensation Adjuster, you will play a vital role in managing and resolving claims efficiently. This position requires a thorough understanding of workers' compensation policies and practices. Key Responsibilities: Your primary duties will include: Handling workers' compensation claims with a focus on corporate and industry...