Senior PIP Adjuster (Insurance)

TL;DR

Senior PIP Adjuster (Insurance): Handling complex Personal Injury Protection claims in Texas with an accent on regulatory compliance, medical record analysis, and fraud detection. Focus on managing high-exposure claims, negotiating medical bills, and assisting in the establishment of the PIP department.

Location: Remote (US). Candidate must be based in one of the following states: AL, AZ, CA, FL, GA, IN, KS, LA, MA, MI, MN, MO, MS, NV, NJ, NC, OK, OH, PA, TN, TX, WA, WI.

Salary: $36.06 - $43.27 hourly

Company

hirify.global is a specialty auto insurance provider dedicated to delivering affordable coverage and outstanding service.

What you will do

• Investigate, evaluate, and adjust complex PIP claims in accordance with Texas laws and company guidelines.
• Analyze medical records, billing, and documentation to determine coverage, liability, and damages.
• Ensure strict compliance with Texas Department of Insurance regulations and statutory deadlines.
• Handle litigated PIP claims, including disputes and arbitration.
• Review and negotiate medical bills and treatment plans for reasonableness and necessity.
• Identify potential fraud indicators and provide mentorship to junior adjusters.

Requirements

• Active Texas Adjuster License is required.
• 5+ years of PIP claims handling experience with a strong focus on Texas claims.
• In-depth knowledge of Texas PIP statutes, fee schedules, and compliance requirements.
• Experience handling complex, litigated, or high-exposure claims.
• Proficiency with claims management systems and Microsoft Office.
• Must be based in one of the approved US states.

Nice to have

• Extensive prior end-to-end PIP claims handling experience.
• Experience with SIU referrals and fraud investigation.
• Medical Payments (MP) experience in other states.

Culture & Benefits

• Comprehensive health coverage including Medical, Dental, and Vision.
• Health Savings Account (HSA) options.
• Paid Time Off (PTO) and company-observed holidays.
• 401k retirement plan.
• Flexible remote work environment during standard business hours.