Full-Time
Claims Adjuster
Posted on 4/6/2024
Online platform simplifying small business insurance
Compensation Overview
$75,000 - $92,000Annually
Junior
Remote in USA
- High School Diploma or equivalent
- Bachelor's Degree or equivalent experience with some college coursework
- Minimum of 2-years workers' compensation claims experience
- Active licensing in applicable states
- Strong communication (written and verbal) skills
- Strong problem solving skills
- Experience using G-Suite Tools and collaboration tools like Slack
- Knowledge of jurisdictional regulatory and statutory requirements and CMS/MSA requirements
- Demonstrated knowledge and experience in claim adjudication, medical management, and litigation management
- Ability to use skills to overcome conflict and reach beneficial outcomes
- Ability to make claim decisions to mitigate exposure while achieving the best outcome
- Independently handle all aspects of the workers’ compensation claims from set-up to closure
- Conduct timely 3-point contact investigation with focus on continued investigation as facts of the case change
- Mitigate claim exposure while achieving the best outcome
- Determine timely and accurate compensability decisions within statutory requirements
- Set and adjust timely/accurate reserves within authority limits
- Timely administration of statutory medical and indemnity benefits throughout the life of the claim
- Comply with all applicable statutory guidelines, rules, and regulations
- Control legal activity with defense counsel through the litigation process while managing legal fees and costs
- Prioritize early resolution opportunities, evaluate claim exposure, and negotiate settlement
- Serve as a point of contact for partner agents and customers to provide general claim guidance and help set claim process expectations
- Assist as necessary in providing claim status to agents and insureds, coverage verification, and loss run reports
- Provide excellent customer service to internal and external customers and business partners
- Participate in interactions with TPA adjusters and claims partners to drive optimized claims outcomes and top-notch claims experience
- Advocate to ensure that Pie has a leading claims customer experience
- Work to continuously improve claims operations and look at opportunities and gaps in claim service, handling SOPs, protocols, and processes
Pie Insurance is a leading company in the small business insurance sector, leveraging seasoned expertise in technology and insurance to offer cost-effective, simplified, and transparent solutions. Their competitive edge lies in their efficient online platform, which allows business owners to receive a quote within just 3 minutes, significantly reducing time and effort. This customer-centric approach, combined with their commitment to transparency, positions Pie Insurance as a strong industry leader.
Company Stage
Series D
Total Funding
$621M
Headquarters
Washington, District of Columbia
Founded
2017
6 month growth
↑ 0%1 year growth
↓ -3%2 year growth
↑ 26%Benefits
Competitive cash compensation
Equity
Comprehensive health plans
Generous PTO, including paid sick leave
Future focused 401k match
Generous parental & caregiver leave