High School Diploma required; Bachelor's degree preferred.
5+ years of related experience or equivalent education and training.
3+ years of PIP-related experience with AIC Designation considered for top performers.
Strong understanding of insurance coverage, policy terms, and conditions.
Excellent claim audit scores are a plus for internal candidates.
Responsibilities
Analyze insurance claims to determine insurer obligations.
Settle claims with first claimants per policy provisions and law.
Evaluate claims based on facts and establish proper reserves.
Communicate with relevant parties and document all communications.
Travel for customer service calls, mediations, and legal proceedings.
Benefits
Comprehensive benefit package including tuition reimbursement.
Generous 401K match.
Opportunities for internal career growth and development.
Flexible hybrid work model with remote options.
Family-friendly benefits and educational incentives.
Full Job Description
Philadelphia Insurance Companies is expanding our PIP Team with Nationwide consideration for a Senior Claims Examiner - PIP.
Summary:
Analyze insurance claims to determine extent of Insurer's obligations.
Settle claims with first claimants in accordance with policy provisions and applicable law.
A typical day will include the following:
Evaluates each claim in light of facts; Affirm or deny coverage; investigates to establish proper reserves; and settles or denies claims in a fair and expeditious manner.
Communicate with all relevant parties and documents communication as well as results of investigation.
Thoroughly understands coverage, policy terms and conditions for broad insurance areas, products or special contracts.
Travel is required to attend customer service calls, mediations, and other legal proceedings.
Qualifications:
High School Diploma; Bachelor's degree from a four-year college or university preferred.
Five plus years related experience and/or training; or equivalent combination of education and experience.
Three plus years of PIC related experience and an AIC Designation will be considered for employees in good standing with excellent claim audit scores.
Compensation Range: $76,700.00 - $85,700.00
Ultimate salary offered will be based on factors such as applicant experience and geographic location.
We offer a hybrid work model that provides flexibility to work remotely while maintaining meaningful in-office collaboration with your team.
Remote consideration will be given to qualified candidates located outside of the primary geographic region.
#LI-MH1
Benefits:
We offer a comprehensive benefit package, which includes tuition reimbursement and a generous 401K match. Our rich history of outstanding results and growth allow us to focus our business plan on continued growth, new products, people development and internal career opportunities. If you enjoy working in a fast paced work environment with growth potential please apply online. Additional information on Volunteer Benefits, Paid Vacation, Medical Benefits, Educational Incentives, Family Friendly Benefits and Investment Incentives can be found at
About Philadelphia Indemnity Insurance Company
Philadelphia Indemnity Insurance Company is a subsidiary of Tokio Marine Group, a global insurance company. They offer a range of commercial insurance products, including property, liability, and automobile coverage. They work with a network of independent agents and brokers to provide customized insurance solutions to businesses of all sizes. They are committed to providing exceptional customer service and have received numerous awards for their claims handling and underwriting expertise.
