Complex PIP Specialist (Remote)

CSAA Insurance Group (CSAA IG), a AAA insurer, is one of the top personal lines property and casualty insurance groups in the U.S. Our employees proudly live our core beliefs and fulfill our enduring purpose to help members prevent, prepare for and recover from life's uncertainties, and we're proud of the culture we create together. As we commit to progress over perfection, we recognize that every day is an opportunity to be innovative and adaptable. At CSAA IG, we hire good people for a brighter tomorrow. We are actively hiring for a Complex PIP Specialist Join us and support CSAA IG in achieving our goals.

Your Role:

Handles to conclusion first-party Personal Injury Protection (PIP) claims, including Medical Pay as needed. Cases are generally reserved over $75,000. Handles all litigated claims including arbitration, suit filings, and complex claims. Represents the company at arbitration and/or court hearings. Will handle catastrophic claims including various venues. Handles claims in multiple states.

Your work:

• Assigned as owning adjuster when injury exposure is identified for the first party, for files with reserves up to policy limits.
• Handles first-party medical payments and Personal Injury Protection claims.
• Negotiates, settles and resolves claims within authority level.
• Assists in catastrophes as needed.
• Claims may involve additional suffixes such as income continuation and essential services as well as death and funeral benefits for fatality claims.
• Identifies and utilizes case management.
• Investigates to rule out exposures: uninsured/underinsured motorist, subrogation, dram shop.
• Makes coverage determinations and advises customers as to the proper course of action.
• Handles all levels of litigated and arbitrated cases, to the most complex.
• Directs defense counsel on suits and arbitrations and represents company at arbitration hearings.
• Presents to committee on coverage issues, reserving and settlement authority.

Required Experience, Education and Skills

• 3-5 years of experience handling complex PIP first-party medical benefits including litigation.
• Ability to obtain license in required states
• HS diploma, GED or 3 years directly related work experience

What would make us excited about you?

• Strong negotiating skills and the ability to develop effective negotiating strategies.
• Strong analytical, problem-solving and organizational skills.
• Strong ability to work independently.
• Strong decision-making ability.
• Strong customer service orientation.
• Basic math and computer skills.
• Proficient oral and written communication skills and good command of the English language.
• Ability to function in a team environment. Ability to successfully complete training courses pertinent to job duties.
• Thorough knowledge of statutory and regulatory requirements.
• Comprehensive understanding of AAA claims policies and procedures. A
• Ability to travel on rare occasions.
• Ability to work extended hours and/or weekends.
• Knowledge of litigation file handling for minor, moderate and complex litigated claims.
• Actively shapes our company culture (e.g., participating in employee resource groups, volunteering, etc.)
• Lives into cultural norms (e.g., willing to have cameras when it matters: helping onboard new team members, building relationships, etc.)
• Travels as needed for role, including divisional / team meetings and other in-person meetings
• Fulfills business needs, which may include investing extra time, helping other teams, etc

CSAA IG Careers

At CSAA IG, we’re proudly devoted to protecting our customers, our employees, our communities, and the world at large. We are on a climate journey to continue to do better for our people, our business, and our planet. Taking bold action and leading by example. We are citizens for a changing world, and we continually change to meet it.

Join us if you…

• BELIEVE in a mission focused on building a community of service, rooted in inclusion and belonging.
• COMMIT to being there for our customers and employees.
• CREATE a sense of purpose that serves the greater good through innovation.

Recognition: We offer a total compensation package, performance bonus, 401(k) with a company match, and so much more! Read more about what we offer and what it is like to be a part of our dynamic team at https://careers.csaa-insurance.aaa.com/us/en/benefits

In most cases, you will have the opportunity to choose your preferred working location from the following options when you join CSAA IG: remote, hybrid, or in-person. Submit your application to be considered. We communicate via email, so check your inbox and/or your spam folder to ensure you don’t miss important updates from us.

If a reasonable accommodation is needed to participate in the job application or interview process, please contact TalentAcquisition@csaa.com.

As part of our values, we are committed to supporting inclusion and diversity at CSAA IG. We actively celebrate colleagues’ different abilities, sexual orientation, ethnicity, and gender. Everyone is welcome and supported in their development at all stages in their journey with us.

We are always recruiting, retaining, and promoting a diverse mix of colleagues who are representative of the U.S. workforce. The diversity of our team fosters a broad range of ideas and enables us to design and deliver a wide array of products to meet customers’ evolving needs.

CSAA Insurance Group is an equal opportunity employer.

If you apply and are selected to continue in the recruiting process, we will schedule a preliminary call with you to discuss the role and will disclose during that call the available salary/hourly rate range based on your location. Factors used to determine the actual salary offered may include location, experience, or education.

Must have authorization to work indefinitely in the US.

Please note we are hiring for this role remote anywhere in the United States with the following exceptions: Hawaii and Alaska.

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