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PIP Attorney in Jacksonville, FL at Staffing Now

Date Posted: 5/30/2018

Job Snapshot

  • Employee Type:
    Full-Time
  • Job Type:
    Legal
  • Experience:
    Not Specified
  • Date Posted:
    5/30/2018
  • Job ID:
    341306

Job Description

Primary Purpose: Examines Florida First Party (PIP) claims data, investigates the facts of loss, determines coverage and liability, and adjusts claims within limit of authority. Claims involved frequently require analysis and may require research to resolve coverage and/or damage issues. There is periodic review of ongoing activities and results of work. There is more focused supervision on complex files.

Essential Duties and Responsibilities: Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.

  • Receive Florida First Party (PIP) claim assignments and verifies/investigates coverage and documents all appropriate information
  • Determine claim approval and or denial
  • Establish an investigative plan; initiate investigation by gathering facts and evidence with all interested parties; complete appropriate reports; take recorded statements when necessary; and review loss reserves and adjust or open hidden exposures as necessary
  • Evaluate and adjust claims within limit of authority
  • Evaluate settlement alternatives by reviewing regulatory compliance and fair claims practices; make decisions on best option
  • Make appropriate contacts to discuss a settlement; extend an offer to appropriate party; documents all file activity and payment/settlement information in file notes clearly outlining basis for settlement
  • Determine subrogation or fraud potential and refer to Unit when potential exists or handles to conclusion
  • May participate in investigations of medical providers and attend EUOs