Michigan PIP Claim Specialist

Job description

Location: Hybrid in Michigan, United States; primarily remote from a home office with occasional travel for meetings, inspections, collaborative activities, or team events. Monday-Friday, 8:30am-5:30pm ET.

Salary: $67,317.20-$104,811.20 annually, plus potential annual company bonus incentive.

Company

hirify.global provides membership, travel, insurance, and financial services to approximately 14 million members and customers across 14 states and two U.S. territories.

What you will do

• Manage complex Michigan PIP intermediate claims involving fractures, mild closed head injuries, surgical procedures, and attendant care.
• Review coverage, policyholder benefits, damages, applicable limits, exclusions, and recovery potential.
• Investigate claim facts, secure evidence, evaluate losses, approve payments, and establish resolution plans.
• Work with insureds, claimants, physicians’ offices, medical insurance carriers, attorneys, and internal recovery or special investigation units.
• Document and code claim files, create sub-claims when needed, and complete claim closure activities.
• Negotiate claim settlements and handle MCCA, attorney-represented, subrogation, and simple litigation matters.

Requirements

• Three years of experience or equivalent training in claim settlement negotiation, evidence evaluation, estimates, subrogation, coverage questions, statements, and claim resolution planning.
• Completion of the ACG Claim Representative Training Program or equivalent knowledge and experience.
• Advanced knowledge of Michigan insurance law, the Essential Insurance Act, Fair Trade Practices Act, subrogation, intercompany arbitration, negligence law, no-fault law, medical terminology, human anatomy, MCCA, and attorney-represented claims.
• Eligibility to obtain a required state adjuster’s license within 90 days of hire and maintain it where applicable.
• A valid driver’s license is required when duties include in-person inspections or frequent in-person meetings; travel outside the assigned territory, including overnight stays, may be required.
• Strong communication, customer service, analytical, decision-making, organization, and negotiation skills.

Nice to have

• Associate degree in business administration, insurance, or a related field.
• Insurance Institute of America General Insurance Program, Associate in Claims, Associate in Management, or equivalent coursework.
• CPCU coursework or designation.

Culture & Benefits

• Medical, prescription, dental, vision, HSA, FSA, and employee assistance program coverage.
• Company-paid life insurance, disability coverage, and optional supplemental insurance plans.
• 401(k) plan with company matching and additional contributions, subject to eligibility and vesting rules.
• Paid time off, company holidays, mental health and floating holidays, volunteer time, and paid leave programs.
• Tuition assistance, professional certification reimbursement, career development opportunities, complimentary AAA membership, and adoption assistance.

Be careful: if the employer asks you to log into their system using iCloud/Google, send codes/passwords, or run code/software, don't do it - these are scammers. Always click "Report" or contact support. More in guide →