PIP Claims Handler

Position Summary:

• Manage and investigate Personal Injury Protection (PIP) claims related to automotive accidents.
• Review claims for accuracy and identify inconsistencies.
• Mitigate fraud exposure and control claim costs.

Key Responsibilities:

• Defend against inaccurate, unsupported, or excessive claims through detailed file review and documentation.
• Negotiate settlements and reductions with providers, attorneys, and claimants when appropriate.
• Monitor claim timelines and ensure all statutory deadlines and compliance requirements are met.

Qualifications:

• Strong knowledge of PIP regulations, medical billing review, and claims investigation practices
• Experience defending against questionable or inflated PIP claims.
• Ability to interpret medical records, treatment documentation, and billing codes.