What are the responsibilities and job description for the PIP Claims Supervisor- Miami, FL position at UNIVISTA HOLDINGS 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.
Salary : $65,000 - $75,000