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:
Bachelors 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
Apply Now
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:
Bachelors 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
Apply Now