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 regulations.

Key Responsibilities

  • Analyze and evaluate PIP claims to ascertain coverage, liability, and the severity of injuries.
  • Conduct comprehensive investigations into the details surrounding each claim, including gathering medical records, police reports, and witness statements.
  • Assess the nature and extent of injuries reported by claimants through medical documentation, diagnostic evaluations, and expert insights.
  • Determine the applicability of PIP coverage based on policy stipulations, state laws, and the specifics of each case.
  • Engage in negotiations to achieve fair and reasonable settlements with claimants, legal representatives, and healthcare providers.
  • Maintain meticulous and accurate records of claim files, encompassing correspondence, investigation results, settlement proposals, and payment transactions.
  • Communicate effectively with claimants, legal representatives, medical professionals, and other stakeholders to provide updates, address inquiries, and facilitate the claims process.
  • Ensure compliance with all relevant laws, regulations, and organizational policies throughout the claims handling process.
  • Deliver exceptional customer service to claimants by promptly addressing inquiries and providing assistance throughout the claims journey.
  • Stay informed about industry trends, legal changes, and medical advancements pertinent to PIP claims to enhance your expertise and effectiveness in the 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 governing PIP.
  • Excellent analytical abilities to evaluate complex situations and make informed decisions.
  • Effective negotiation skills to resolve conflicts and disputes.
  • Outstanding communication skills, both verbal and written, with the ability to convey information clearly and concisely.
  • Detail-oriented with strong organizational and time management capabilities.
  • Proficiency in relevant software applications 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 Paid Holidays
  • Tuition Reimbursement Programs
  • Wellness Initiatives
  • Company-sponsored events
  • And much more


  • 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...

  • 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 Evaluator

    2 weeks ago


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

    Job OverviewAs 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...


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

    Join Our Team as a Claims Training SpecialistWe are looking for a knowledgeable Claims Training Specialist to enhance our training initiatives within the Claims Department. This role will collaborate closely with Claims Management to assess training requirements and develop effective programs tailored to meet those needs. The Claims Training Specialist will...


  • Chicago, Illinois, United States Selby Jennings Full time

    Selby Jennings currently has an opportunity for a Auto Liability Claims Specialist. The position will be joining a growing Claims department with tons of room for growth. This candidate should have 1-3 years of experience within the P&C Claims industry with experience in a Claims Adjusting role.Responsibilities:The ability to settle complex liability...


  • Chicago, Illinois, United States Iamic Full time

    Liability Claims Specialist - RemoteIamic is looking for a committed Liability Claims Specialist to enhance our team. In this role, you will be tasked with investigating, assessing, and resolving both first and third-party bodily injury and liability claims. Candidates should possess a minimum of 5 years of experience in managing Liability Claims, along with...


  • 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 General Search & Recruitment Full time

    Job SummaryWe are seeking a skilled Claims Specialist to oversee all aspects of file handling for healthcare claims, including property claims. The ideal candidate will have a strong background in claims management and excellent analytical and communication skills.Key ResponsibilitiesDirect and manage all aspects of file handling for healthcare claims,...


  • 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 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 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 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 Horwitz, Horwitz & Associates Full time

    Job Title: Medical Claims SpecialistHorwitz, Horwitz & Associates, a reputable law firm in Chicago, is seeking a skilled Medical Claims Specialist to join our Workers' Compensation Support Team.About the Role:The Medical Claims Specialist is responsible for gathering, maintaining, and documenting clients' medical bills in preparation for trial or settlement...


  • Chicago, Illinois, United States Brinks Full time

    Job Summary:The Claims Specialist will conduct thorough investigations into discrepancies to minimize claim settlements and enhance customer satisfaction under the guidance of the Regional Vice President. This role involves interviewing relevant parties to ascertain the cause of incidents. Responsibilities include ensuring adherence to business operational...


  • Chicago, Illinois, United States SCI Summit Consulting, LLC Full time

    Company Overview SCI Summit Consulting, LLC is a prominent organization dedicated to providing comprehensive workers' compensation solutions across the Southeast. With a strong workforce and a commitment to employee development, we foster an environment that promotes growth and expertise in the field of claims management. Role Overview As a Senior...


  • Chicago, Illinois, United States Automotive Warranty Network Full time

    Due to our significant expansion in the industry, we are seeking multiple Warranty Claims Specialists to join our dedicated team of warranty professionals. This role presents an excellent opportunity for seasoned Warranty Administrators to work remotely, concentrating exclusively on warranty claims management.We collaborate with a wide range of manufacturers...


  • 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. CNA is one of the premier providers of professional liability insurance....


  • Chicago, Illinois, United States Argo Group Full time

    Job DescriptionArgo Group is a leader in specialty insurance with a vibrant culture built on respect, equality, wellness, and opportunity. We're an innovative organization that's small enough to be agile and big enough to make a difference in our industry.Our flexible workplace is continuously evolving to ensure all employees feel:Comfortable bringing their...


  • Chicago, Illinois, United States Argo Group Full time

    Job DescriptionArgo Group is a leader in specialty insurance with a vibrant culture built on respect, equality, wellness, and opportunity. We're an innovative organization that's small enough to be agile and big enough to make a difference in our industry.Our flexible workplace is continuously evolving to ensure all employees feel:Comfortable bringing their...


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

    Company Overview:Allstate Insurance Company is a leader in the insurance industry, providing a comprehensive range of insurance products including home, auto, and health insurance. We pride ourselves on our innovative approach to meet the evolving needs of our customers.Position Summary:The Bodily Injury Claims Specialist is responsible for the thorough...