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Personal Injury Protection Claims Examiner Jobs (NOW HIRING)

Your Impact at GEICO   As a Personal Injury Claims Examiner, you'll provide reassurance ... the validity of personal injury insurance claims, and monitor case files over the course of ...

Your Impact at GEICO As a Personal Injury Claims Examiner, you'll provide reassurance and assistance that make a difference in our customers' lives. You will guide policyholders through the ...

Your Impact at GEICO   As a Personal Injury Claims Examiner, you'll provide reassurance ... the validity of personal injury insurance claims, and monitor case files over the course of ...

Your Impact at GEICO   As a Personal Injury Claims Examiner, you'll provide reassurance ... the validity of personal injury insurance claims, and monitor case files over the course of ...

Your Impact at GEICO   As a Personal Injury Claims Examiner, you'll provide reassurance ... the validity of personal injury insurance claims, and monitor case files over the course of ...

Personal Injury Claims Examiner

Marlton, NJ · On-site

$27.47 - $42.73/hr

Your Impact at GEICO   As a Personal Injury Claims Examiner, you'll provide reassurance ... the validity of personal injury insurance claims, and monitor case files over the course of ...

Your Impact at GEICO   As a Personal Injury Claims Examiner, you'll provide reassurance ... the validity of personal injury insurance claims, and monitor case files over the course of ...

Your Impact at GEICO   As a Personal Injury Claims Examiner, you'll provide reassurance ... the validity of personal injury insurance claims, and monitor case files over the course of ...

Your Impact at GEICO   As a Personal Injury Claims Examiner, you'll provide reassurance ... the validity of personal injury insurance claims, and monitor case files over the course of ...

Your Impact at GEICO   As a Personal Injury Claims Examiner, you'll provide reassurance ... the validity of personal injury insurance claims, and monitor case files over the course of ...

Your Impact at GEICO As a Personal Injury Claims Examiner, you'll provide reassurance and assistance that make a difference in our customers' lives. You will guide policyholders through the ...

Your Impact at GEICO   As a Personal Injury Claims Examiner, you'll provide reassurance ... the validity of personal injury insurance claims, and monitor case files over the course of ...

Your Impact at GEICO   As a Personal Injury Claims Examiner, you'll provide reassurance ... the validity of personal injury insurance claims, and monitor case files over the course of ...

Your Impact at GEICO   As a Personal Injury Claims Examiner, you'll provide reassurance ... the validity of personal injury insurance claims, and monitor case files over the course of ...

Your Impact at GEICO   As a Personal Injury Claims Examiner, you'll provide reassurance ... the validity of personal injury insurance claims, and monitor case files over the course of ...

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Personal Injury Protection Claims Examiner information

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How much do personal injury protection claims examiner jobs pay per hour?

As of Sep 10, 2026, the average hourly pay for personal injury protection claims examiner in the United States is $21.11, according to ZipRecruiter salary data. Most workers in this role earn between $18.27 and $23.56 per hour, depending on experience, location, and employer.

What does a personal injury protection claims examiner do?

A Personal Injury Protection (PIP) Claims Examiner is responsible for reviewing and processing insurance claims related to personal injuries, typically arising from auto accidents. They evaluate the validity of claims, review medical records and accident reports, and determine the extent of coverage based on state laws and policy terms. These professionals communicate with claimants, medical providers, and legal representatives to ensure all necessary documentation is provided and verify the legitimacy of the claims. Their goal is to ensure that claims are handled efficiently, fairly, and in accordance with regulatory guidelines.

What are the key skills and qualifications needed to thrive as a personal injury protection claims examiner?

To thrive as a Personal Injury Protection Claims Examiner, you need a thorough understanding of insurance policies, medical terminology, and claims processing, typically supported by experience in insurance or a related field. Proficiency with claims management software, medical billing systems, and familiarity with state regulations is commonly required, and some employers may seek industry certifications such as AIC or CPCU. Attention to detail, analytical thinking, and strong interpersonal communication help examiners accurately assess claims and interact with policyholders and medical providers. These skills ensure efficient, fair, and legally compliant claims processing, which protects both the company and the insured parties.

What is the difference between Personal Injury Protection Claims Examiner vs Auto Claims Adjuster?

AspectPersonal Injury Protection Claims ExaminerAuto Claims Adjuster
CredentialsInsurance licenses, claims certificationInsurance licenses, claims certification
Work EnvironmentInsurance company offices, remote optionsField work, insurance offices
Industry UsageAuto insurance, PIP claimsAuto insurance, vehicle damage claims
Primary FocusEvaluating PIP injury claims and coverageAssessing vehicle damage and liability

While both roles involve insurance claims, a Personal Injury Protection Claims Examiner specializes in evaluating PIP injury claims and coverage, often working within insurance companies. An Auto Claims Adjuster handles vehicle damage assessments and liability determinations, sometimes working in the field. Both require similar credentials and are integral to auto insurance processes, but their focus and work environments differ.

More about Personal Injury Protection Claims Examiner jobs

What cities are hiring for Personal Injury Protection Claims Examiner jobs?

Cities with the most Personal Injury Protection Claims Examiner job openings:

What states have the most Personal Injury Protection Claims Examiner jobs?

States with the most job openings for Personal Injury Protection Claims Examiner jobs include:

What are popular job titles related to Personal Injury Protection Claims Examiner jobs?

For Personal Injury Protection Claims Examiner jobs, the most frequently searched job titles are:

Infographic showing various Personal Injury Protection Claims Examiner job openings in the United States as of September 2026, with employment types broken down into 1% As Needed, 76% Full Time, 20% Part Time, and 3% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $43,917 per year, or $21.1 per hour.

Claims Supervisor, Personal Injury Protection

Buffalo, NY • On-site

$85K - $115K/yr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 3 days ago

New


Job description

Claims Supervisor, Personal Injury Protection

Job Category: Claims

Requisition Number: CLAIM001727

  • Posted : September 4, 2026
  • Full-Time
  • Hybrid
Locations

Showing 1 location

Description

Claims Supervisor, Presonal Injury Protection

Hybrid Work Schedule

Merchants Insurance Group, a Northeast leader in Property and Casualty Insurance, has an exciting and rewarding career opportunity for a Claims Supervisor, Personal Injury Protection (PIP) to join our collaborative and dynamic Claims team in our Corporate Headquarters located in Buffalo, NY.

The Claims Supervisor, PIP is responsible for leading and mentoring a team of talented claim professionals handling personal injury protection/No-Fault claims.

Merchants Insurance Group is rated A- (Excellent) with a stable outlook by A.M. Best and is consistently recognized as a top employer and high-performing organization. Recent honors include:

  • Best Places to Work in Western New York (Buffalo Business First, 2023–2026)
  • Fast Track Company (2019–2025) and Top Private Company (2019–2025)
  • Ward’s 50® top-performing property-casualty insurer (2021–2024)
  • Ivans Spark Award for Innovation (2024–2025)
  • Named to Newsweek and Statista’s America’s Most Reliable Companies list (2025), ranked among the top 300 of 1,500 B2B organizations evaluated

We offer a hybrid work schedule, requiring two full days per week in the office, with flexibility to work remotely or in office the remaining days. This model supports collaboration while providing flexibility and work-life balance.

Essential Duties and Responsibilities
  • Responsible for the daily management of the Personal Injury Protection/No-Fault Claims team to ensure claims are handled accurately, efficiently, and in accordance with applicable state statutes, regulations, company policies, and established claims best practices.
  • Responsible for developing colleagues, identifying operational and claim trends, managing escalated matters, and implementing strategies that improve quality, productivity, customer experience, and overall claim outcomes.
  • Provides technical guidance on complex claims involving coverage, eligibility, priority of payment, medical causation, medical necessity, wage loss, statutory benefits, and other PIP/No-Fault issues.
  • Review complex, high exposure, litigated, arbitrated, or escalated claims and provide appropriate direction.
  • Monitor pending inventories, claim aging, diaries, cycle times, closures, reserves, and workload distribution.
  • Implement measures to control indemnity costs and all associated allocated and unallocated loss adjustment expenses incurred by unit including adherence to company budget guidelines.
  • Responsible for auditing claim files, implementing processes and procedures, and providing input for performance management purposes.
  • Partner with internal and external counsel to establish appropriate strategies and achieve effective claim outcomes.
  • Oversee appropriate utilization of medical bill review, independent medical examinations, peer reviews, investigations, and other PIP-related services.
Qualifications & Skills
  • Qualified candidates will have a Bachelor’s degree or equivalent combination of education and relevant insurance claims experience preferred.
  • Minimum of 5 years of progressively responsible claims experience, with significant experience handling PIP/No-Fault or casualty claims preferred.
  • Prior supervisory, team lead, mentoring, or demonstrated leadership experience are strongly preferred.
  • Strong knowledge of applicable PIP/No-Fault statutes, regulations, claims practices, and regulatory requirements.
  • Appropriate state adjuster licenses must be obtained and maintained where required.
  • Strong leadership, coaching, and employee-development capabilities.
  • Advanced knowledge of PIP/No-Fault claim investigation, evaluation, medical management, coverage, and resolution.
  • Strong decision-making, problem-solving, and critical-thinking skills.
  • Ability to effectively manage competing priorities in a high-volume claim environment.
  • Strong written and verbal communication skills.
  • Demonstrated ability to manage difficult conversations and resolve escalated issues.
  • Strong organizational and time-management skills.
Merchants Insurance Group Pay information

Merchants Insurance Group offers a competitive pay scale. The estimated salary for this role ranges from $85,000 - $115,000 based on leveling and geography, along with an equity component and a comprehensive benefits package. This range is merely an estimate; actual compensation may deviate from this range based on skills, experience and qualifications.

Merchants Insurance Group Benefits
  • Welcoming and positive work environment
  • Hybrid work schedule. Hybrid work schedule. The Hybrid work schedule will require 2 full days per week in the office, with the option to work the remaining days per month at home or in the office.
  • Flexible work arrangements, including flex scheduling and summer hours
  • Competitive pay scale
  • Generous paid time off package
  • Full Benefits: Health, Dental, Vision, Life Insurance, Short Term Disability, 401(k) employer match amount is 100% up to 6% of your annual contributions. You are immediately 100% vested in the employer match dollars.
  • Outstanding company bonus program
  • Tuition Reimbursement

And many more exciting company benefits!

Merchants Insurance Group is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status. Merchants Insurance Group supports a safe workplace through pre-employment background screenings.

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