Claims – No-Fault Litigation Specialist I - IV

Claims – No-Fault Litigation Specialist I - IV

The No-Fault Unit is currently seeking a litigation specialist to handle and supervise auto med pay and PIP features of casualty claims. HQ-based candidates will be considered for this role. The pay range for this position is $60,000-$95,000 annually. The pay determination is based on the applicant's education, experience, location, knowledge, skills, and abilities. Eligible associates may also receive an annual cash bonus and stock incentives based on company and individual performance.

Be ready to:

• Provide technical direction and support med pay and PIP claims examiners
• Develop and implement training programs related to auto med pay and PIP
• Participate in coverage analysis for assigned claims
• Manage litigation on assigned files
• Evaluate exposure and set reserves in excess of $100,000
• Investigate and adjust medical component of first party auto claims
• Work collaboratively with Field Claims associates
• Communicate directly with policyholders and other external contacts
• Enter information and documentation into Claims Management System
• Review medical records and medical billings, issuing payments as appropriate
• Provide accurate and timely submission of required forms and applications
• Actively oversee Medicare filings to ensure compliance with reporting requirements

Qualities:

• Strives to provide excellent customer service to internal and external customers
• Demonstrates excellent problem-solving, attention to detail, decision making, time management and organizational skills
• Shows initiative in assisting and educating other associates
• Willing to take on new responsibilities as deemed necessary
• Masters principles and strategies for maintaining professional and respectful relationships with all stakeholders

Be equipped with:

• Working knowledge or experience with CMS
• Helpful working knowledge or experience with personal and commercial lines software
• Excels at verbal, telephone and written communication
• Experience with Microsoft® Office and Excel helpful
• Understanding of commercial and personal auto jurisdictional key differentiators
• Knowledge of managed care programs helpful
• Demonstrated expertise in coverage analysis
• Experience in detailed analysis of facts relevant to an evaluation of coverage, compensation and injuries
• Experience with Cincinnati's coverage forms, policies and claim procedures

Education:

AIC, CPCU, SCLA designations or other relevant education.