Florida Auto PIP / Medical Payments Adjuster

Florida Auto PIP / Medical Payments Adjuster

We are seeking a detail-oriented and experienced Florida Auto PIP / Medical Payments Adjuster to join our claims team. This position is responsible for handling Personal Injury Protection (PIP) and Medical Payments claims in accordance with Florida statutes, policy provisions, Medicaid and Medicare fee schedule and company guidelines. The ideal candidate will have strong knowledge of Florida PIP regulations, and the ability to manage claims efficiently while providing excellent service to insureds and medical providers.

Key Responsibilities:

• Review medical bills, records, and documentation for accuracy and compliance
• Apply Florida PIP statutes and fee schedules to determine appropriate payments
• Communicate with insureds, claimants, attorneys, and medical providers
• Good faith settlements/negotiations with provides offices
• Document claim activity and maintain accurate claim files
• Issue payments and explanations of benefits (EOBs) as appropriate
• Identify potential fraud indicators and escalate when necessary
• Maintain compliance with company procedures and regulatory requirements
• Manage claim workload to meet productivity and quality standards

Qualifications:

• Some Florida PIP or Medical Payments claims handling experience
• Some knowledge of Florida PIP statutes and fee schedules
• Experience reviewing medical bills and medical documentation
• Excellent organizational and time management skills
• Strong bilingual written and verbal communication skills
• Ability to work independently and manage a high-volume caseload
• Claims system experience preferred

Preferred:

• Florida Adjuster License (620 or equivalent)
• Experience with medical payments, excel and/or medical coding

📍 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 : $45,000 - $65,000