The Claim Representative-PIP Unit handles no-fault claims from all claim offices within the state of Kentucky to ensure efficient and effective processing of Personal Injury Protection (PIP) benefits.
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.
Create and type correspondence and issue form letters to investigate, resolve and responds to questions relating to PIP benefits.
Receive telephone and personal inquiries relating to PIP files by policyholders, customers, attorneys and medical providers, providing assistance where appropriate or referring to other staff if necessary.
Assure high customer satisfaction levels through professionalism, integrity, fairness and promptness.
Assist and cooperate with all company personnel.
Maintain PIP files to comply with statute requirements.
Monitor the claim inventory report to ensure proper closure of files.
Pursue professional development.
Report claims as required by claims manual or by district claims manager.
Serve as a catastrophe team member or assist in other claim offices or locations as required.
Regular, predictable attendance as employee has to physically be in the office.
This list of essential functions is non-exhaustive and may be supplemented as necessary.
Associate degree or combination of formal education, training, and experience to acquire knowledge and skills generally equivalent to those possessed by a two-year college graduate. Bachelor’s degree preferred.
Required to obtain an Adjuster License within one year of hire date.
Previous experience in a claims or insurance office desirable.
Average typing skill (minimum 35 wpm).
Knowledge of claims handling procedures and insurance contracts.
Experience in the use of photocopier, computer terminal or word processor and other office equipment.
Ability to communicate with high level of skill both orally and in writing.
Ability to make timely decisions.
Excellent human relation skills and self-motivation required.