Claims Representative II managing PIP claims for auto insurance. Investigating and settling claims while ensuring compliance with state laws and documentation of decisions.
Responsibilities
Drive efficient PIP claim resolutions by investigating, evaluating, and settling auto insurance claims for medical coverage and compliance with state laws
Verifying that coverage exists
Investigating and gathering information about injuries from auto accidents
Determining qualification for benefits
Documenting all decisions, correspondences, reports and discussions
Assisting with litigation support including depositions and interrogatories
Requirements
Bachelor’s Degree or equivalent experience
1 or more years of related work experience
Knowledge of insurance policies and coverage, claim payment procedures, and familiarity with medical terminology
Able to make sound decisions while using good judgment in evaluating claims
Able to review and interpret complex and detailed documents such as contracts, medical reports and insurance regulations
Effective oral and written communication skills
Able to maintain confidential information
Personal computer and math skill beneficial
Ability to pass the required coursework applicable to the job duties
Benefits
Flexibility through a scheduled Hybrid work model
In-office workspace and materials for home office
401(K) plan with a dollar for dollar match on your first eight percent, plus immediate vesting
Continue education and career development through Sentry University (SentryU)
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