Personal Injury Claims Clerk

This is a fully remote position, open to applicants in Florida.

📋 Description

• Generate and dispatch claims-related correspondence or tasks while adhering to strict deadlines in accordance with state-specific compliance regulations.

• Keep all data-related fields current in the claims management system.

• Oversee and manage data fields in additional vendor systems.

• Comply with statutory regulations, HIPAA requirements, account protocols, as well as departmental policies and procedures.

• Address claim inquiries on behalf of the adjusters.

• Perform administrative duties to facilitate daily business operations.

• Maintain a well-organized filing system and database of documents within the claims management system.

• Collect all necessary documents to respond to subpoenas for records.

• Request claims checks in the system on behalf of the claims adjuster.

• Monitor and manage the SBQ (System Backlog Queue) to ensure timely processing of PIP claims and avoid delays.

• Review, route, and update documents and tasks within Perceptive, ensuring proper indexing and documentation of claim files.

• Create, assess, and distribute PEER Reports to assist with claim audits, compliance monitoring, and operational reporting.

• Process and address PEER Requests, ensuring that required documentation and information are submitted within specified timeframes.

• Manage the PIP Add-On Queue, accurately updating coverage, benefits, or related information for existing PIP claims.

• Organize and schedule Examinations Under Oath (EUO), including communication with claimants, attorneys, and internal stakeholders.

• Respond to PIP-related inquiries from internal teams, providers, and external parties, escalating issues when necessary.

• Ensure adherence to Florida PIP statutes and internal claims handling guidelines.

• Assist with other administrative tasks as needed.

⛳️ Requirements

• High School Diploma is required.

• Previous administrative experience is preferred.

• Strong attention to detail and precision in document handling and data entry.

• Exceptional communication skills, both written and verbal.

• Proficiency in office software and database systems.

• Ability to juggle multiple tasks and prioritize work efficiently in a fast-paced environment.

• Fluency in Spanish is preferred.

🏝️ Benefits

• 401(k) Retirement Savings Plan with employer matching.

• Comprehensive Medical, Prescription Drug, Vision, and Dental Insurance.

• Paid Time Off, Holidays, and Leave programs.

• Flexible spending accounts.

• Basic Life Insurance and Voluntary Life/ADD.

• Short Term and Long-Term Disability.