Refine Search
Refine by Categories
Claims 8 Legal 4 Accounting 1 Customer Service 1 Finance 1 Underwriting 1
Refine by Job Type
Full Time 22
Refine by City
New York 3 Red Bank 3 Alpharetta 2 Chicago 2 Fort Worth 2 Houston 2 More
Refine by State
Texas 7 New Jersey 5 New York 5 California 4 Massachusetts 3 Georgia 2 More
claims director personal injury protection

42 claims director personal injury protection jobs found

09/26/2024  
Claims Director, Personal Injury Protection
The Director of Medical/PIP provides strong business leadership and technical expertise to oversee Medical and Personal Injury Protection (PIP) claims operations. This role ensures the effective execution of initiatives, regulatory compliance, and strategic direction while maintaining operational excellence. You will work independently and collaboratively with senior leadership to deliver innovative claims handling, reporting, and expense management improvements. This position reports to the Vice President of Claims.   Key Responsibilities : Own severity, service, and expense management for the Personal Injury Protection (PIP) line of business. Enforce company guidelines and procedures, maintaining a working knowledge of NY, NJ, MA, CT, NH, and PA regulatory claim handling guidelines and statutory requirements. Provide strategic direction for business processes, metrics, and budgeting related to the PIP operation. Implement changes across...
Plymouth Rock Assurance Boston, MA, USA Full Time
09/26/2024  
Claims Director, Personal Injury Protection
The Director of Medical/PIP provides strong business leadership and technical expertise to oversee Medical and Personal Injury Protection (PIP) claims operations. This role ensures the effective execution of initiatives, regulatory compliance, and strategic direction while maintaining operational excellence. You will work independently and collaboratively with senior leadership to deliver innovative claims handling, reporting, and expense management improvements. This position reports to the Vice President of Claims.   Key Responsibilities : Own severity, service, and expense management for the Personal Injury Protection (PIP) line of business. Enforce company guidelines and procedures, maintaining a working knowledge of NY, NJ, MA, CT, NH, and PA regulatory claim handling guidelines and statutory requirements. Provide strategic direction for business processes, metrics, and budgeting related to the PIP operation. Implement changes across...
Plymouth Rock Assurance Woodbridge Township, NJ, USA Full Time
09/26/2024  
Claims Director, Personal Injury Protection
The Director of Medical/PIP provides strong business leadership and technical expertise to oversee Medical and Personal Injury Protection (PIP) claims operations. This role ensures the effective execution of initiatives, regulatory compliance, and strategic direction while maintaining operational excellence. You will work independently and collaboratively with senior leadership to deliver innovative claims handling, reporting, and expense management improvements. This position reports to the Vice President of Claims.   Key Responsibilities : Own severity, service, and expense management for the Personal Injury Protection (PIP) line of business. Enforce company guidelines and procedures, maintaining a working knowledge of NY, NJ, MA, CT, NH, and PA regulatory claim handling guidelines and statutory requirements. Provide strategic direction for business processes, metrics, and budgeting related to the PIP operation. Implement changes across...
Plymouth Rock Assurance Uniondale, NY, USA Full Time
10/04/2024  
Specialist, Medical Claim Consulting Featured
If you’re passionate about helping people protect what matters most to them, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide’s Property and Casualty team could be the place for you! At Nationwide®, “on your side” goes beyond just words. Our customers are at the center of everything we do and we’re looking for associates who are passionate about delivering extraordinary care. Ideal candidates will be located in central standard or eastern standard time zone. Benefits Include: Medical, Dental, Vision, 401k with company match, Company-paid Pension plan, Paid time off, Holidays and more. (Internal Use Only) Compensation Grade: F3 #LI-AG1 Job Description Summary Providing exceptional customer service and developing productive, trusting relationships with policyholders and claimants allow us to deliver on Nationwide’s promise. Complexity of coverage and the intricacies of medical claims offers variety...
Nationwide USA Full Time
10/02/2024  
Claims Supervisor, Property - IN or TN (Remote) Featured
At Selective, we don't just insure uniquely, we employ uniqueness.   Our Business    Selective is a midsized U.S. domestic property and casualty insurance company with a history of strong, consistent financial performance for nearly 100 years. Selective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and honors, including listing in Forbes Best Midsize Employers in 2024 and certification as a Great Place to Work ®  in 2024 for the fifth consecutive year.   Working at Selective   At Selective, we don't just insure uniquely – we employ uniqueness. Employees are empowered and encouraged to Be Uniquely You by being their true, unique selves and contributing their diverse talents, experiences, and perspectives to our shared success. Together, we are a high-performing team working to serve our customers responsibly by helping to mitigate loss, keep them safe, and restore their lives and...
Selective IN, USA Full Time
09/15/2024  
Sr. Trial Attorney Featured
If you're passionate about being part of a diverse organization that enables a Fortune 100 company to deliver innovative business solutions with excellence, then Nationwide's Legal team could be the place for you! At Nationwide®, “on your side” goes beyond just words. Our customers are at the center of everything we do and we’re looking for associates who are passionate about delivering extraordinary care. No Billable Hours. Bodily Injury Auto, Bodily Injury Commercial, Bodily Injury Homeowners, Commercial Auto, Commercial Property, Complex Commercial, Premises Liability, Products Liability, Property Damage, Trucking Defense, Uninsured & Underinsured Motorist, Wrongful Death experience preferred.   This position can report out of the Elmsford, NY or Garden City, NY Trial Division. This is a hybrid work opportunity Job Description Summary Would you thrive in an environment where you can deliver top-quality legal services to support the...
Nationwide New York, NY, USA Full Time
09/10/2024  
Sr. Trial Attorney Featured
If you're passionate about being part of a diverse organization that enables a Fortune 100 company to deliver innovative business solutions with excellence, then Nationwide's Legal team could be the place for you! At Nationwide®, “on your side” goes beyond just words. Our customers are at the center of everything we do and we’re looking for associates who are passionate about delivering extraordinary care. No Billable Hours!   Bodily Injury Auto, Bodily Injury Commercial, Bodily Injury Homeowners, Commercial Auto, Commercial Property, Complex Commercial, Premises Liability, Products Liability, Property Damage, Trucking Defense, Uninsured & Underinsured Motorist, Wrongful Death experience preferred . This position will be a hybrid work opportunity reporting into either our Elmsford, New York or Garden City, New York Trial Division office. #LI-CP1 (Internal purposes H4) Job Description Summary Would you thrive in an environment where you can deliver...
Nationwide New York, NY, USA Full Time
09/08/2024  
APD Claim Rep II Featured
It’s a great time to join AAA The Auto Club Group!   JOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER FORWARD Job Type: Full time   Exempt/Non Exempt:   Salary Job Description:   Reports to (job title): Claim Manager as appropriate                                    I.  Position Description Post for All Units: Work under normal supervision with an intermediate-level approval authority to handle moderately complex claims within Claim Handling Standards in the field or inside units.  Resolve coverage questions, take statements and establish clear evaluation and resolution plans for claims. Claim handling responsibilities will include the following: reviewing assigned claims, contacting the insured and other affected parties, setting expectations for the remainder of the claim, and initiating documentation in the claim handling system.   Complete coverage analysis including a review of policy coverages and provisions, and the...
AAA - Auto Club Group (ACG) USA Full Time
09/03/2024  
Claims Consultant, Casualty E&S/Specialty (Coverage) Featured
If you’re passionate about helping people protect what matters most to them, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide’s Property and Casualty team could be the place for you! At Nationwide®, “on your side” goes beyond just words. Our customers are at the center of everything we do and we’re looking for associates who are passionate about delivering extraordinary care. Territory: The location of this position is flexible and open to virtual and/or remote based applicants. What you can Expect: As a Claims Consultant, you'll primarily be responsible for investigating, evaluating and resolving commercial and professional lines claims and lawsuits of a more severe and complex nature. The ideal candidate will have: 10 years of claims handling experience; specifically, commercial general liability (CGL). Experience using the CG 00 01 coverage form. Demonstrated knowledge...
Nationwide USA Full Time
10/03/2024  
Senior Claims Representative, Bodily Injury: Independent Agent Channel
The Casualty Claim Representative will be responsible for the handling of First and Third Party Bodily Injury claims in a Personal Lines/Commercial environment for the Plymouth Rock Operation. Essential Functions and Responsibilities Initiate prompt contact of all insureds/claimants/witnesses on all new claim assignments to conduct thorough coverage and liability/injury investigations.  These investigations might require the representatives take in depth recorded statements to investigate coverage and liability/injury claims. Analyze, review and interpret policies to assess coverage and liability. Provide advice to Excess and Primary coverage issues. Conduct field investigations, interviews with insureds, witnesses and claimants while maintaining a pending of represented and unrepresented claimant cases. Manage and direct outside vendors (Field/Counsel/Surveillance, etc.) to determine what investigation is necessary and give them direction to...
Plymouth Rock Assurance Parsippany-Troy Hills, NJ, USA Full Time
10/02/2024  
No Fault Claims Examiner
Our No-Fault / PIP / PD Claims Adjuster handles Personal Injury Protection (PIP), Med Pay, First and Third-Party Auto Physical Damage (PD) claims arising out of personal and commercial insurance policies. In this role, you’ll see through their life-cycle, including but not limited to, investigation of coverage, determination of medical causation, coordination of benefits, liability and damage assessment. The purpose of this position is to provide service to agents, policyholders, third-party claimants and others to ensure claims resolve accurately, timely and in accordance with guidelines, regulations and other legal requirements. Responsibilities Take loss reports directly from agents, insureds and/or claimants or their representatives Initiate initial claims handling Handle claims in compliance with applicable state regulations and statutes. Investigate assigned claims, verify coverage, and verify damages Coordinate PIP and Med Pay coverage with other benefits...
Concord Group Insurance Westborough, MA, USA Full Time
10/02/2024  
No Fault Claims Examiner
Our No-Fault / PIP / PD Claims Adjuster handles Personal Injury Protection (PIP), Med Pay, First and Third-Party Auto Physical Damage (PD) claims arising out of personal and commercial insurance policies. In this role, you’ll see through their life-cycle, including but not limited to, investigation of coverage, determination of medical causation, coordination of benefits, liability and damage assessment. The purpose of this position is to provide service to agents, policyholders, third-party claimants and others to ensure claims resolve accurately, timely and in accordance with guidelines, regulations and other legal requirements. Responsibilities Take loss reports directly from agents, insureds and/or claimants or their representatives Initiate initial claims handling Handle claims in compliance with applicable state regulations and statutes. Investigate assigned claims, verify coverage, and verify damages Coordinate PIP and Med Pay coverage with other benefits...
Concord Group Insurance Westborough, MA, USA Full Time
09/30/2024  
Medical Case Manager
Excellence In Everything We Touch Position Summary To provide effective case management services in an appropriate, cost effective manner. Provides medical case management service which is consistent with URAC standards and CMSA Standards of Practice and Broadspire Quality Assurance (QA) Guidelines to patients/employees who are receiving benefits under an Insurance Line including but not limited to Workers' Compensation, Group Health, Liability, Disability, and Care Management. Responsibilities Reviews case records and reports, collects and analyzes data, evaluates injured worker/disabled individual’s medical status, identifies needs and obstacles to medical case resolution and RTW by providing proactive case management services. Render opinions regarding case costs, treatment plan, outcome and problem areas, and makes recommendations to facilitate case management goals to include RTW....
Crawford & Company Charlotte, NC, USA
09/27/2024  
Claims Specialist I
What part will you play? If you’re looking for a place where you can make a meaningful difference, you’ve found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you’ll find your fit amongst our global community of optimists and problem-solvers. We’re always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs.   Join us and play your part in something special! This position will be responsible for the investigation and resolution of lower complexity and lower exposure claims. Under general supervision, this position will be able to manage a full claim workload with limited oversight and will be responsible for making sound decisions within delegated authority. Adheres to Fair Claims Practices regulations in states where applicable.. Minimal travel required. This position will be responsible for handling healthcare matters; Handle non-litigated...
Markel Red Bank, NJ, USA Full Time
09/22/2024  
Medical Case Manager Part-Time
Excellence In Everything We Touch Position Summary To provide effective case management services in an appropriate, cost effective manner. Provides medical case management service which is consistent with URAC standards and CMSA Standards of Practice and Broadspire Quality Assurance (QA) Guidelines to patients/employees who are receiving benefits under an Insurance Line including but not limited to Workers' Compensation, Group Health, Liability, Disability, and Care Management.   Based on federal, state, or local law, this position may require you to be fully vaccinated for COVID-19.  If required, the hiring manager will discuss with you during your interview process.  Responsibilities • Reviews case records and reports, collects and analyzes data, evaluates injured worker/disabled individual’s medical status, identifies needs and obstacles to medical case resolution and RTW by providing...
Crawford & Company Phoenix, AZ, USA
09/20/2024  
Senior Trial Attorney (BI/UM)
Why USAA? Why USAA? Let’s do something that really matters. At USAA, we have an important mission: facilitating the financial security of millions of U.S. military members and their families. Not all of our employees served in our nation’s military, but we all share in the mission to give back to those who did. We’re working as one to build a great experience and make a real impact for our members. We believe in our core values of honesty, integrity, loyalty and service. They’re what guides everything we do – from how we treat our members to how we treat each other. Come be a part of what makes us so special! The Opportunity We are seeking a dedicated Senior Trial Attorney (BI/UM) for our Irvine, CA staff counsel law office. As a dedicated Senior Trial Attorney, you will provide legal representation to USAA members, insured clients, and USAA entities in all phases of civil litigation and legal proceedings pertaining to covered losses. This position will offer a...
USAA Irvine, CA, USA Full Time
09/19/2024  
Document Processing Manager
The CERIS Operations Manager is responsible  for overseeing all aspects of the department including Personnel Hiring, Quality Assurance of Product, Workflow, Maintaining the tracking of and accountability of staff regarding production standards and department expectations. Works collaboratively with other department managers to achieve departmental requirements and goals.   ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:  Ensure  timely and accurate communication of information, in written and electronic forms, that are directed to internal company contacts, clients and providers Responsible for directing a designated group of employees in their day-to-day operations Responsible  for monitoring quality control of results per employee as well as the entire unit overall Responsible  for ensuring Metrics are in compliance daily Responsible  for tracking and reporting of department metrics to Director of Operations on a monthly basis...
CorVel Fort Worth, TX, USA Full Time
09/19/2024  
Operations Manager
The CERIS Operations Manager is responsible  for overseeing all aspects of the department including Personnel Hiring, Quality Assurance of Product, Workflow, Maintaining the tracking of and accountability of staff regarding production standards and department expectations. Works collaboratively with other department managers to achieve departmental requirements and goals.   ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:  Ensure  timely and accurate communication of information, in written and electronic forms, that are directed to internal company contacts, clients and providers Responsible for directing a designated group of employees in their day-to-day operations Responsible  for monitoring quality control of results per employee as well as the entire unit overall Responsible  for ensuring Metrics are in compliance daily Responsible  for tracking and reporting of department metrics to Director of Operations on a monthly basis...
CorVel Fort Worth, TX, USA Full Time
09/19/2024  
Senior Claims Specialist - Construction Bodily Injury; Open to Remote
What part will you play? If you’re looking for a place where you can make a meaningful difference, you’ve found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you’ll find your fit amongst our global community of optimists and problem-solvers. We’re always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs.   Join us and play your part in something special! This position will be responsible for the resolution of moderate to high complexity and moderate to high exposure claims which can be subject to disputes that must be resolved in mediation or litigation. The primary purpose of this job is to handle claims from coverage enquiry through legal liability assessment (where relevant) and quantum analysis, to timely and accurate resolution; ensuring mitigation of indemnity and expense exposure while communicating developments and outcomes as necessary...
Markel Red Bank, NJ, USA Full Time
09/19/2024  
Medical Case Manager - Seasonal
Excellence In Everything We Touch Position Summary To provide effective case management services in an appropriate, cost effective manner. Provides medical case management service which is consistent with URAC standards and CMSA Standards of Practice and Broadspire Quality Assurance (QA) Guidelines to patients/employees who are receiving benefits under an Insurance Line including but not limited to Workers' Compensation, Group Health, Liability, Disability, and Care Management.   Based on federal, state, or local law, this position may require you to be fully vaccinated for COVID-19.  If required, the hiring manager will discuss with you during your interview process.  Responsibilities • Reviews case records and reports, collects and analyzes data, evaluates injured worker/disabled individual’s medical status, identifies needs and obstacles to medical case resolution and RTW by providing...
Crawford & Company Naples, FL, USA