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Commercial No Fault PIP/ Med Pay Adjuster - Claims Specialist II

Plano, Texas, United States💼 Full-time🗓 2026-09-22 → 2026-10-07

Core

Manages an inventory of claims, conducts investigations to confirm coverage and eligibility, and negotiates settlements to resolve claims.

Role type

Claims Adjuster

Builds

Resolved insurance claims

Domain

Insurance

Deliverable

client delivery

Required skills

claims investigation, medical terminology, legal aspects of claims, reserve determination, negotiation

Technologies

none stated

Responsibilities

Establish action plans based on case facts and protocols; assess policy coverage and notify insureds of issues; determine and adjust reserve requirements; refer claims to subrogation or special investigation units; negotiate settlements within authority limits.

Seniority

Mid-level, hands-on IC