Founded in 1989, United Automobile Insurance Company is an innovative and established organization looking for [a] Clerk - Coverage and Qualification to join our team. Family-owned, UAIC, is one of the largest privately held property and casualty insurance companies in the United States. The key to our growth and success is a commitment to providing quality service to our agents and customers, by providing disciplined underwriting, and strategic claims handling. Our ongoing efforts to invest substantial resources in personnel and technology are the foundation of our promise of assuring maximum efficiency and specialized operations in the industry. We are proud that our independent agents and customers have recognized our dedication by making UAIC the market leader in every state where we conduct business.
Outstanding opportunity to join our PIP team in an administrative role. Prior experience in Claims Center, Decision Point and Advanced skills in MS Excel and MS Suite is highly desirable. Fluency in Spanish preferred.
#remote
SCOPE:
As a Claims Clerk for the PIP team, you will be supporting Claims Adjusters with clerical functions. This position offers a remote work arrangement, allowing the ideal candidate to work from their preferred location within the Southeast region.
DUTIES:
- Create and send claims-related letters or tasks abiding by strict timelines according to state-specific compliance requirements. Maintain all data-related fields up to date in the claims system.
- Maintain and manage data fields on additional vendors’ systems.
- Adhere to statutory regulations, HIPAA compliance, account protocols, and department policy and procedures.
- Respond to claim inquiries on behalf of the adjusters. Perform administrative tasks to support daily business operations.
- Maintain an organized filing system and database of documents within the claims system.
- Gather all necessary documents to respond to Subpoenas for records.
- Request claims checks in the system on behalf of the claims adjuster.
- Monitor and work the SBQ (System Backlog Queue) to support timely progression of PIP claims and prevent processing delays.
- Review, route, and update documents and tasks within Perceptive, maintaining proper indexing and claim file documentation.
- Generate, review, and distribute PEER Reportsto support claim audits, compliance tracking, and operational reporting.
- Process and respond to PEER Requests, ensuring required documentation and information are provided within established timeframes.
- Handle the PIP Add-On Queue, accurately adding coverage, benefits, or related updates to existing PIP claims.
- Coordinate 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 as appropriate.
- Maintain compliance with Florida PIP statutes and internal claims handling guidelines.
- Assist with any other administrative duties as required.
EDUCATION:
- High School Diploma required.
SKILLS & EXPERIENCE:
- Prior administrative experience preferred.
- Strong attention to detail and accuracy in document handling and data entry.
- Excellent communication skills, both written and verbal.
- Proficiency in using office software and database systems.
- Ability to multitask and prioritize work effectively in a fast-paced environment.
BENEFITS:
- 401(k) Retirement Savings Plan with employer match.
- 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
UAIC is an Equal Opportunity Employer and is committed to the principle of equal employment opportunity for all employees. All employment decisions at UAIC are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion, or belief, family or parental status, or any other status protected by the laws or regulations in the locations where we operate.
Originally posted on