PIP Claims Assistant
About The Position
The PIP Claims Assistant supports the PIP Department by performing assigned claim functions and tasks. The role works and communicates with PIP Claims Representatives, PIP Supervisors, and other team members, and interacts as needed with NJM policyholders, injured parties or their legal representatives, medical providers, and other NJM departments. The position reports directly to the PIP Administrator/Supervisor. Regular and predictable onsite attendance is an essential function. After training is completed, the role offers a hybrid schedule of three days in the office and two days remote. The Monday–Friday start time is selected between 8:00 a.m. and 9:00 a.m., subject to supervisory approval.
Requirements
- Knowledge of Microsoft Word and Excel.
- Strong PC skills, including accurate data entry and typing ability.
- Effective communication skills.
- Customer service experience.
- Ability to work independently and in a team environment.
- Ability to multitask, prioritize work activities, and use time efficiently.
- Attention to detail, accuracy, and thoroughness.
- Reliability and compliance with the company’s attendance policy.
- High school diploma or GED equivalent.
Nice To Haves
- A college degree or three years of claims experience.
Responsibilities
- Contact insureds, claimants, or their representatives to obtain pertinent information and explain the policy, coverage, and claims process.
- Document and process No-Fault benefit claims in accordance with statutory and NJM guidelines; independently evaluate and determine claim coverage and make recommendations to a supervisor.
- Provide claim information to insureds and medical providers and respond to inquiries.
- Issue expense payments within the authority limit profile; retrieve and distribute PIP payment ledgers; manage incoming calls and direct calls to appropriate people or departments when unable to answer.
- Respond to incoming correspondence and prepare claim files or other communications for distribution to external customers.
- Manage various queues within ClaimCenter.
- Participate in special projects or initiatives.
- Participate in User Acceptance Testing to ensure system functionality after program upgrades.
- Participate in educational or training activities as required.
- Perform other duties as requested.
Benefits
- 401(k) with employer match up to 8% and additional service-based contributions.
- Health insurance.
- Dental insurance.
- Vision insurance.
- Life insurance.
- Disability coverage.
- Generous paid time off.
- Paid sick leave.
- Paid parental leave in addition to state-mandated leave.
- Employees may be eligible for discretionary bonuses.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
