PIP / Med Pay Adjuster

As a PIP / Med Pay Adjuster at Kemper, your primary responsibilities include investigating and administering first party PIP and Medical Payment claims. You'll analyze medical bills, lost wages, and other expense claims while ensuring they are settled promptly and fairly. Effective communication and collaboration with clients and the Special Investigations Unit (SIU) to identify potential fraud are also key aspects of the role.

To qualify for the PIP / Med Pay Adjuster position at Kemper, you need either an undergraduate degree or equivalent work experience. While not mandatory, having 6 months to 3 years of experience as a Claims Adjuster can be beneficial. Completing the Adjuster Trainee period and obtaining an applicable state license will further strengthen your application.

The ideal candidate for the PIP / Med Pay Adjuster role at Kemper should demonstrate strong oral and written communication skills, along with proficiency in software applications like Microsoft Word and Excel. Familiarity with Medical Bill Repricing Systems and presentation software is a plus, enabling you to analyze data and present findings effectively.

When starting as a PIP / Med Pay Adjuster at Kemper, new hires typically undergo a comprehensive training process that includes on-the-job training and mentorship as part of the Adjuster Trainee period. This ensures that you develop the necessary skills and knowledge to efficiently handle claims and work collaboratively with other team members.

The PIP / Med Pay Adjuster position at Kemper is an in-office role based in Lake Mary, Florida. This environment allows for direct collaboration with teammates and management, fostering a dynamic and supportive work culture.

When answering this question, highlight your previous experiences with PIP and Medical Payment claims, detailing the types of claims you handled, your approach to resolving disputes, and how you ensured timely settlements. Be sure to include any specific achievements or challenges you overcame.

Illustrate your time management skills by discussing techniques you use for prioritization, such as evaluating the urgency of each claim or utilizing a checklist system. Providing a real example of how you successfully managed competing priorities can enhance your response.

In your response, emphasize your methodical approach to investigations, including gathering relevant documentation, interviewing involved parties, and consulting with experts if needed. Demonstrating that you understand the importance of a comprehensive approach will resonate with interviewers.

Discuss the importance of empathy and active listening during challenging conversations. Provide an example of how you maintained professionalism and successfully communicated complex information to a frustrated client while still achieving a positive outcome.

Showcase your analytical skills by discussing the specific indicators you look for in claims that may suggest fraud. Mention any past experiences where you identified suspicious activity and how you collaborated with the SIU or other departments to address these concerns.

Highlight your understanding of the relevant state regulations affecting PIP and Medical Payment claims. You might also reference strategies you use to stay current with changes in laws or industry standards, such as attending meetings or using online resources.

Mention specific software programs you are experienced with, particularly those relevant to claims processing and analysis. Discuss how you effectively utilized these tools and any instances where technology helped streamline your work.

Share an example of working collaboratively within a team, emphasizing your role and how you contributed to achieving common goals. Highlighting your ability to communicate effectively and support teammates can make a strong impression.

Discuss your techniques for managing stress, such as remaining organized, practicing deep breathing, or seeking help when needed. Illustrate your response with an anecdote that showcases your ability to work effectively under pressure and still achieve quality results.

Reflect on your passion for helping people and ensuring that claims are handled fairly and efficiently. Sharing a personal story illustrating your motivation can create a more genuine connection with your interviewers.