PIP Appeal And Litigation Adjuster
NJM's General Claims Legal department is seeking a PIP Appeal and Litigation (PAL) Adjuster who will be responsible for conducting a complete and thorough investigation on assigned claims and manage those claims through their life cycle.
Job Responsibilities :
- Review, evaluate and process incoming Pre-Litigation Appeals in accordance with the PIP Internal Appeal Procedures.
- Review, manage and update litigated files to maximize litigation resources and ensure legal outcomes consistent with NJM litigation strategy.
- Evaluate and process all claims, settlements and awards consistent with the proper regulatory, statutory and NJM guidelines for the governing time periods.
- Communicate timely and effectively with defense counsel in preparing for trial / arbitration and attend legal proceedings as appropriate.
- Collaborate and communicate cross-departmentally regarding claims and appeals handling related to pending litigation.
Required Skills & Qualifications :
Minimum 3 years' experience working in a previous role dealing with PIP Regulations and StatutesArbitration experience is a plusMust have strong attention to detail and ability to read, analyze and assess dataStrong written and verbal communication skillsMust be open to change and be able to rapidly adapt to new information or unexpected obstacles.Must be able to demonstrate strong problem-solving skills and the ability to make sound decisionsAbility to multi-taskBachelor's Degree is a plus but not requiredProficient skills in Microsoft, Word, Excel and Outlook.Working knowledge of all or any of the following is a plus : Guidewire Claim Center, Mitchell Decision Point, OnBase Unity Client, Agile PointCompensation : This role may be filled at PAL Adjuster, or PAL Adjuster, Senior level based on skills, experience and credentials.
PAL Adjuster : $59,744 - $75,360
PAL Adjuster, Sr : $79,129 - $91,833
Compensation : Salary is commensurate with experience and credentials.
Pay Range : $59,745-$75,361
Eligible full-time employees receive a competitive Total Rewards package, including but not limited to a 401(k) with employer match up to 8% and additional service-based contributions, Health, Dental, and Vision insurance, Life and Disability coverage, generous PTO, Paid Sick Leave, and paid parental leave in addition to state-mandated leave. Employees may also be eligible for discretionary bonuses.
Legal Disclaimer : NJM is proud to be an equal opportunity employer. We are committed to attracting, retaining and promoting a diverse and inclusive workforce that is fully representative of the diversity that exists in the communities in which we do business.