Claims Associate, PIP
About The Position
In this fast-paced role, the PIP Associate adjusts first party personal injury claims according to New Jersey state compliance requirements and guidelines. This position will handle New Jersey Personal Injury Protection and Extended Medical Expense Benefit claims. The PIP Claim Associate will receive between 3 to 5 first reports a day with a priority on service, patient contact, and claim disposition. Daily duties include first reports, Image Right tasks, medical bill review, treatment monitoring, reserve assessment and Nursing interaction. Maintains an effective follow-up system on pending files, prioritize and handle multiple tasks simultaneously, adjust to fluctuating workload, advises injured parties as to the status of the claim. Investigates and interprets policy provisions and conditions to make a coverage determination. The PIP Claim Associate must have the ability to multitask in time sensitive situations. Ensures that service, loss and expense control are adhered. Adheres to privacy guidelines, law and regulations pertaining to claims handling. Candidates must have strong customer service, organization, verbal and written skills and have the ability to work in a small team environment.
Requirements
- A Bachelor’s Degree (B.A.) from a four-year college or university.
- Basic personal computer skills including working knowledge of Microsoft Office Suite products.
- Strong customer service, organization, verbal and written skills.
- Ability to work in a small team environment.
Nice To Haves
- Functional knowledge of medical terminology and anatomy with a thorough understanding of Personal Injury Protection claim handling regulatory requirements.
Responsibilities
- Handle New Jersey Personal Injury Protection and Extended Medical Expense Benefit claims.
- Receive between 3 to 5 first reports a day with a priority on service, patient contact, and claim disposition.
- Perform daily duties including first reports, Image Right tasks, medical bill review, treatment monitoring, reserve assessment and Nursing interaction.
- Maintain an effective follow-up system on pending files, prioritize and handle multiple tasks simultaneously, adjust to fluctuating workload, and advise injured parties as to the status of the claim.
- Investigate and interpret policy provisions and conditions to make a coverage determination.
- Multitask in time sensitive situations.
- Ensure that service, loss and expense control are adhered.
- Adhere to privacy guidelines, law and regulations pertaining to claims handling.
Benefits
- 4 weeks accrued paid time off
- 8 paid national holidays per year
- 2 floating holidays
- Low cost and excellent coverage health insurance options that start on Day 1 (medical, dental, vision)
- Annual 401(k) Employer Contribution
- Free onsite gym and health center at our Woodbridge location
- Resources to promote Professional Development (LinkedIn Learning and licensure assistance)
- Robust health and wellness program and fitness reimbursements
- Various Paid Family leave options including Paid Parental Leave
- Tuition Reimbursement
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
