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Personal Injury Protection Claims Examiner Jobs (NOW HIRING)

Kelly Services

Claims Examiner

New Haven, CT · Hybrid

Job Title: Claims Examiner Job Duration: 3+months (Temp to hire) Shift: 1st (Monday-friday) Pay ... personal injury protection / medical injury, general liability, medical billing or as a claim ...

Kelly Services

Claims Examiner

New Haven, CT · Hybrid

Job Title: Claims Examiner Job Duration: 3+months (Temp to hire) Shift: 1st (Monday-friday) Pay ... personal injury protection / medical injury, general liability, medical billing or as a claim ...

Epitec

Claims Examiner

New Haven, CT · On-site

Claims Examiner Contract Duration: 3 months, possible extension Location: New Haven, CT Work ... personal injury protection / medical injury, general liability, medical billing or as a claim ...

New

GEICO

Personal Injury Claims Examiner

Lakeland, FL · On-site

$23.41 - $29.41/hr

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 ...

GEICO

Personal Injury Claims Examiner

Lakeland, FL · On-site

$23.41 - $29.41/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 ...

GEICO

Personal Injury Claims Examiner

Kathleen, FL · On-site

$23.41 - $29.41/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 ...

Geico

Personal Injury Claims Examiner

Lakeland, FL

$23.41 - $29.41/hr

Your Impact at GEICO As a Personal InjuryClaims Examiner,you'llprovide reassurance ... of personal injury insurance claims, and monitor case files over the course of treatment. What ...

Lowe's

Senior Claims Examiner

Mooresville, NC · On-site

What You Will Do Investigates, evaluates and resolves complex personal injury, product liability ... protected under federal, state, or local law. Starting rate of pay may vary based on factors ...

Chubb

Claim Examiner

Los Angeles, CA

$62K - $105K/yr

Chubb is currently seeking a Workers' Compensation Lost Time Senior Claim Examiner for our West ... personal injury protection / medical injury, or general liability claims. * Requires basic ...

Chubb

Senior Claim Examiner

Los Angeles, CA

$72K - $123K/yr

Chubb is currently seeking a Workers' Compensation Lost Time Senior Claim Examiner for our West ... personal injury protection / medical injury, or general liability claims. * Requires basic ...

Network Adjusters, Inc.

Claims Examiner

Denver, CO · On-site

$85K - $125K/yr

Network Adjusters is seeking experienced Claims Examiners to join our third-party administrative ... Handle complex commercial and bodily injury claims, including in-depth file reviews, damage ...

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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 Jul 15, 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 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.

What are the typical daily responsibilities of a Personal Injury Protection (PIP) Claims Examiner?

A Personal Injury Protection Claims Examiner is responsible for reviewing and processing insurance claims related to personal injuries, often resulting from automobile accidents. On a typical day, they evaluate claim forms, verify coverage, assess medical documentation, and communicate with policyholders, medical providers, and attorneys to gather supporting information. The role also involves determining the validity of claims, calculating payments, and ensuring compliance with state regulations and company policies. Effective time management, attention to detail, and strong communication skills are essential, as examiners often handle multiple cases simultaneously.

What are the key skills and qualifications needed to thrive as a Personal Injury Protection Claims Examiner, and why are they important?

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.
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 job categories do people searching Personal Injury Protection Claims Examiner jobs look for? The top searched job categories for Personal Injury Protection Claims Examiner jobs are:
Personal Injury Protection Claims Examiner jobs near you
Infographic showing various Personal Injury Protection Claims Examiner job openings in the United States as of July 2026, with employment types broken down into 91% Full Time, 7% Part Time, and 2% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $43,917 per year, or $21.1 per hour.
Claims Examiner

Claims Examiner

Kelly Services

New Haven, CT • Hybrid

Full-time

Medical, Dental, Vision, Life, Retirement

This job post has expired today. Applications are no longer accepted.

Job description

Finding a job that fits your lifestyle isn't always easy. That's where Kelly comes in. We're seeking a Claims Examiner to work at a premier client in New Haven CT USA 06511
.
Job Title: Claims Examiner
Job Duration: 3+months (Temp to hire)
Shift: 1st (Monday-friday)
Pay rate: 41.29/hr.
Job Schedule: HYBRID (3 days onsite, 2 days remote)
Job Description: 
3+ years of Workers’ Compensation Claim Examiner or Commensurate Experience (Having experience in worker’s compensation is not a requirement but a nice thing to have, as long as the skills they do have are transferable.)
Duties and Responsibilities:
 
  • Handles all aspects of workers’ compensation claims from set-up to case closure ensuring strong customer relations are maintained throughout the process.
  • Reviews claim and policy information to provide background for investigation.
  • Conducts 3-part ongoing investigations, obtaining facts and taking statements as necessary, with insured, claimant, and medical providers.
  • Evaluates the facts gathered through the investigation to determine compensability of the claim.
  • Informs insureds, claimants, and attorneys of claim denials when applicable.
  • Prepares reports on investigation, settlements, denials of claims and evaluations of involved parties, etc.
  • Timely administration of statutory medical and/or indemnity benefits throughout the life of the claim.
  • Sets reserves within authority limits for medical, indemnity and expenses and recommends reserve changes to Team
  • Leader throughout the life of the claim.
  • Reviews the claim status at regular intervals and makes recommendations to Team Leader to discuss problems and remedial actions to resolve them.
  • Prepares and submits to Team Leader unusual or possible undesirable exposures when encountered.
  • Works with attorneys to manage hearings and litigation
  • Controls and directs vendors, nurse case managers, telephonic cases managers and rehabilitation managers on medical management and return to work initiatives.
  • Complies with customer service requests including Special Claims Handling procedures, file status notes and claim reviews.
  • Files workers’ compensation forms and electronic data with states to ensure compliance with statutory regulations.
  • Refers appropriate claims to subrogation and secures necessary information to ensure that recovery opportunities are maximized.
  • Works with in-house Technical Assistants, Special Investigators, Nurse Consultants, Telephonic Case Managers as well as Team Supervisors to exceed customer's expectations for exceptional claims handling service.

Technical Skills & Competencies:
 
  • Claim Examiner position with prior experience in workers’ compensation as a claim examiner, or commensurate examiner experience in paralegal, short-term /long-term disability, auto personal injury protection / medical injury, general liability, medical billing or as a claim technical assistant for lost time claims.
  • Requires knowledge of workers’ compensation statutes, regulations, and compliance.
  • Ability to incorporate data analytics and modeling into daily activities to expedite fair and equitable resolution of claims and claim issues.
  • Exceptional customer service and focus.
  • Ability to openly collaborate with leadership and peers to accomplish goals.
  • Demonstrates a commitment to a career in claims.
  • Exceptional time management and multi-tasking capabilities with consistent follow through to meet deadlines.
  • Use analytical skills to find mutually beneficial solutions to claim and customer issues.
  • Ability to prepare and make exceptional presentations to internal and external customers.
  • Conscientious about the quality and professionalism of work product and relationships with co-workers and clients.
  • Willing to take ownership and tackle obstacles to meet Chubb's quality standards for service, investigation, reserving, inventory management, teamwork, and diversity appreciation.
  • Superior verbal and written communication skills.

Experience, Education & Requirements:
 
  • Experience working in a customer focused, fast-paced, fluid environment
  • Experience utilizing strong communication and telephonic skills
  • Prior experience requiring a high level of organization, follow-up, and accountability
  • Prior workers’ compensation claim handling experience is a plus but not required
  • Familiarity with claim handling (healthcare, short-term / long-term disability, auto personal injury protection / medical injury, medical billing, or general liability) is a plus but not required
  • Prior insurance, legal or corporate business experience is a plus but not required
  • AIC, RMA, or CPCU completed coursework or designation(s) is a plus but not required
  • Proficiency with Microsoft Office Products
  • Knowledge of medical terminology is a plus but not required
  • Knowledge of bill processing is a plus but not required
  • Claim Adjuster licenses in Connecticut, New Hampshire, Rhode Island and Vermont, are necessary; however, they are not required at the time of posting for the position. If you do not already have one, you will be required to obtain an applicable resident or designated home state adjusters license and possibly additional state licensure

What happens next:
Once you apply, you'll proceed to next steps if your skills and experience look like a good fit. But don't worry-even if this position doesn't work
out, you're still in our network. That means all of our recruiters will have access to your profile, expanding your opportunities even more.
Helping you discover what's next in your career is what we're all about, so let's get to work.
Apply to be a Claims Examiner today!
#P3
#CB
As part of our promise to talent, Kelly supports those who work with us through a variety of benefits, perks, and work-related resources. Kelly offers eligible employees voluntary benefit plans including medical, dental, vision, telemedicine, term life, whole life, accident insurance, critical illness, a legal plan, and short-term disability. As a Kelly employee, you will have access to a retirement savings plan, service bonus and holiday pay plans (earn up to eight paid holidays per benefit year), and a transit spending account. In addition, employees are entitled to earn paid sick leave under the applicable state or local plan. Click here for more information on benefits and perks that may be available to you as a member of the Kelly Talent Community.

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