Personal Injury (PI) Negotiations Specialist

We are seeking a detail-oriented, results-driven, and persuasive Personal Injury (PI) Negotiations Specialist to manage settlement negotiations with insurance companies, medical providers, and other relevant parties.

The successful candidate will be responsible for evaluating personal injury claims, reviewing settlement offers, negotiating medical liens and outstanding balances, and working toward favorable settlement outcomes for clients while ensuring compliance with company policies and applicable legal requirements.

The ideal candidate has excellent communication and negotiation skills, a strong understanding of personal injury claims, and the ability to manage multiple cases while meeting established performance targets.

Key Responsibilities

1. Settlement Negotiations

Negotiate personal injury settlements with insurance adjusters and claims representatives.

Review initial settlement offers and develop effective counteroffer strategies.

Advocate for favorable settlement amounts based on case facts, damages, medical expenses, and supporting documentation.

Maintain professional and productive relationships with insurance representatives.

Follow up on pending negotiations to ensure timely resolution.

2. Medical Liens and Bill Reductions

Negotiate reductions of medical bills, provider balances, and medical liens.

Communicate with hospitals, clinics, medical providers, and lienholders regarding outstanding balances.

Identify opportunities to maximize the client's net settlement proceeds.

Secure and document written confirmation of agreed reductions.

3. Case Evaluation and Documentation

Review settlement demands, medical records, billing statements, and supporting documents.

Assess case value based on available documentation and applicable negotiation guidelines.

Track settlement offers, counteroffers, negotiation progress, and final agreements.

Ensure all negotiation activities are accurately documented in the case management system.

4. Communication and Coordination

Coordinate with case managers, attorneys, paralegals, and other internal departments.

Provide regular updates regarding negotiation status and settlement progress.

Escalate complex cases, disputed balances, and challenging negotiations to management or supervising attorneys.

Maintain professional communication with clients and external stakeholders within the scope of the role.

5. Performance and Compliance

Meet established productivity, settlement, and quality assurance targets.

Manage an assigned caseload and prioritize cases based on urgency and settlement readiness.

Ensure compliance with applicable laws, ethical standards, client confidentiality requirements, and company procedures.

Identify opportunities to improve negotiation processes and operational efficiency.

Qualifications and Requirements

At least 1–2 years of experience in personal injury claims, insurance negotiations, medical billing, lien resolution, or legal support.

Experience negotiating with insurance adjusters and medical providers is highly preferred.

Working knowledge of personal injury claims and the settlement process.

Strong verbal and written English communication skills.

Excellent negotiation, persuasion, and problem-solving abilities.

Strong analytical skills and attention to detail.

Ability to manage multiple cases and meet deadlines.

Proficiency in Microsoft Office, Google Workspace, and case management systems.

Ability to work independently and collaboratively in a fast-paced environment.

Skills

At least 1–2 years of experience in personal injury claims, insurance negotiations, medical billing, lien resolution, or legal support, with working knowledge of personal injury claims and the settlement process.