Abrar Admin

CompOne Administrators

<div>The Personal Injury Protection (PIP) Claims Adjuster is responsible for investigating, evaluating, negotiating, and settling Michigan no-fault PIP claims in compliance with state regulations and company standards. The ideal candidate will have a strong understanding of Michigan&rsquo;s no-fault insurance laws, medical terminology, and claims-handling procedures.
Key Responsibilities:<ul><li>
Handle a caseload of Michigan PIP claims from start to resolution. Investigate claims by reviewing medical records, police reports, witness statements, and other documentation.</li><li>
Determine coverage, liability, and eligibility for medical and wage loss beneﬁts under Michigan no-fault laws.</li><li>
Communicate with claimants, attorneys, medical providers, and internal departments in a timely and professional manner.</li><li>
Analyze medical bills, wage statements, and other documentation to determine appropriate beneﬁts.</li><li>
Negotiate settlements when appropriate and manage litigation when claims are disputed.</li><li>
Maintain accurate and detailed claim ﬁles in accordance with company and regulatory guidelines.</li><li>
Ensure timely payment of beneﬁts and compliance with statutory deadlines (e.g., 30-day payment rule).</li><li>
Stay up to date on changes to Michigan no-fault laws, medical fee schedules, and industry best practices.</li></ul>
Qualiﬁcations:
Required:<ul><li>
Minimum 2&ndash;3 years of experience handling Michigan PIP claims.</li><li>
In-depth knowledge of Michigan no-fault insurance laws (MCL 500.3101 et seq.).</li><li>
Strong understanding of medical terminology and billing practice.</li><li>
Excellent communication, analytical, negotiation, and decision-making skills.</li><li>
Proﬁcient in Microsoft Office and claims management systems.</li></ul>
Preferred:<ul><li>
Associate&rsquo;s or Bachelor&rsquo;s degree.</li><li>
Michigan adjuster license (if applicable) or ability to obtain one.</li><li>
Experience with litigation or subrogation related to PIP claims.</li></ul></div>

Personal Injury Protection (PIP) Claims Adjus

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CompOne Administrators

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Personal Injury Protection (PIP) Claims Adjus