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Personal Injury Protection Claims Examiner Jobs (NOW HIRING)

Geico

Personal Injury Claims Examiner

Melville, NY

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

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 ...

Reserv, Inc.

Personal Injury Protection (PIP) Claim Adjuster

$50K - $66K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is venture ... About the Role We're looking for a Personal Injury Protection Resolution (PIP) Adjuster to join our ...

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

As of Aug 14, 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 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.
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Personal Injury Protection Claims Examiner jobs near you
Infographic showing various Personal Injury Protection Claims Examiner job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 72% Full Time, 21% Part Time, 1% Temporary, 4% Contract, and 1% Nights. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $43,917 per year, or $21.1 per hour.

Senior Personal Injury Protection Claims Analyst

Amerisure Mutual Insurance Company

Farmington Hills, MI • On-site

Full-time

Medical, Retirement, PTO

Posted 4 days ago

Job description

Amerisure creates exceptional value for its partners, policyholders, and employees. As a property and casualty insurance company, Amerisure's promise to our partner agencies and policyholders begins with a comprehensive line of insurance products designed to protect businesses, as well as the health and safety of every employee. With an A.M. Best "A" (Excellent) rating, Amerisure serves mid-sized commercial enterprises focused in construction, manufacturing and healthcare. Ranked as one of the top 100 Property & Casualty companies in the United States, we proudly manage nearly $1 Billion of Direct Written Premium and maintain $1.21 billion in surplus.
Amerisure is currently recruiting for a Senior PIP Claims Analyst that can do a 2-day hybrid approach onsite in one of our offices. The ideal candidate will also possess the following skill set.
Summary Statement
Provides quality investigation and analysis to adjust MI PIP Life Expectancy claims involving the Michigan Catastrophic Claims Association (MCCA). Includes all aspects of reporting to the MCCA (Initial, status and requests for reimbursement). File handling also includes litigated matters where settlement authority/approval from the MCCA is required.
Essential Tasks/Major Duties
  • Investigate losses, verify coverage, evaluate liability, damages and determine compensability independently.
  • Engage other parties in negotiations and settle claims pursuant to claims handling guidelines.
  • Timely initial reports to the MCCA when claim meets reporting criteria as well as timely and accurate completion of the MCCA status reports.
  • Timely and accurate completion of Reimbursement Requests to MCCA.
  • Collaborate closely with accounting to ensure balances align.
  • Leverage expertise to review and analyze documents and legal pleadings.
  • Establish and maintain proper reserves for each claim to accurately reflect the financial exposure.
  • Partner with counsel to manage litigated claims.

Knowledge, Skills & Abilities
  • Bachelor's degree or equivalent combination of education and experience.
  • 5 years Michigan PIP claims with MCCA involvement and experience with reporting and reimbursement requests.
  • AIC or SCLA certification preferred, but not required.
  • Ability to obtain appropriate state licensing as required.
  • Proficient computer skills required including Microsoft Office Suite, Excel.
  • Demonstrated successful ability to build positive relationships and partnerships within department, across the organization and with external customers.
  • Ability to think strategically with supporting analytical skills.
  • Excellent verbal and written communication skills with the ability to interact with internal and external customers.
  • Proven negotiation skills.

Just as we are committed to creating exceptional value for our Partners For Success® agencies and policyholders, Amerisure also remains committed to being an employer of choice. We reinforce this commitment by adhering to an Employee Value Proposition that, in part, is provided through a competitive total rewards package. This package includes competitive base pay, performance-based incentive pay, comprehensive health and welfare benefits, a 401(k) savings plan with profit sharing, and generous paid time off programs. We also offer flexible work arrangements to promote work-life balance. Recognized as one of the Best and Brightest® Companies to Work For in the Nation and one of Business Insurance magazine's Best Places to Work in Insurance, we provide a workplace that fosters excellence and professional growth. If you are looking for a collaborative and rewarding career, Amerisure is looking for you.
Amerisure Mutual Insurance Company is an Equal Employment Opportunity employer. Amerisure provides equal employment opportunities to all employees and applicants without regard to race, color, religion, sex (to include sexual orientation and gender identity), national origin, age, disability, genetic information, veteran status, or any other protected characteristic under applicable federal, state, or local laws. Amerisure complies with all applicable laws governing nondiscrimination in employment in all locations where the company operates. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. Amerisure prohibits harassment or discrimination of any kind and is committed to maintaining a workplace free from unlawful harassment or discrimination. Amerisure prohibits retaliation against anyone who reports discrimination, participates in an investigation, or opposes unlawful practices. Any improper interference with an employee's ability to perform their job duties may result in disciplinary action, up to and including termination.

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