Senior PIP Adjuster, Texas Claims

🔥 0 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

💵 $36 - $43 / hour

⏰ Full Time

🟠 Senior

📋 Claims Specialist

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Aspire General Insurance

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2013

💸 Finance

🤝 B2B

☁️ SaaS

🔥 Funding within the last year

💰 Debt financing on 2025-09

Finance • B2B • SaaS

Aspire General Insurance is a U. S. -based auto insurance carrier that specializes in affordable, non-standard and standard personal auto policies. The company provides digital-first services — including producer and insured portals, quoting, endorsements, payments, and claims handling — and partners with insurance producers and agencies to distribute coverage. Aspire emphasizes speed, flexibility, and reliable customer support (including Spanish-language service) through a modern platform and streamlined workflows.

📋 Description

• Investigate, evaluate, and adjust PIP claims in accordance with Texas laws and company guidelines • Obtain information necessary to properly investigate and evaluate each case by corresponding with brokers, insureds, claimants, witnesses and others • Analyze medical records, billing, and documentation to determine coverage, liability, and damages • Ensure compliance with Texas Department of Insurance regulations and statutory deadlines • Handle complex and litigated PIP claims, including disputes and arbitration • Communicate effectively with claimants, attorneys, medical providers, and internal stakeholders • Review and negotiate medical bills and treatment plans for reasonableness and necessity • Identify potential fraud indicators and escalate as appropriate • Maintain accurate and timely claim file documentation • Provide guidance and mentorship to junior adjusters as needed • Manage claim inventory to meet productivity and quality standards

🎯 Requirements

• 5+ years of PIP claims handling experience, with strong focus on Texas claims • In-depth knowledge of Texas PIP statutes, fee schedules, and compliance requirements • Experience handling complex, litigated, or high-exposure claims • Active Texas Adjuster License (required) • Strong analytical, negotiation, and decision-making skills • Excellent written and verbal communication abilities • Ability to manage a high-volume caseload in a fast-paced environment • Proficiency with claims management systems and Microsoft Office

🏖️ Benefits

• Medical • Dental • Vision • HSA* • PTO • 401k • Company observed Holidays