PIP Adjuster

Essential Job Functions

Key Function: Claims Management/Processes

• Receives and responds to correspondences regarding claim files in a timely manner
• Identifies involved parties eligible for coverage, analyzes medical bill(s), lost wages, and/or other expense claims submitted for payment using a consistent and thorough review process
• Follows-up on claim to ensure all pertinent information is received to settle claim
• Reviews and analyzes all information; authorizes payment of claim within company guidelines
• Maintains current knowledge of new claim settlement procedures, state regulation, and policy changes
• Develops a comprehensive settlement strategy; utilizes appropriate medical, wage, and/or other expense claim investigation forms and form letters
• Maintains compliance with Standard Operating Procedures, Regulatory and Statutory requirements, and/or Best Practices. 
• Identifies potential fraud indicators and work closely with Special Investigations Unit when appropriate
• Investigates No-fault and Med pay losses, evaluates exposures

Key Function: Administrative Processes

• Processes incoming mail and data through various systems and software
• Performs incoming and outgoing phone calls, taking recorded statements when appropriate; composes written correspondence
• Thoroughly documents injury related treatment, lost wages, and/or other expense history
• Other duties as assigned

Desired Qualifications

• Requires an Associate’s degree, Bachelor’s degree preferred
• Requires a minimum of 2 years relevant experience
• Requires current Independent Adjust All Lines (06-20) with continuing education compliance
• Possesses strong customer service skills and related behaviors
• Requires attention to detail and the ability to multi-task 
• Strong analytical and problem-solving skills
• Excellent interpersonal and communication skills
• Possesses strong organizational and time management skills
• Ability to work in a fast-paced environment with attention to detail and deadlines

• Proficient in Microsoft Suite (i.e. Word, Excel, PowerPoint, etc.)

• Requires computer literacy and the ability to learn software applications   
• Commitment to Acceptance’s company values 
• Able to lift 0-10 pounds without assistance 

#LI-REMOTE

As a Team Member at Acceptance Insurance, you will be part of a growing organization that continues to evolve and positively impacts the lives of our team members and customers.

We are looking for team members that engage – who take responsibility for themselves and take care of their customers and colleagues. Ideal candidates can compose themselves under pressure, have a “make It right” mindset, and focus their energies on solving problems. This means you’ll be supported by a team with all these qualities, too. If this sounds like the kind of team you’d like to join, we want to hear from you! ​

Acceptance Insurance offers a full line of benefits including: Health Insurance, Dental, Vision, Paid Vacation, Disability Insurance and Employer Matching 401(k) Program.

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants are considered for position and are evaluated without regard to mental or physical disability, race, religion, sexual orientation, color, gender, national origin, age, marital status, military or veteran status or any other protected local, state or federal status unrelated to the performance of the work involved.