PIP Appeal and Litigation Adjuster

NJM Insurance Group • Hammonton, NJ

3d • $59,744 - $91,833

About The Position

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.

Requirements

• Minimum 3 years’ experience working in a previous role dealing with PIP Regulations and Statutes
• Must have strong attention to detail and ability to read, analyze and assess data
• Strong written and verbal communication skills
• Must 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 decisions
• Ability to multi-task
• Proficient skills in Microsoft, Word, Excel and Outlook.

Nice To Haves

• Arbitration experience is a plus
• Bachelor’s Degree is a plus but not required
• Working knowledge of all or any of the following is a plus: Guidewire Claim Center, Mitchell Decision Point, OnBase Unity Client, Agile Point

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.

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 1,001-5,000 employees