Sr PIP Adjuster

Provides customer service, administers, and examines policy coverage for highly complex cases involving litigation, arbitration and mediation for settlement determination.

***This position is a work from home role in the Detroit, MI territory. 

• Uses various systems to locate prior losses, review policy coverage, document, and handles PIP claims of high complexity to
• Works closely with defense attorney, analyzes statements, testimonies and develops a course of action with counsel to bring claim to a cost effective resolution.
• Answers demands within the statutory time required.
• Addresses diaries, correspondence, emails, and voicemail timely
• Documents conversations and recorded statements with involved parties, including correspondences, bills and actions.   
• Documents files and pays submitted bills according to procedures.
• Sends correspondence and completes actions to satisfy department of insurance and/or state specific regulations
• Provides technical expertise through formal and informal roundtable discussions.   
• Submits reports to underwriting regarding claims issues
• Opens reserves appropriate to reflect exposure to the policy
• Refers files to special investigation unit and assists with the investigation.

• Detail-oriented with strong organizational skills, able to work well under deadlines in a changing environment and perform multiple tasks effectively and concurrently.
• Demonstrated ability to work effectively under pressure and within a collaborative team oriented environment using sound judgment in decision-making.
• Excellent communication skills both oral and written with strong analytical skills. 
• Excellent customer service and negotiation skills
• Demonstrated proficiency with Microsoft Office products (Excel, PowerPoint, and Word) and insurance software applications.
• Demonstrated knowledge of personal injury protection statutes and medical payment coverages in various jurisdictions.
• Demonstrated knowledge of litigation practices and processes.
• Must be able to travel up to 20%

Experience / Education:

• Bachelor’s degree in related field or equivalent education preferred.
• Minimum six years of personal injury protection claims handling experience required with one year litigation and/or special investigation unit experience.
• MI PIP expereince is required.