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Full-Time

Complex PIP Specialist

Multiple Teams

Posted on 10/4/2025

Deadline 10/20/25
AAA Club Alliance

AAA Club Alliance

No salary listed

No H1B Sponsorship

New Mexico, USA + 41 more

More locations: Washington, USA | Kansas, USA | Pennsylvania, USA | Oregon, USA | Delaware, USA | Iowa, USA | California, USA | Washington, DC, USA | Texas, USA | Jackson Township, NJ, USA | Florida, USA | Waterbury, CT, USA | Nevada, USA | South Carolina, USA | Georgia, USA | Arizona, USA | Concord, NH, USA | Mississippi, USA | Tennessee, USA | Virginia, USA | Arkansas, USA | Minnesota, USA | Colorado, USA | Rhode Island, USA | Utah, USA | Kentucky, USA | West Virginia, USA | New York, NY, USA | Maryland, USA | Wisconsin, USA | Maine, USA | Massachusetts, USA | North Carolina, USA | Oklahoma, USA | Missouri, USA | Indiana, USA | Louisiana, USA | Michigan, USA | Illinois, USA | Alabama, USA | Idaho, USA

Remote

Remote work is available anywhere in the United States, except for Hawaii and Alaska.

Category
Legal & Compliance (1)
Requirements
  • 3-5 years of experience handling complex PIP first-party medical benefits including litigation.
  • New Jersey PIP Litigation/Arbitration experience is required.
  • Ability to obtain license in required states
  • HS diploma, GED or 3 years directly related work experience
Responsibilities
  • Handles to conclusion first-party Personal Injury Protection (PIP) claims, including Medical Pay as needed.
  • Assigned as owning adjuster when injury exposure is identified for the first party, for files with reserves up to policy limits.
  • Handles first-party medical payments and Personal Injury Protection claims.
  • Negotiates, settles and resolves claims within authority level.
  • Assists in catastrophes as needed.
  • Claims may involve additional suffixes such as income continuation and essential services as well as death and funeral benefits for fatality claims.
  • Identifies and utilizes case management.
  • Investigates to rule out exposures: uninsured/underinsured motorist, subrogation, dram shop.
  • Makes coverage determinations and advises customers as to the proper course of action.
  • Handles all levels of litigated and arbitrated cases, to the most complex.
  • Directs defense counsel on suits and arbitrations and represents company at arbitration hearings.
  • Presents to committee on coverage issues, reserving and settlement authority.
Desired Qualifications
  • New York PIP Litigation/Arbitration experience.
  • Strong negotiating skills and the ability to develop effective negotiating strategies.
  • Strong analytical, problem-solving and organizational skills.
  • Strong ability to work independently.
  • Strong decision-making ability.
  • Strong customer service orientation.
  • Basic math and computer skills.
  • Proficient oral and written communication skills and good command of the English language.
  • Ability to function in a team environment. Ability to successfully complete training courses pertinent to job duties.
  • Thorough knowledge of statutory and regulatory requirements.
  • Comprehensive understanding of AAA claims policies and procedures.
  • Ability to travel on rare occasions.
  • Ability to work extended hours and/or weekends.
  • Knowledge of litigation file handling for minor, moderate and complex litigated claims.
  • Actively shapes our company culture (e.g., participating in employee resource groups, volunteering, etc.).
  • Lives into cultural norms (e.g., willing to have cameras when it matters: helping onboard new team members, building relationships, etc.).
  • Travels as needed for role, including divisional / team meetings and other in-person meetings.
  • Fulfills business needs, which may include investing extra time, helping other teams, etc.
AAA Club Alliance

AAA Club Alliance

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INACTIVE