PIP Claims Adjuster

2 days ago

Miami, Florida, United States LOYALTY MGA LLC Full time

As an Adjuster, you'll work closely with customers, attorneys, medical providers, other insurance carriers, and vendors in resolving coverage, and liability from start to finish. You'll plan and schedule work needed to process claims, interview claimants and witnesses, investigate claims, negotiate to reach a fair and equitable settlement of the PIP exposure, and identify situations where claims may require special investigation.

  • Investigate, evaluate, and settle insurance claims (e.g., establish coverage and qualification for injured parties; negotiate claims with providers to reach a fair and equitable settlement of the PIP exposure).
  • Maintain a well-organized and accurate diary to ensure timeliness in handling claims as well as detailed, accurate, and timely records.
  • Write clear and accurate responses in response to demands, requests, or questions.
  • Maintain strong relationships with customers while resolving auto injury claims efficiently.
  • Display courtesy, accuracy, and uniformity when interacting with others (on the phone, in person).
  • Be familiar with tools such as ISO, TLO, & other public sites such as , MDCC, BCC, FDHSMV, and Google Maps.
  • Continuously develop knowledge and expertise (e.g., keep current on job-relevant laws, regulations, trends, and emerging issues).
  • Conduct activities in compliance with applicable Federal & State laws, and company regulations and guidelines.
  • Participate in employer-provided training covering company policies, claims handling techniques, and industry regulations.

  • Other duties as assigned.

  • Hold a valid all lines 6-20 license

  • Negotiate settlements with claimants or their representatives, ensuring fair and equitable agreements.
  • Adhere to ethical standards and guidelines while handling claims and interacting with stakeholders.
  • High school diploma or equivalent; bachelor's degree in business, or related field preferred.
  • Strong problem-solving skills with a focus on delivering timely and effective resolutions to customer issues.
  • Strong organizational and time management skills to handle multiple tasks efficiently.
  • Professional, energetic, and ability to thrive in a fast-paced environment and adapt to changing priorities.
  • Excellent verbal and written communication skills. Ability to articulate solutions clearly and concisely.

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