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Demand Adjuster PIP

Demand Adjuster PIP

United Auto InsuranceMiami, FL, US
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Job Description

Job Description

COMPANY OVERVIEW :

Founded in 1989, United Automobile Insurance Company is an innovative and established organization looking for a Demand Adjuster to join our team. Family-owned, UAIC, is one of the largest privately held property and casualty insurance companies in the United States. The key to our growth and success is a commitment to providing quality service to our agents and customers, by providing disciplined underwriting, and strategic claims handling. Our ongoing efforts to invest substantial resources in personnel and technology are the foundation of our promise of assuring maximum efficiency and specialized operations in the industry. We are proud that our independent agents and customers have recognized our dedication by making UAIC the market leader in every state where we conduct business.

SCOPE :

As a Demand Adjuster, you will play a crucial role in our claims processing team. You will be responsible for the accurate and timely adjustment of personal injury claim demands, ensuring compliance with relevant statutes and company guidelines. PIP insurance provides coverage for medical expenses, lost wages, and other expenses related to injuries sustained in an accident, regardless of fault. This role requires meticulous review of medical records to ensure compliance with applicable fee schedules. In addition, this position offers a remote work arrangement, allowing the ideal candidate to work from their preferred location within the Southeast region.

DUTIES :

  • Review and analyze PIP demands submitted on behalf of policyholders or medical providers.
  • Evaluate the validity of claims by assessing medical records, police reports, and other relevant documents.
  • Ensure compliance with state regulations, company policies, and industry standards in processing PIP claims.
  • Maintain accurate and organized claim files, documenting all interactions, decisions, and payments.
  • Assess and approve reasonable and necessary medical expenses in accordance with policy terms.
  • Issue timely and accurate demand payments to claimants and service providers.
  • Document all adjustments and relevant information accurately in the company's system.

EDUCATION :

  • Associate or bachelor’s degree in a related field (e.g., business, finance, or law) preferred.
  • Adjusters license required.
  • SKILLS & EXPERIENCE :

  • Minimum 3 years related work experience as a PIP adjuster.
  • Familiarity with medical terminology and billing practices (a plus).
  • Proficient in Word, Excel, Windows-based applications, and internet usage.
  • Knowledge of Personal Injury Protection (PIP) insurance regulations and laws.
  • Strong analytical and problem-solving skills.
  • Excellent verbal and written communication skills.
  • Negotiation and conflict resolution abilities.
  • Attention to detail and strong organizational skills.
  • Proficiency in relevant computer software and claims management systems.
  • BENEFITS :

  • 401(k) Retirement Savings Plan with employer match.
  • Comprehensive Medical, Prescription Drug, Vision, and Dental Insurance
  • Paid Time Off, Holidays, and Leave programs.
  • Flexible spending accounts
  • Basic Life Insurance and Voluntary Life / ADD
  • Short Term and Long-Term Disability
  • UAIC participates in the E-Verify program to confirm the employment eligibility of all newly hired employees. For more information about E-Verify, please visit https : / / www.e-verify.gov / .

    UAIC is an Equal Opportunity Employer and is committed to the principle of equal employment opportunity for all employees. All employment decisions at UAIC are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion, or belief, family or parental status, or any other status protected by the laws or regulations in the locations where we operat

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