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Personal injury protection and medical payments

Amelia
American Modern Insurance Group
Pubblicato il 15 dicembre
Descrizione

Personal Injury Protection and Medical Payments Claims Adjuster: WE OFFER:Are you ready to take the next step in your career and handle specialty insurance products such as Collector Vehicle, Motorcycle, and Watercraft? At American Modern Insurance, we are a leader in the Specialty Insurance Market. American Modern Insurance Group is recruiting for an experienced Claims Adjuster. As a Personal Injury Protection and Medical Payments (PIP/MC) Claims Adjuster, you will be responsible for the investigation and resolution of non-litigated first party injury claims arising from PIP/MC coverage. This position will focus on the handling of first party injury claims arising from Collector Vehicle, Motorcycle, and Watercraft policies, and will entail determining coverage, ensuring accurate and timely processing, and ensuring compliance with all applicable regulatory and quality requirements. What You'll Do: - Handle claims that involve first party injury claims - Establish contact with policyholders and injured parties - Interpret coverage, conduct investigations, and interview necessary parties - Work with bill review and medical management vendors as necessary - Ensure timely and accurate claim processing - Ensure necessary review and escalation of questionable/unreasonable claims - Handle telephone inquiries on claim status and coverage - Complete appropriate oral, written, and on-line reports to reflect and supplement all file activity - Set and maintain adequate reserves on claim files - Obtain and review reports, statements, records, and related materials as necessary - Uses independent discretion/judgment and sound decision-making in the handling of claims - Perform other duties as assigned WE EXPECT: - Prior insurance industry experience and/or prior claims handling experience - Prior Personal Injury Protection/Medical Payments claims handling experience is preferred - Prior customer service experience requiring difficult/challenging conversations preferred - Excellent verbal and written communication skills - Planning, organization, and analytical skills are required - Basic proficiency with Microsoft Word and Excel is needed - Four year college degree or equivalent technical/professional education or work experience is required - Industry related training or coursework such as AIC, CPCU, or SCLA are preferred At American Modern, a subsidiary of Munich Re, we see Diversity and Inclusion as a solution to the challenges and opportunities all around us. Our goal is to foster an inclusive culture and build a workforce that reflects the customers we serve and the communities in which we live and work. We strive to provide a workplace where all of our colleagues feel respected, valued and empowered to achieve their very best every day. We recruit and develop talent with a focus on providing our customers the most innovative products and services. We are an equal opportunity employer. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. American Modern is a widely recognized, national leader in the specialty insurance business. With close to 50 years of experience in the manufactured housing insurance sector, the company delivers specialized products and services for residential property and the recreational market. One of our newest lines is pet health insurance. The company is headquartered in suburban Cincinnati, Ohio. American Modern is licensed in all 50 states and offers insurance products through a number of property and casualty companies which serve more than 1.7 million policyholders. As part of its parent company, American Modern’s companies are rated A (Superior) by the A.M. Best Company an independent analyst of the insurance industry, and is also a Ward’s 50® Top Performer another well-regarded industry standard of stability and excellence. American Modern joined Munich Re as a key part of the world reinsurance leader’s North American insurance operations in April 2008. Munich Re has approximately 47,000 employees in over 50 locations throughout the world and operates in all lines of insurance. It is among the top 100 companies on the Forbes Global 500 list.

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