Claims Specialist
$52,122–$82,926 year
On-site · Richmond, Virginia, United States or Albany, New York, United States
Job Summary
Claims Specialist for 100% in-office PIP and Med Pay claims handling. Responsibilities include end-to-end investigation, coverage determination, review of medical treatment and bills, applying fee schedules and coding standards, evaluating claim complexity, negotiating settlements, and maintaining thorough documentation. Requires collaboration with claimants, attorneys, medical providers, and vendors; handles arbitrations as needed; ensures regulatory compliance and timely outcomes. Qualifications include 4 years of claims experience and active adjuster license; Bachelor’s degree preferred. Salary range $52,122–$82,926; on-site office-based role in Northeast/Mid-Atlantic footprint.
Required Qualifications
- 4 years of claims experience
- Active adjuster license and ability to maintain required continuing education
- Strong negotiation, analytical, and written communication skills
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