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Pip Claims Representative Jobs (NOW HIRING)

Collabera

Reimbursement Processor

Moline, IL · On-site

$15.25 - $19.50/hr

Processes/approves complexwarranty and Product Improvement Programs (PIP) claims in more than one ... representatives, marketing units andfactories. May update web sites to insure accuracy of ...

TRISTAR RISK MANAGEMENT

... their legal representatives will be required. Recommendations regarding loss exposure and ... Injury Protection (PIP) claims including investigation and evaluation of Auto and/or General ...

Tristar Insurance

... their legal representatives will be required. Recommendations regarding loss exposure and ... Injury Protection (PIP) claims including investigation and evaluation of Auto and/or General ...

Tristar Insurance

... their legal representatives will be required. Recommendations regarding loss exposure and ... PIP, and/or General Liability Casualty Claims in the jurisdiction of NY. * Oversee and direct ...

TRISTAR RISK MANAGEMENT

... their legal representatives will be required. Recommendations regarding loss exposure and ... PIP, and/or General Liability Casualty Claims in the jurisdiction of NY. * Oversee and direct ...

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How much do pip claims representative jobs pay per hour?

As of Jun 11, 2026, the average hourly pay for pip claims representative in the United States is $24.56, according to ZipRecruiter salary data. Most workers in this role earn between $17.79 and $28.85 per hour, depending on experience, location, and employer.

What is the difference between Pip Claims Representative vs Insurance Claims Adjuster?

AspectPip Claims RepresentativeInsurance Claims Adjuster
Required CredentialsHigh school diploma or equivalent; some roles may require licensingHigh school diploma; licensing varies by state
Work EnvironmentOffice settings, claims processing centersOffice, field, or remote settings depending on the employer
Industry UsagePrimarily in personal injury and health insurance sectorsBroader insurance industry including auto, property, health
Common Search/ComparisonYesYes

The Pip Claims Representative and Insurance Claims Adjuster roles share similarities in credentials and work environments, often working within insurance companies to evaluate and process claims. However, Pip Claims Representatives specifically handle personal injury protection claims related to auto insurance, while Insurance Claims Adjusters manage a wider range of insurance claims across various sectors. Both roles require strong analytical skills and knowledge of insurance policies, but their focus areas differ.

What is a PIP Claims Representative?

A PIP Claims Representative is an insurance professional who handles Personal Injury Protection (PIP) claims. Their main responsibility is to review, investigate, and process claims made by policyholders or claimants for medical expenses and lost wages resulting from auto accidents, regardless of who was at fault. They work closely with customers, medical providers, and sometimes legal representatives to ensure claims are handled promptly and in accordance with state laws and policy terms. PIP Claims Representatives must have a strong understanding of insurance policies, medical terminology, and relevant regulations.

What are some common challenges faced by a PIP Claims Representative during the claims process?

As a PIP Claims Representative, one common challenge is balancing timely claim processing with thorough investigation to prevent fraud and ensure accurate settlements. Representatives frequently interact with policyholders, medical providers, and legal professionals, requiring strong communication and negotiation skills. Additionally, managing a high volume of cases while staying updated on evolving regulations and documentation requirements can be demanding. Developing effective time management and attention to detail is crucial for success in this role.

What are the key skills and qualifications needed to thrive as a PIP Claims Representative, and why are they important?

To thrive as a PIP Claims Representative, you need a strong understanding of insurance policies, claims processing procedures, and relevant state laws, often supported by a degree in business or a related field. Familiarity with claims management software, document management systems, and sometimes industry certifications like AIC (Associate in Claims) are typically required. Attention to detail, effective communication, and strong negotiation skills help set you apart in this role. These skills ensure accurate claims handling, timely resolution, and excellent customer service, which are crucial for both client satisfaction and compliance.
More about Pip Claims Representative jobs
What states have the most Pip Claims Representative jobs? States with the most job openings for Pip Claims Representative jobs include:
What job categories do people searching Pip Claims Representative jobs look for? The top searched job categories for Pip Claims Representative jobs are:
Pip Claims Representative jobs near you
Senior Personal Injury Protection Adjuster

Senior Personal Injury Protection Adjuster

First Chicago Insurance Company (FCIC)

Chicago, IL • Remote

$67K - $87K/yr

Full-time

Medical, Dental, Retirement, PTO

Posted 5 days ago

First Chicago Insurance rating

5.7

Company rating: 5.7 out of 10

Based on 7 frontline employees who took The Breakroom Quiz

246th of 260 rated insurance

Job description

As a Senior Personal Injury Protection ("PIP") Specialist, you will be responsible for evaluating and managing claims filed under the Personal Injury Protection ("PIP") coverage of commercial and personal insurance policies. You will investigate claims, assess injuries, negotiate settlements, and ensure compliance with relevant laws and regulations.

Key Responsibilities

  • Review and assess PIP claims to determine coverage, liability, and the extent of injuries.
  • Conduct thorough investigation into the circumstances surrounding each claim, including obtaining medical records, police reports, and statements.
  • Evaluate the nature and severity of injuries reported by first-party claimants through medical documentation, diagnostic tests, and expert opinions.
  • Determine the applicability of PIP coverage based on policy terms, state regulations, and the specifics of each claim.
  • Negotiate fair and equitable settlements with claimants, attorneys, and medical providers to resolve claims effectively.
  • Maintain detailed and accurate records of claim files, including correspondence, investigation findings, settlement offers, and payment transactions.
  • Communicate effectively with first-party claimants, legal representatives, medical providers, and other stakeholders to provide updates, address concerns, and facilitate the claims process.
  • Ensure compliance with all relevant laws, regulations, and company policies throughout the claims handling process.
  • Provide exceptional customer service to first-party claimants by addressing inquiries promptly and offering assistance throughout the claims process.
  • Manage pre-authorization requests and identification of cases requiring an IME.
  • Stay abreast of industry trends, legal developments, and medical advancements relevant to PIP claims to enhance expertise and effectiveness in the role.
  • Complete a detailed analysis of claims where a new suit has been received inclusive of coverage, liability, and damages
  • Manage and oversee litigation processes, working closely with legal counsel to develop strategies for case resolution

Qualifications

  • Bachelor's degree or equivalent work experience
  • Previous experience in auto claim adjusting, preferably with a focus on commercial PIP claims in NJ and PA.
  • Previous experience with AICRA in New Jersey and MVFRL in PA.
  • Strong knowledge of insurance principles, coverage types, and regulations governing PIP
  • Excellent analytical skills with the ability to assess complex situations and make informed decisions
  • Effective negotiation skills and the ability to resolve conflicts and disputes
  • Exceptional communication skills, both verbal and written, and the ability to convey information clearly and concisely
  • Detail-Oriented with strong organizational and time management skills
  • Proficiency in relevant software applications for claims management and documentation
  • Previous litigation experience is preferred but not required.
  • Prior Non-Standard Auto Claims experience a plus, not required.

First Chicago Insurance Company provides a competitive benefits package to all full- time employees. Following are some of the perks First Chicago employees receive:

  • Competitive Salaries
  • Commitment to your Training & Development
  • Medical and Dental
  • Telemedicine Benefit
  • 401k with a generous company match
  • Paid Time Off and Paid Holidays
  • Tuition Reimbursement Training Programs
  • Wellness Program
  • Fun company sponsored events
  • And so much more!

Job Posted by ApplicantPro