Florida Auto PIP / Medical Payments Adjuster
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UNIVISTA HOLDINGS LLC
FL
Summary
Handle Personal Injury Protection (PIP) and Medical Payments claims in compliance with Florida statutes and company guidelines. Responsibilities include reviewing medical documentation, negotiating settlements with providers, and maintaining accurate claim files.
Job Description
Job Details: Job Location: Loyalty MGA LLC - Miami, FL, Salary Range: $45000.00 - $65000.00Salary/year, Florida Auto PIP / Medical Payments Adjuster
We are seeking a detail-oriented and experienced Florida Auto PIP / Medical Payments Adjuster to join our claims team. This position is responsible for handling Personal Injury Protection (PIP) and Medical Payments claims in accordance with Florida statutes, policy provisions, Medicaid and Medicare fee schedule and company guidelines. The ideal candidate will have strong knowledge of Florida PIP regulations, and the ability to manage claims efficiently while providing excellent service to insureds and medical providers.
Key Responsibilities:
Review medical bills, records, and documentation for accuracy and compliance
Apply Florida PIP statutes and fee schedules to determine appropriate payments
Communicate with insureds, claimants, attorneys, and medical providers
Good faith settlements/negotiations with provides offices
Document claim activity and maintain accurate claim files
Issue payments and explanations of benefits (EOBs) as appropriate
Identify potential fraud indicators and escalate when necessary
Maintain compliance with company procedures and regulatory requirements
Manage claim workload to meet productivity and quality standards
Qualifications: Qualifications:
Some Florida PIP or Medical Payments claims handling experience
Some knowledge of Florida PIP statutes and fee schedules
Experience reviewing medical bills and medical documentation
Excellent organizational and time management skills
Strong bilingual written and verbal communication skills
Ability to work independently and manage a high-volume caseload
Claims system experience preferred
Preferred:
Florida Adjuster License (620 or equivalent)
Experience with medical payments, excel and/or medical coding
Who we are...
• UniVista is a Managed IT services company and our product is Customer Satisfaction.
• We were founded in 1997.
• Our average customer retention period is eight years.
• We’re firmly rooted in the community – We support and routinely donate to non-profits in the area.
What we're great at...
• Managed IT Support Services: We dedicate staff and our array of services to monitor and maintain your network and all your Windows, Mac, or Linux systems. We're here 24/7 to take care of all your business needs.
• IT Planning and Budgeting: We will help you decide which technologies and services are right for your business goals and needs. We'll also plan and implement them for you when the time is right for your business needs them.
• Business Continuity / Disaster Recovery Planning and Implementation: We create and implement a business continuity plan that can help your organization meet any business or compliance need.
• Compliance and Security: We will evaluate your existing security policies, perform PIN tests and internal vulnerability assessments on your network, and help you eliminate the risk of ransomware and hacking by elevating your security all while meeting your business’ compliance needs.
• Cloud Services: We work with the best cloud service vendors in the market to implement the right service for your business needs.
UNIVISTA CURRENTLY INSTALLS AND SUPPORTS THE FOLLOWING TECHNOLOGIES...
• Windows and Mac OS X workstations and servers
• SonicWALL and Cisco Firewalls
• Dell and Cisco Managed Switches
• Ubiquity, Meraki, and Cisco Wireless Access Points
• Microsoft Exchange Server
• Dell EqualLogic SAN design and implementation.
• Microsoft Hyper-V Virtual server hosting environment
• VMWare Virtual server hosting environments
• Microsoft SQL Server - All Supported Versions
• 3rd Party Device Control for enforced portable device encryption and reporting.
The Nitty Gritty Details
• Hours: 7:30am to 5:30pm every business day with optional 24x7 phone support.
• Service plans are tailored to your needs and budget.
• Normal response times to trouble calls: 1 hr for all business stopping emergencies. All other responses are based on priority and contract level.
Founded
1997
Company size
11-50 employees
Industry
IT Services and IT Consulting
Org type
Privately Held
Headquarters
Austin, TX
Who we are...
• UniVista is a Managed IT services company and our product is Customer Satisfaction.
• We were founded in 1997.
• Our average customer retention period is eight years.
• We’re firmly rooted in the community – We support and routinely donate to non-profits in the area.
What we're great at...
• Managed IT Support Services: We dedicate staff and our array of services to monitor and maintain your network and all your Windows, Mac, or Linux systems. We're here 24/7 to take care of all your business needs.
• IT Planning and Budgeting: We will help you decide which technologies and services are right for your business goals and needs. We'll also plan and implement them for you when the time is right for your business needs them.
• Business Continuity / Disaster Recovery Planning and Implementation: We create and implement a business continuity plan that can help your organization meet any business or compliance need.
• Compliance and Security: We will evaluate your existing security policies, perform PIN tests and internal vulnerability assessments on your network, and help you eliminate the risk of ransomware and hacking by elevating your security all while meeting your business’ compliance needs.
• Cloud Services: We work with the best cloud service vendors in the market to implement the right service for your business needs.
UNIVISTA CURRENTLY INSTALLS AND SUPPORTS THE FOLLOWING TECHNOLOGIES...
• Windows and Mac OS X workstations and servers
• SonicWALL and Cisco Firewalls
• Dell and Cisco Managed Switches
• Ubiquity, Meraki, and Cisco Wireless Access Points
• Microsoft Exchange Server
• Dell EqualLogic SAN design and implementation.
• Microsoft Hyper-V Virtual server hosting environment
• VMWare Virtual server hosting environments
• Microsoft SQL Server - All Supported Versions
• 3rd Party Device Control for enforced portable device encryption and reporting.
The Nitty Gritty Details
• Hours: 7:30am to 5:30pm every business day with optional 24x7 phone support.
• Service plans are tailored to your needs and budget.
• Normal response times to trouble calls: 1 hr for all business stopping emergencies. All other responses are based on priority and contract level.
Founded
1997
Company size
11-50 employees
Industry
IT Services and IT Consulting
Org type
Privately Held
Headquarters
Austin, TX
