PIP Adjuster - Safety Insurance Company
Boston, MA 02110
About the Job
Responsible for the fair and accurate disposition of pending personal injury protection and medical payment claims through investigation, evaluation, settlement or recommendation within the authority level granted by the Territorial Claims Manager
Duties
Reviews liability in order to control the company’s exposure: reviews assigned claims for PIP and Med Pay policy exclusions such as Workers’ Compensation, alcohol, and criminal intent; identifies possible fraud using established indicators which as prior losses and severe injuries with no physical damage
Identifies and appropriately reassigns potential BI and UM/UD claims
Contacts insureds, attorneys, and others in conformance with C.A.R. guidelines to gather required information: sends lost wage forms to employers and requests disability statements as required; schedules IMEs and discusses requirements with providers
Pays submitted bills according to established procedures
Answers questions from insureds, claimants, attorneys, and others, and resolves problems within established levels of authority
Develops and maintains case files that document all actions
Provides excellent customer service
Performs other activities as required
Qualifications
College degree or insurance coursework/experience required
Superior organization skills and detail orientation required
Customer service experience required
Prior PIP experience required.
Excellent communications skills required
Ability to work co-operatively within a team environment