Jobs in Florida 2026 (Now Hiring) - Smart Auto Apply

• Review and assess PIP claims to determine coverage eligibility.
• Analyze medical records, police reports, and other relevant documents to evaluate the extent of injuries and to establish proof of loss.
• Interpret insurance policies, contracts, and state regulations to determine the extent of coverage applicable to each claim.
• Communicate with claimants, medical professionals, attorneys, and other parties involved in the claim process to gather necessary information and documentation.
• Provide clear and concise explanations of coverage decisions to claimants.
• Conduct interviews with claimants to gather necessary information that supports an objective final disposition of the claims. These interviews may be conducted under oath or via phone.
• Maintain accurate and organized claim files with all pertinent information, including correspondence, medical records, and assessment reports.
• Issue payments for approved claims in accordance with company policies.
• Ensure compliance with state laws, regulations, and company policies in all claim handling activities.
• Generate and submit reports on claims activity, trends, and performance metrics.
• Identify and investigate potentially fraudulent activities related to PIP claims.
• Collaborate with the special investigation unit (SIU) when fraud is suspected.
• Provide excellent customer service by addressing inquiries, concerns, and providing timely updates to claimants.
• Prepare reports and documentation for internal purposes, regulatory compliance, and potential legal proceedings.

• Associate or bachelor’s degree preferred and/or a minimum of 3 years of related work experience, preferably with PIP claims.
• Active Adjuster’s license required

• Bilingual (English & Spanish) preferred
• Knowledge of insurance principles, policies, and procedures.
• Strong analytical, negotiation, and communication skills.
• Ability to work independently and efficiently manage a caseload.
• Proficient in Guidewire, Word, Excel, Windows-based applications and internet usage.
• Must be familiar with forms, procedures, regulations, coverages, and claims processes.
• Must be able to exercise good judgment and state opinions assertively.
• Must be able to write and speak clearly and concisely.
• Must be able to perform work effectively in a highly intense environment and handle multiple tasks and demands simultaneously.
• Must illustrate analytical skills to identify, gather, and organize information. 
• Must be able to work independently in a team environment.

• 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

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