Auto Claims Adjuster

1 day ago

Phoenix, Arizona, United States Freedom National Full time
Job Summary

We are seeking a highly skilled and detail-oriented Auto PIP Claims Adjuster to join our team at Freedom National. As a key member of our claims team, you will be responsible for managing and adjudicating PIP claims related to auto insurance in Utah, ensuring that claimants receive appropriate benefits within the statutory time limits, and in accordance with policy provisions and state regulations.

Key Responsibilities
  • Claims Management: Review, investigate, and process PIP claims related to personal injuries resulting from automobile accidents, ensuring timely and efficient handling.
  • Investigation: Gather and analyze relevant documentation, including medical reports, accident reports, and policy details, and interview claimants, witnesses, and medical professionals as needed.
  • Assessment and Evaluation: Determine the validity of claims by evaluating the extent of injuries, treatment plans, and related expenses, and assess coverage and calculate appropriate benefit amounts in accordance with policy terms and legal requirements.
  • Communication: Maintain clear and effective communication with claimants, legal representatives, medical providers, and other stakeholders, providing updates and explanations regarding claim status, benefit eligibility, and necessary documentation.
  • Compliance: Ensure all claims processing adheres to state regulations, company policies, and industry best practices, staying informed about changes in legislation and adjusting procedures accordingly.
  • Documentation: Maintain accurate and detailed records of all claims activities, including correspondence, decisions, and settlements, and prepare reports and documentation as required.
  • Resolution: Negotiate settlements and resolve disputes between claimants and the insurance company, facilitating mediation or arbitration if necessary to achieve fair outcomes.
Requirements
  • Must live in Arizona, California, or Utah.
  • Must be bilingual, English/Spanish.
  • Familiarity with adjusting auto Property Damage claims a plus.
  • Capability to train and perform the job remotely & meet our work from home requirements.
  • Strong analytical and problem-solving skills with the ability to assess complex information.
  • Excellent written and verbal communication skills.
  • Proficiency in using claims management software and other relevant tools.
  • Ability to handle sensitive and confidential information with discretion.
  • Detail-oriented with strong organizational skills and the ability to manage multiple tasks effectively.
  • Bilingual (English/Spanish) a plus.
Benefits
  • Health, Dental, Vision and Life Insurance Available.
  • 401(k) with 3% Safe Harbor Contribution.
  • Competitive Vacation Time (Up to 4 weeks / year).
  • 5 days Annual Sick Time.
  • 7 Paid Holidays.
  • Fully Remote.

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