PIP/Med Pay Claims Associate

Claims SpecialistClaims SpecialistFull TimeRemoteMid LevelTeam 10,001+Since 1931H1B SponsorCompany SiteLinkedIn

Location

United States

Posted

47 days ago

Salary

$53.5K - $110K / year

Seniority

Mid Level

No structured requirement data.

Job Description

PIP/Med Pay Claims Associate

Allstate

National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers’ evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents, as well as directly to consumers. Job Description Responsible for investigating and confirming the facts of loss for the most complex automobile accidents. Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. Mentors and provides direction to junior employees. **Join our team in an exciting remote opportunity as a Med/Pay Adjuster! The ideal candidate will have familiarity handling Florida PIP Claims.** Key Responsibilities • Recognizes and identifies body parts of a vehicle or understanding other potential property damage • Identifies customer needs and works to meet those needs using appropriate customer service skills • Determines subrogation or fraud potential and how to handle for the most complex cases • Applies advanced understanding of insurance policies written by the company, the industry, and organizational relationships within the company and department • Recommends process improvements • Applies increased experience in the Sr Adjuster level or a rotation into a specialty position (Coverage, Investigation Specialist, Total Loss, Initial Handler, Extended Handler, Litigation, etc.) • For claims involving injuries (if handled), learns how to review, evaluate, and negotiate moderate to complex/Catastrophic injury claims • Handles investigation regarding all aspects of the most complex auto claims (coverage, liability and damages) with the exercise discretion and independence within increased level of authority #LI-LS2 Skills Analytical Thinking, Auto Insurance Claims, Customer Experience Management, Negotiation, Personal Injury Claims Compensation Additional Job Description Base compensation offered for this role is: Adjuster Cons. I: 53,500.00 - 77,800.00 Adjuster Cons. II: 56,000.00 - 82,500.00 Adjuster Cons. I Sr.: $68,500.00 - 104,100.00 Adjuster Cons. II Sr.: $70,100.00 - $110,400.00 Annually and is based on experience and qualifications. *** Total compensation for this role is comprised of several factors, including the base compensation outlined above, plus incentive pay (i.e. commission, bonus, etc.) as applicable for the role Joining our team isn’t just a job — it’s an opportunity. One that takes your skills and pushes them to the next level. One that encourages you to challenge the status quo. One where you can shape the future of protection while supporting causes that mean the most to you. Joining our team means being part of something bigger – a winning team making a meaningful impact. Effective July 1, 2014, under Indiana House Enrolled Act (HEA) 1242, it is against public policy of the State of Indiana and a discriminatory practice for an employer to discriminate against a prospective employee on the basis of status as a veteran by refusing to employ an applicant on the basis that they are a veteran of the armed forces of the United States, a member of the Indiana National Guard or a member of a reserve component. For jobs in San Francisco, please click “here” for information regarding the San Francisco Fair Chance Ordinance. For jobs in Los Angeles, please click “here” for information regarding the Los Angeles Fair Chance Initiative for Hiring Ordinance. To view the “EEO Know Your Rights” poster click “here”. This poster provides information concerning the laws and procedures for filing complaints of violations of the laws with the Office of Federal Contract Compliance Programs. To view the FMLA poster, click “here”. This poster summarizing the major provisions of the Family and Medical Leave Act (FMLA) and telling employees how to file a complaint. It is the Company’s policy to employ the best qualified individuals available for all jobs. Therefore, any discriminatory action taken on account of an employee’s ancestry, age, color, disability, genetic information, gender, gender identity, gender expression, sexual and reproductive health decision, marital status, medical condition, military or veteran status, national origin, race (include traits historically associated with race, including, but not limited to, hair texture and protective hairstyles), religion (including religious dress), sex, or sexual orientation that adversely affects an employee's terms or conditions of employment is prohibited. This policy applies to all aspects of the employment relationship, including, but not limited to, hiring, training, salary administration, promotion, job assignment, benefits, discipline, and separation of employment. National General Holdings Corp., a member of the Allstate family of companies, is headquartered in New York City. National General traces its roots to 1939, has a financial strength rating of A– (excellent) from A.M. Best, and provides personal and commercial automobile, homeowners, umbrella, recreational vehicle, motorcycle, supplemental health, and other niche insurance products. We are a specialty personal lines insurance holding company. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products. Companies & Partners Direct General Auto & Life, Personal Express Insurance, Century-National Insurance, ABC Insurance Agencies, NatGen Preferred, NatGen Premier, Seattle Specialty, National General Lender Services, ARS, RAC Insurance Partners, Mountain Valley Indemnity, New Jersey Skylands, Adirondack Insurance Exchange, VelaPoint, Quotit, HealthCompare, AHCP, NHIC, Healthcare Solutions Team, North Star Marketing, Euro Accident. Benefits National General Holdings Corp. is an Equal Opportunity (EO) employer – Veterans/Disabled and other protected categories. All qualified applicants will receive consideration for employment regardless of any characteristic protected by law. Candidates must possess authorization to work in the United States, as it is not our practice to sponsor individuals for work visas. In the event you need assistance or accommodation in completing your online application, please contact NGIC main office by phone at (336) 435-2000.

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Introduction At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it’s our purpose. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people’s lives. It takes empathy, precision, and a strong sense of partnership—and that’s exactly what you’ll find here. We’re a team of fast-paced fixers, empathetic experts, and outcomes drivers — people who care deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals move forward with confidence. Here, you’ll be supported by a culture that values teamwork, encourages curiosity, and celebrates the impact of your work. Because when you’re here, you’re part of something bigger. You’re part of a team that shows up, stands together, and leads with purpose. 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About You Ideal candidates for this position will have: • Claims Background: A minimum of 3-5 years experience handling lost time/indemnity claims and have extensive experience with litigated files• Jurisdictional Experience: IA, WI• Active Adjusters' licenses: IA, WI As a key member of our experienced Claims Adjuster team, you will: • Investigate, evaluate, and resolve complex workers compensation claims applying your analytical skills to make informed decisions and bring claims to resolution. • Work in partnership with our clients to deliver innovative solutions and enhance the claims management process • Think critically, solve problems, plan, and prioritize tasks to optimally serve clients and claimants Required Qualifications: • High School Diploma. • Minimum of 5 years related claims experience. • Appropriately licensed and/or certified in all states in which claims are being handled. • Knowledge of accepted industry standards and practices. • Computer experience with related claims and business software. 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United States
Full TimeRemoteTeam 10,001+Since 1931H1B Sponsor

• Investigate automobile claims by reviewing police reports • Determine coverage, liability, and damages for claims • Collaborate with other departments for fraud investigations • Adjust and negotiate claims within limits of authority

Florida + 2 moreAll locations: Florida | Michigan | Minnesota
$47.5K - $82K / year
Job Closed
Full TimeRemoteTeam 10,001+Since 1931H1B Sponsor

• Investigate and confirm facts of loss for automobile accidents • Determine coverage, liability, and damages for claims • Review police reports and speak with witnesses • Adjust and negotiate claims within authority

Florida + 2 moreAll locations: Florida | Michigan | Minnesota
$20 - $29 / hour
Job Closed

COMPANY OVERVIEW: Founded in 1989, United Automobile Insurance Company is an innovative and established organization looking for Commercial Auto Claims Leader, Bodily Injury and Property Damage to join our team. Family-owned, UAIC, is one of the largest privately held property and casualty insurance companies in the United States. The key to our growth and success is a commitment to providing quality service to our agents and customers, by providing disciplined underwriting, and strategic claims handling. Our ongoing efforts to invest substantial resources in personnel and technology are the foundation of our promise of assuring maximum efficiency and specialized operations in the industry. We are proud that our independent agents and customers have recognized our dedication by making UAIC the market leader in every state where we conduct business. This position offers a remote work arrangement, allowing the ideal candidate to work from their preferred location within Southeast region. SCOPE: Commercial Auto Claims Leader (BI & PD) – Product Launch As a Commercial Auto Claims Leader, you will play a pivotal role in launching and scaling a new commercial auto insurance product This is a unique opportunity to build a claims team from the ground up while partnering cross-functionally to help shape claims handling practices, coverage interpretation, and policy development. You will oversee Bodily Injury (BI) and Property Damage (PD) claims while ensuring operational excellence, regulatory compliance, and a best-in-class customer experience. This position offers remote work from the Key Duties and Responsibilities: - Build, lead, and develop a high-performing team of BI and PD adjusters from the ground up. - Establish and implement claims handling processes, workflows, and best practices for a new commercial auto product. - Oversee adjusters handling BI and PD claims for commercial and fleet-based risks. - Review claim files for quality, coverage accuracy, liability determinations, and reserving. - Provide technical guidance on complex liability, coverage, and damage evaluations. - Monitor workloads, productivity, and claim cycle times; implement strategies to improve efficiency. - Assist in escalated claim resolution and settlement strategy, including high-exposure losses. - Partner with underwriting, legal, and product teams to provide feedback on policy language, coverage gaps, and claims trends. - Contribute subject matter expertise to support the development and refinement of commercial auto policy forms. - Conduct coaching, training, and performance management to build team capability and bench strength. - Ensure compliance with all regulatory requirements and internal audit standards. Education and Licensing: - Bachelor’s degree preferred. - Active Adjuster License required. Skills & Qualifications: - Proven experience building and leading teams, preferably in a start-up or high-growth environment. - Strong knowledge of commercial auto policy structures, coverage analysis, and endorsements. - Demonstrated ability to interpret policy language and provide input into policy development and improvements. - Deep expertise in commercial auto BI and PD claims, including complex liability investigations. - Strong leadership, coaching, and performance management skills. - Ability to operate both strategically (building processes) and tactically (handling complex claims). - Experience supporting new product launches or process design is highly preferred. BENEFITS: - 401(k) Retirement Savings Plan with employer match. - Comprehensive Medical, Prescription Drug, Vision, and Dental Insurance - Paid Time Off, Holidays, and Leave programs. - Flexible spending accounts - Basic Life Insurance and Voluntary Life/ADD - Short Term and Long-Term Disability UAIC participates in the E-Verify program to confirm the employment eligibility of all newly hired employees. For more information about E-Verify, please visit https://www.e-verify.gov/. UAIC is an Equal Opportunity Employer and is committed to the principle of equal employment opportunity for all employees. All employment decisions at UAIC are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion, belief, family or parental status, or any other status protected by the laws or regulations in the locations where we operate.

Florida