Litigation Adjuster - PIP

Miami, Florida (US)
Competitive + Benefits
Feb 09, 2018
Apr 10, 2018
Claims, Operations
Job Type
Full Time

Windhaven Insurance has been one of the fastest growing auto insurers in the U.S. and we’ve had great success because we’re not your typical insurance carrier. We are disruptive innovators who thrive in an environment that feels more like a successful start-up than an insurance company. Technology and data are our weapons and we have fought to become an industry leader. 


Working for Windhaven’s Legal Department allows you to tackle unanswered legal quandaries and create new precedents. At Windhaven, we lead with legal and we are looking for a talented Litigation Adjuster to add to our team.



•Reviews and analyzes Personal Injury Protection (PIP) claim files:

oReviews medical bills to ensure timely billing, proper payments and proof of mailing documents.

oReviews demands, demand responses and all related correspondence.

oCreates and updates PIP logs.

•Identifies law suit reasoning and preliminary investigative documents:

oIdentifies cases that should be recommended for settlement.

oEvaluates and updates reserves.

oSettles law suits, processes payments, and closes cases.

oInterprets court dockets and communicates with opposing counsel as needed.

•Reviews underwriting documents including applications, declaration pages, and policies.

•Identifies potential subrogation opportunities.

•Assists in the preparation of mediations, arbitrations and depositions.

•Processes mailings and returns phone calls in a timely manner.

•Complies with standard operating procedures and litigation handling guidelines.


Desired Skills and Experience

•Minimum 3 years PIP claims adjusting experience in the auto insurance industry.

•Active Florida Claims Adjuster’s License.  

•Bachelor’s degree highly preferred.

•Thorough understanding of auto claims investigations and claims processing. 

•Knowledge of automobile damage, mechanics of bodily injury, medical terminology, settlement negotiations and insurance case law. 

•Prior experience interpreting policy language and state statutes.

•Experience in handling moderate to severe “attorney represented” injury claims.

•Ability to skillfully articulate legal options to various audiences.

•Ability to effectively collaborate with defense counsel.  

•Ability to multi-task and set priorities in a fast-paced and complex environment. 

•Capable of strong time management and organizational skills.

Windhaven is an Equal Opportunity Employer

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