What are the responsibilities and job description for the PIP Claims Supervisor- Miami, FL position at LOYALTY MGA LLC?
Key Responsibilities
The PIP Supervisor is responsible for leading and guiding a team of Personal Injury Protection claims adjusters to ensure accurate, timely, and customer-focused handling of PIP claims. This role requires strong skills, deep technical knowledge of PIP coverage and regulations, and the ability to drive performance, compliance, and operational excellence.
Key Responsibilities
Team Leadership & Development
· Supervise and coach a team of PIP adjusters, providing technical guidance, mentoring, and regular performance feedback.
· Set clear productivity and quality standards; monitor performance metrics to ensure targets are met or exceeded.
· Facilitate training and professional development to strengthen the team’s claims knowledge and service delivery.
Claims Oversight
· Review and approve complex or high-exposure PIP claims, settlements, and denials to ensure compliance with policies and state regulations.
· Provide direction on coverage interpretation, medical bill review, wage loss calculations, and litigation strategies.
· Monitor claim reserves and authorize adjustments when necessary.
Compliance & Quality Control
· Ensure claims are handled in accordance with applicable laws, regulatory requirements, and company standards.
· Conduct quality audits on claim files to identify trends, training opportunities, and process improvements.
· Stay up to date with legislative changes and communicate updates to the team.
Operational Excellence
· Collaborate with internal stakeholders (legal, SIU, medical review, vendor management) to drive timely and cost-effective claim resolutions.
· Analyze claim data to identify trends, control expenses, and recommend improvements to workflows or procedures.
· Support initiatives to improve customer satisfaction, reduce cycle time, and enhance accuracy.
Vendor & Stakeholder Management
· Manage relationships with external partners such as IME (Independent Medical Exam) providers, attorneys, and medical cost containment vendors.
· Ensure vendor performance aligns with service standards and cost-effectiveness goals.
Qualifications:- Bachelor’s degree or equivalent experience preferred.
- 5 years of PIP claims handling experience, with at least 2 years in a leadership or supervisory role.
- Deep understanding of PIP regulations, medical billing, and litigation practices.
- Strong communication, negotiation, and decision-making skills.
- Proficiency with claims management systems and Microsoft Office Suite.
📍 ABOUT US
We are a fast-growing bilingual insurance organization supporting clients throughout Florida. Our claims team helps families and businesses navigate unexpected events with confidence by providing accurate assessments, timely communication, and solutions tailored to each situation.
We take pride in offering a claims experience that is supportive, efficient, and built around real customer needs. We are not your average insurance agency. We invest in our people, recognize performance, and provide clear opportunities for career growth.
If you are bilingual, detail oriented, and motivated to build a rewarding career in claims adjusting, you have found the right team.
🌟 WHY JOIN US
We know talented bilingual professionals have options. Here is what makes us different:
• ✓ Real base pay — Competitive salary based on your experience and license
• ✓ Medical Insurance — Comprehensive health coverage for you
• ✓ Dental & Vision — Full dental and vision plans included
• ✓ Supplemental Plans — Voluntary supplemental options available
• ✓ Basic Life Insurance — Company-paid life insurance policy
• ✓ 401(k) with Match — We invest in your retirement savings too
• ✓ Paid Time Off — 2.5 weeks of PTO to start, growing with tenure
• ✓ Sick Time — Dedicated sick time, separate from your PTO
• ✓ Performance Bonus — Structured plan tied directly to your results
• ✓ Employee Referral Program — Earn rewards for bringing great talent in
🤝 OUR CORE VALUES — “The harder we work, the luckier we are.”
• 🛡️ PROTECT — We ensure the safety of our communities with robust, comprehensive insurance options.
• 🤚 HELP — Our agents provide swift, personalized support to guide every client through their options.
• 📣 PROMOTE — We invest in our workforce with career paths and training for aspiring agents.
• 🤝 BUILD — Every client relationship is built on trust and transparency, tailored to individual needs.
• 📚 EDUCATE & GUIDE — We empower clients to make informed insurance decisions with clarity.
• 📱 PROVIDE — Affordable, innovative insurance solutions made accessible through tools like our app.
💪 READY TO MAKE YOUR MOVE?
We are building a team of motivated bilingual professionals who want their effort to show in their paycheck.
Apply today. Interviews scheduled promptly. Bring your license, your drive, and your ambition.
Salary : $65,000 - $75,000