Claims Representative, Auto | Pip | Remote

SEDGWICK

Base: $50,000-$55,000; bonus/equity: not specified...
Fully remote
Personal injury protection (pip) claims
Medical payment benefits
Reviewing policy contracts
Reviews claims to determine the nature of the medical loss and provides explanation of coverage

Job Summary

  • Reviews claims to determine the nature of the medical loss and provides explanation of coverage.
  • Assesses medical treatment, evaluates medical bills, and initiates or reviews potential fraud investigations.
  • Provides effective and timely communication to client, claimants, medical providers, attorney offices, and vendors.

Matching Summary

Reviews claims to determine the nature of the medical loss and provides explanation of coverage.

Salary

Base: $50,000-$55,000; Bonus/Equity: Not specified; Benefits: medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits

Skills & Requirements

Must-have

  • Personal Injury Protection (PIP) claims
  • medical payment benefits
  • reviewing policy contracts
  • interpreting policy language
  • assessing medical treatment
  • evaluating medical bills

Nice-to-have

  • caring culture
  • work-life balance
  • nursing experience
  • quality program support

Key Requirements

  • Bachelor's degree preferred
  • State adjuster licenses required
  • Three (3) years PIP/medical payment/workers comp experience
  • Knowledge of medical terminology
  • Familiarity with Bodily Injury/Casualty adjusting

Work Rights

Not specified

Tailored Resume

Cover Letter