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PIP Claim Representative (Remote)

Company: Selective Insurance
Location: Branchville
Posted on: April 3, 2024

Job Description:

DescriptionAt Selective, we don't just insure uniquely, we employ uniqueness.
Our Business
Selective is a midsized U.S. domestic property and casualty insurance company with a history of strong, consistent financial performance for nearly 100 years. Selective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and honors, including listing in Forbes Best Midsize Employers in 2023 and certification as a Great Place to Work in 2023.
Working at Selective
At Selective, we don't just insure uniquely - we employ uniqueness. Employees are empowered and encouraged to Be Uniquely You by being their true, unique selves and contributing their diverse talents, experiences, and perspectives to our shared success. Together, we are a high-performing team working to serve our customers responsibly by helping to mitigate loss, keep them safe, and restore their lives and businesses after an insured loss occurs. Employees receive comprehensive total rewards packages - including competitive compensation and performance awards, health benefits, and retirement savings - and professional development opportunities and flexible schedules to support their health, wealth, and well-being. Join our team and help make a difference.
Click to learn more about the Selective Claim Culture and why Selective is right for YOU!
Selective Insurance is seeking a PIP Claims Representative who will investigate, negotiate and conclude by settlement or denial assigned Personal Injury Protection claims, including claims from multiple states with different laws and regulations and medical cost containment requirements, through telephone, personal contact, and/or written correspondence. These duties are performed consistent with company claim's policies and procedures, prescribed authority and standards of performance. All job duties and responsibilities must be carried out in compliance with applicable legal and regulatory requirements.
JOB RESPONSIBILITIES:


  • Receives assigned claims (which can be complex in nature), verifies coverage and determines course of action.
  • Processes claims which includes the following activities: set up file in MCS, establish initial reserves, conduct claim investigation, analyze investigational data, use effective medical cost containment strategies, settle non-litigated claims, process expenses/losses incurred, prepares check requisitions, explore subrogation potential, closes claims and secures appropriate releases.
  • Documents claims files and maintain control of work through documentation or diary system.
  • Assigns litigated claims to an attorney who manages defense claim.
  • Send correspondence, forms, releases, checks, drafts, letters of denial and complete reporting forms for file
  • Assign medical or other experts to case and arrange for medical examinations when necessary.
  • Prepare for and participate in claims review and settlement conferences.
  • Ensures compliance with company, state and federal regulations.
  • Prepare timely, professional communication and response to our Agency partners.
  • Must be able to drive an automobile.

    JOB QUALIFICATIONS:

    • College degree preferred.
    • 3 - 5 years claims experience preferred.
    • Adjuster Licensing preferred
    • 1 year data entry experience preferred.
    • Must have valid state-issued driver's license in good standing and be able to drive an automobile.
    • Knowledge of the PIP law, regulations and medical cost containment requirements from multiple states.
    • Working knowledge of medical terminology.

      The expected starting salary range for this role is $62,000 $98,000. The actual base salary is based on geographic location, and the range is representative of salaries for this role throughout Selective's footprint. Additional considerations include relevant education, qualifications, experience, skills, performance, and business needs.
      Selective is an Equal Employment Opportunity employer. That means we respect and value every individual's unique opinions, beliefs, abilities, and perspectives. We are committed to promoting a welcoming culture that celebrates diverse talent, individual identity, different points of view and experiences - and empowers employees to contribute new ideas that support our continued and growing success. Building a highly engaged team is one of our core strategic imperatives, which we believe is enhanced by diversity, equity, and inclusion. We expect and encourage all employees and all of our business partners to embrace, practice, and monitor the attitudes, values, and goals of acceptance; address biases; and foster diversity of viewpoints and opinions.
      Selective maintains a drug-free workplace.
      #LI-MW1
      #LI-Remote

Keywords: Selective Insurance, Parsippany-Troy Hills Township , PIP Claim Representative (Remote), Other , Branchville, New Jersey

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