Personal Injury Protection (PIP) Claim Adjuster

About Reserv

Reserv is an insurtech company creating and incubating AI and automation technology to simplify claims. Founded by experienced SaaS and digital claims professionals, Reserv is backed by Bain Capital and Altai Ventures and started operations in May 2022. Our mission is to automate manual tasks and set a new standard for TPAs, insurance technology providers, and adjusters.

We are seeking a Personal Injury Protection Resolution (PIP) Adjuster to join our growing team. The ideal candidate will bring strong analytical skills, excellent communication, and a passion for exceptional customer service.

Responsibilities

• Investigate and evaluate PIP/MP claims and coverage
• Manage your own inventory of claims
• Handle calls, file claims, and resolve requests
• Investigate PIP/MP claims to determine coverage, injury extent, and evaluate medical billing
• Gather documentation, interview parties, explain coverage, and resolve medical expenses
• Assess claim validity and determine appropriate settlement amounts or next steps
• Manage claim inventory and establish/adjust reserves throughout the claim lifecycle
• Ensure compliance with state regulations, policy provisions, and SOPs
• Communicate regularly with claimants, policyholders, attorneys, and medical providers
• Prepare thorough claim reports with investigation findings and decision rationale
• Provide input for continuous improvement of claims guidelines and processes
• Oversee outside service providers and work with client counsel to resolve claims
• Engage in learning opportunities to build your claims expertise

Requirements

• 3+ years of experience in Personal Injury Protection (don't let a lack of a degree stop you from applying if you have the experience!)
• Experience handling NJ (required) and at least one other state to include MI, FL, NY, TX and/or KY
• Preferred: Commercial, rideshare, or trucking policy experience
• You understand subrogation referrals
• Knowledge of Bodily Injury and coordination of benefits between PIP and UM/UIM
• Arbitration and/or formal PIP/MP litigation experience
• You must have an active adjuster license in your home state or designated home state (if your state does not offer one) and be willing to obtain all required licenses within 60 days
• Strong knowledge of state regulations and policy provisions
• Eager for continuous learning and professional development
• Willing to travel for client and claims needs

Qualifications

• Anti-status quo—you don't just wish things were different, you make them different
• A strong communicator
• You have a sense of humor (claims are hard enough as it is!)

Skills

• Excited about building a tech-driven claims organization
• Passionate about the customer experience
• You're empathetic and patient with everyone you interact with
• Driven by a sense of urgency (without working around the clock)
• Creative in finding the right resolution that serves the insured's best interest
• You're comfortable with conflict—see it as conversational, not adversarial
• Curious about the whole story so you can make the right decisions early

Benefits

• Generous health-insurance package with nationwide coverage, vision, & dental
• 401(k) retirement plan with employer matching
• Competitive PTO policy – we want our employees fresh, healthy, happy, and energized!
• Generous family leave policy after 8 months of continuous work
• Work from anywhere to facilitate your work life balance
• Apple laptop, large second monitor, and other quality-of-life equipment you may want. Technology is something that should make your life easier, not harder!
• Listen to your feedback to enhance and improve upon the long-standing challenges of an adjuster and the claims role
• Work toward reducing and eliminating all the administrative work from an adjuster role
• Foster a culture of empathy, transparency, and empowerment in a remote-first environment

Pay

Compensation is commensurate with experience.

Schedule

Flexible schedule to accommodate client and claims needs.

Contact

To apply, please visit our careers page.