First Chicago Insurance Company (Fcic) Bedford Park , IL 60499
Posted 2 weeks ago
As a Personal Injury Protection ("PIP") Adjuster, you will be responsible for evaluating and managing claims filed under the Personal Injury Protection ("PIP") coverage of insurance policies. You will investigate claims, assess injuries, negotiate settlements, and ensure compliance with relevant laws and regulations.
Key Responsibilities
Review and assess PIP claims to determine coverage, liability, and the extent of injuries
Conduct thorough investigation into the circumstances surrounding each claim, including obtaining medical records, police reports, and statements
Evaluate the nature and severity of injuries reported by first-party claimants through medical documentation, diagnostic tests, and expert opinions
Determine the applicability of PIP coverage based on policy terms, state regulations, and the specifics of each claim
Negotiate fair and equitable settlements with claimants, attorneys, and medical providers to resolve claims effectively
Maintain detailed and accurate records of claim files, including correspondence, investigation findings, settlement offers, and payment transactions
Communicate effectively with first-party claimants, legal representatives, medical providers, and other stakeholders to provide updates, address concerns, and facilitate the claims process
Ensure compliance with all relevant laws, regulations, and company policies throughout the claims handling process
Provide exceptional customer service to first-party claimants by addressing inquiries promptly and offering assistance throughout the claims process
Stay abreast of industry trends, legal developments, and medical advancements relevant to PIP claims to enhance expertise and effectiveness in the role
Qualifications
Bachelor's degree or equivalent work experience
Previous experience in claim adjusting, preferably with a focus on PIP claims
Strong knowledge of insurance principles, coverage types, and regulations governing PIP
Excellent analytical skills with the ability to assess complex situations and make informed decisions
Effective negotiation skills and the ability to resolve conflicts and disputes
Exceptional communication skills, both verbal and written, and the ability to convey information clearly and concisely
Detail-Oriented with strong organizational and time management skills
Proficiency in relevant software applications for claims management and documentation
Non-standard insurance claims experience preferred
PA P&C/All Lines License preferred
First Chicago Insurance Company provides a competitive benefits package to all full- time employees. Following are some of the perks First Chicago employees receive:
Competitive Salaries
Commitment to your Training & Development
Medical and Dental
Telemedicine Benefit
401k with a generous company match
Paid Time Off and Paid Holidays
Tuition Reimbursement Training Programs
Wellness Program
Fun company sponsored events
And so much more!
First Chicago Insurance Company (Fcic)