Senior PIP Litigation Claim Specialist

Responsibilities

• Manage complex Michigan Personal Injury Protection (PIP) claims from inception through resolution.
• Review assigned claims and contact the insured and other affected parties.
• Complete complex coverage analysis.
• Ensure all possible policyholder benefits are identified.
• Document and/or code the claim file and complete all claim closure activities in the claims management system.
• Utilize strong negotiating skills and approve payments to appropriate parties.
• Work with insureds, guardians, conservators, and attorneys to complete claims review process.

• Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience.
• Eligible to acquire a State Adjuster’s license within 90 days of hire.
• A valid driver's license is required.
• Five years of experience or equivalent training in negotiation, securing and evaluating evidence, preparing estimates, etc.
• Advanced knowledge of Essential Insurance Act (Michigan), Fair Trade Practices Act, subrogation procedures, etc.

Demonstrates expertise in managing Michigan Personal Injury Protection claims, including complex coverage analysis, negotiation, and compliance with relevant insurance regulations. Proficient in utilizing claims management systems and ensuring policyholder benefits are maximized.