PIP/Medical Payment Adjuster

Good2Go Job Description:

We are seeking a self-starter who is a seasoned adjuster. You must have strong customer service, organizational, verbal and written skills as well as the ability to work in a remote team environment. The position will require handling Personal Injury Protection claims primarily in New Jersey with a background and knowledge in New York claim handling rules and regulations. A background in New Jersey and New York PIP arbitration/litigation is a plus.

Duties and Responsibilities:

· Is familiar and ensures adherence to the New Jersey guidelines and regulations along with policy provisions

· Receives new claims on a daily basis which includes maintaining an effective diary system and is able to prioritize and handle multiple tasks including incoming calls, review of mail and payment of medical bills on a timely basis

· Ability to identify coverage issues and complete timely investigations to facilitate prompt and proper coverage determinations. This includes working with our Special Investigation Unit and defense counsel when coverage issues arise.

· Evaluate potential serious injury claims and elevate to management once identified
• Familiar with the New Jersey fee schedule for payment of claims along with the decision point review and pre-certification process
• Ensures all files are consistent and are in adherence to company and state policies and procedures

Education:
• Bachelor’s degree required or equivalent work experience may be considered

License/Certification:
• Valid state adjuster license(s) where required

Experience:
• Minimum 3 years automobile PIP/Medical Payments claims specifically in New Jersey, Pennsylvania, and New York.
• Multi-Jurisdictional claims experience preferred
• Excellent skills and experience interpreting policy language and state statutes
• Proven track record of making sound coverage decisions

Other skills and abilities:
• Proficient in utilizing MS Office and other computer software
• Excellent verbal and written communications skills
• Ability to manage time while prioritizing multiple tasks
• Ability to remain calm when dealing with difficult customers
• Ability to gather and analyze information

Job Type: Full-time

Pay: From $55,000.00 per year

Benefits:
• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:
• 8 hour shift
• Monday to Friday

Application Question(s):
• What is your desired salary?
• Do you have a valid State Adjuster License?

Experience:
• PIP/Medical Payment Claims: 3 years (Preferred)

Work Location: Remote

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