PIP Litigation Adjuster

Job Description

Job Description

COMPANY OVERVIEW :

Founded in 1989, United Automobile Insurance Company is an innovative and established organization looking for a Litigation 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 Litigation Adjuster for UAIC, you will be responsible for handling insurance claims that have entered the litigation process, ensuring that claims are investigated, evaluated, and resolved efficiently and in accordance with company policies and legal requirements. This role involves collaborating with legal professionals, policyholders, and claimants to reach equitable settlements or prepare for legal proceedings such as, preparing for depositions, mediations, and trials on behalf of the Company. This position offers a remote work arrangement, allowing the ideal candidate to work from their preferred location within the Southeast region.

DUTIES :

• Reviews PIP lawsuits filed against the Company determining course of action based on case merit.
• Evaluate insurance claims that are in litigation to determine liability, coverage, and potential exposure.
• Notifies underwriting of undisclosed underwriting risks.
• Collaborate with the special investigation unit (SIU) when warranted.
• Review policy contracts and legal documents to understand the terms and conditions relevant to the claim.
• Collaborate with internal and external legal teams, including attorneys and legal counsel, to develop litigation strategies and provide necessary documentation.
• Attend court hearings, depositions, and mediation sessions as needed.
• Conduct thorough investigations to gather evidence and facts related to the claim.
• Conducts thorough review of medical bills for compliance with applicable laws, doctor’s notes, IME Reports, EUO’s and / or peer reviews.
• Interview witnesses, review police reports, medical records, and other pertinent information.
• Negotiate settlements with claimants, attorneys, and other parties involved in the litigation process.
• Work to reach mutually acceptable settlement agreements while minimizing financial exposure.
• Maintain detailed records of all interactions, communications, and activities related to the claim and litigation.
• Prepare comprehensive reports and updates for management and legal teams.
• Ensure compliance with all relevant insurance laws, regulations, and company policies.
• Stay current with changes in insurance laws and regulations that may impact claims handling.
• Provide excellent customer service by effectively communicating with policyholders and claimants throughout the litigation process.
• Address inquiries and concerns promptly and professionally.

EDUCATION :

SKILLS & EXPERIENCE :

BENEFITS :

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 operate.

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