PIP Claims Specialist

2 weeks ago


Phoenix, Arizona, United States Sedgwick Full time

PIP Claims Specialist

Sedgwick, a leading provider of risk management and business solutions, is looking for a PIP Claims Specialist to enhance their team. This position focuses on the thorough investigation, negotiation, and resolution of personal injury protection (PIP) and medical payments (Med Pay) claims. The ideal candidate will possess extensive knowledge of auto insurance contracts, as well as state-specific laws and regulations.

  • Conducts detailed investigations and negotiations for PIP/Med Pay claims
  • Oversees claims management across various jurisdictions
  • Analyzes claim information and determines appropriate reserves
  • Ensures outstanding service through proactive communication with stakeholders

The successful applicant will hold a bachelor's degree and have a minimum of six years of relevant experience, including at least three years in PIP/Med Pay adjusting. Essential skills include strong analytical abilities, negotiation expertise, and effective organizational capabilities, along with a collaborative team-oriented mindset.

If you are dedicated to making a positive impact and are seeking a challenging role that provides opportunities for professional growth, consider the PIP Claims Specialist position at Sedgwick. Join a workplace that values diversity and inclusivity, where every contribution is appreciated.



  • Phoenix, Arizona, United States USAA Full time

    About the RoleAs a dedicated Subrogation Specialist at USAA, you will play a critical role in the recovery of payments made to our members by legally pursuing third-party claims. This hybrid role requires an individual to be in the office 3 days per week and can be based in one of our locations: San Antonio, TX, Phoenix, AZ, Colorado Springs, CO, Chesapeake,...


  • Phoenix, Arizona, United States Sedgwick Claims Management Services Full time

    Position Overview:As a Claims Assessment Specialist, you will be responsible for evaluating complex Workers Compensation claims on behalf of our esteemed clients. Your expertise will play a crucial role in determining the appropriate benefits owed to claimants.Key Responsibilities:- Conduct thorough analysis of Workers Compensation claims to ensure accurate...


  • Phoenix, Arizona, United States USAA Full time

    Subrogation Specialist Job DescriptionUSAA is seeking a skilled Subrogation Specialist to join our team in the recovery of payments made to our members.Key Responsibilities:Conducts claims investigations for moderate to high complexity cases in arbitration by analyzing the facts surrounding a loss to reach a recovery conclusion.Applies advanced knowledge of...

  • Claims Specialist

    2 weeks ago


    Phoenix, Arizona, United States RTA US Full time

    Job DescriptionRTA US is currently looking for a Claims Specialist to assist in managing claims processes effectively. This role offers a fantastic opportunity to collaborate with a vibrant team and acquire significant experience in the Insurance Sector. There is potential for extension or conversion for the right candidate.Position: Claims...


  • Phoenix, Arizona, United States BCForward Full time

    Job OverviewBCforward is seeking a dedicated Claims Processing Specialist to join our team. This role is essential for managing complex claims within our organization.Key ResponsibilitiesThe Claims Processing Specialist will be responsible for:Effective Communication: Clearly and professionally conveying intricate information to stakeholders to ascertain...


  • Phoenix, Arizona, United States SOUTHWEST BREAST AND AESTHETICS LLC Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Medical Claims Specialist to join our team at Southwest Breast and Aesthetics LLC. As a Medical Claims Specialist, you will be responsible for accurately and efficiently processing medical claims, resolving billing issues, and maintaining accurate records.Key ResponsibilitiesClaims Processing:...


  • Phoenix, Arizona, United States SOUTHWEST BREAST AND AESTHETICS LLC Full time

    Job SummaryWe are seeking a highly skilled Medical Claims Specialist to join our team at Southwest Breast and Aesthetics LLC. As a Medical Claims Specialist, you will be responsible for accurately and efficiently processing medical claims, resolving billing issues, and maintaining accurate records.Key ResponsibilitiesClaims Processing: Accurately and timely...


  • Phoenix, Arizona, United States LHH Recruitment Solutions Full time

    Position Title: Medical Billing SpecialistCompany: LHH Recruitment SolutionsOverview: We are seeking a dedicated Medical Billing Specialist to join our team. This role involves managing follow-up and collections, as well as gathering essential information for efficient claims processing.Location: This position is based in Phoenix, AZ and requires full-time...


  • Phoenix, Arizona, United States Western International Staff Full time

    Position Overview:We are seeking a highly skilled and experienced professional for a temporary remote contract role that may transition to a permanent position. As a Senior Liability Claims Specialist, you will be responsible for managing commercial casualty claims, with a focus on litigated general liability cases.Key Responsibilities:1. Coverage Analysis:...


  • Phoenix, Arizona, United States Trexis Insurance Full time

    Job OverviewBenefits:Flexible Spending AccountLife Insurance401(k)Dental InsuranceHealth InsurancePaid Time OffVision InsurancePosition SummaryTrexis Insurance is seeking a dedicated full-time Auto Liability Claims Specialist. This role is designed for an experienced professional who will investigate, assess, negotiate, and resolve moderate to complex auto...


  • Phoenix, Arizona, United States IQVIA Full time

    Medical Claims Support SpecialistContract Remote Position - Open to Remote Work in the USAs a leading global provider of commercial solutions, IQVIA possesses the expertise required to facilitate the delivery of healthcare products and services on both national and international levels. Our dedicated teams assist biopharma, medical device, and diagnostic...


  • Phoenix, Arizona, United States Pathology Billing Services Full time

    Job OpportunityPosition: Insurance Verification SpecialistJob Overview: The Insurance Verification Specialist at Pathology Billing Services, LLC plays a crucial role in delivering comprehensive billing assistance to guarantee the precise processing of insurance claims and patient invoices. This position demands efficient management of assigned client tasks,...


  • Phoenix, Arizona, United States Pathology Billing Services Full time

    Job OpportunityPosition: Insurance Verification SpecialistJob Overview: The Insurance Verification Specialist at Pathology Billing Services, LLC plays a crucial role in delivering comprehensive billing assistance to guarantee the precise processing of insurance claims and patient invoices. This position demands efficient management of assigned client tasks,...


  • Phoenix, Arizona, United States ZimZee Recruiting Full time

    Job OverviewZimZee Recruiting is seeking an Automotive Insurance Claims Specialist to enhance our vibrant and expanding transportation organization. In this pivotal role, you will serve as the principal authority in managing a diverse range of claims across multiple insurance coverage areas, ensuring prompt resolution and effective cost management. Your...

  • Claims Specialist

    2 weeks ago


    Phoenix, Arizona, United States Russell Tobin & Associates Full time

    What are we seeking in our Claims Advocate?Russell Tobin & Associates is looking for a Claims Advocate to join our team.In the role of Claims Advocate, you will be responsible for investigating, managing, and processing claims for compensation related to the Client App.Employment Type: Contract/HybridCompensation: $27-$32/hr, depending on experienceKey...

  • Claims Specialist

    2 weeks ago


    Phoenix, Arizona, United States Russell Tobin & Associates Full time

    What qualities are we seeking in our Claims Advocate? Russell Tobin & Associates is looking for a Claims Advocate to join our team in Phoenix, AZ.In the role of Claims Advocate, you will be responsible for investigating, managing, and submitting claims for compensation related to incidents occurring in connection with the Client App.Employment Type:...

  • Claims Specialist

    2 weeks ago


    Phoenix, Arizona, United States Russell Tobin & Associates Full time

    What qualities are we seeking in our Claims Advocate? Russell Tobin & Associates is currently seeking a Claims Advocate in Phoenix, AZ for a prominent transportation organization.In the role of Claims Advocate, you will be responsible for the investigation, management, and submission of compensation claims that arise within the region associated with the...

  • Claims Specialist

    2 weeks ago


    Phoenix, Arizona, United States Russell Tobin & Associates Full time

    Overview of the Claims Advocate Role Russell Tobin & Associates is seeking a Claims Advocate for a prominent transportation organization.In this role, you will be responsible for investigating, managing, and processing claims for compensation related to the Client App across the designated region.Position Details:Employment Type:...

  • Claims Specialist

    2 weeks ago


    Phoenix, Arizona, United States Russell Tobin & Associates Full time

    What qualities are we seeking in our Claims Advocate? Russell Tobin & Associates is looking for a Claims Advocate in the Phoenix area.In this role, you will be responsible for investigating, managing, and processing claims for compensation related to the Client App across the region.Employment Type: Contract/HybridLocation: Phoenix, AZCompensation:...


  • Phoenix, Arizona, United States Gallagherbassett Full time

    Job Summary:Gallagher Bassett is seeking a skilled Claims Adjuster Workers Compensation Specialist to join our team. As a key member of our claims team, you will be responsible for investigating, evaluating, and settling less complex claims with moderate supervision.Key Responsibilities:Exercise proper judgment and decision-making to analyze claims exposure...