Handles no-fault PIP claims from all claim offices within Kentucky, ensuring efficient processing of Personal Injury Protection benefits.
Responsibilities
Accept assignment of PIP claims from claim adjusters
Monitor continuing eligibility of PIP claimants
Receive, investigate, coordinate, and pay appropriate PIP benefits in timely manner according to statute requirements
Maintain proper reserves
Process incoming and outgoing mail in regards to PIP Unit
Requirements
Associate degree or a combination of formal education, training, and experience to acquire knowledge and skills generally equivalent to those possessed by a two-year college graduate
Apply claims management experience to execute decision-making to analyze claims exposure, plan the proper course of action, and appropriately resolve claims.
Interact extensively with various parties involved in the claim process to ensure effective communication and resolution.
Provide exceptional customer service to our claimants on behalf of our clients exhibiting empathy through each step of the claims process.
Handle claims consistent with clients' and corporate policies, procedures, and standard methodologies in accordance with statutory, regulatory, and ethics requirements.
Document and communicate claim activity timely and efficiently, supporting the outcome of the claim file.
Investigate and resolve Personal Injury Protection (PIP) and Medical Payments (MP) claims, manage claim inventory, ensure compliance with state regulations, and provide high-quality customer service.
Responsibilities
Investigate PIP/MP claims to determine coverage and injury extent
Gather documentation, interview parties, and explain coverage
Assess claim validity and determine settlement amounts
Manage claim inventory and adjust reserves
Ensure compliance with state regulations and policy provisions
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