PIP Claims Assistant

New Jersey Manufacturers•Trenton, NJ

2d•Hybrid

About The Position

The PIP Claims Assistant supports the PIP Department by performing assigned claim functions and tasks. Reporting directly to the PIP Administrator/Supervisor, the assistant works and communicates with PIP Claims Representatives, PIP Supervisors, and other team members. The role also interacts as needed with NJM policyholders, injured parties or their legal representatives, medical providers, and other NJM departments. The schedule is Monday through Friday, with a start time selected between 8 a.m. and 9 a.m. subject to supervisory approval. After training is completed, the position offers a hybrid arrangement of three days in the office and two days remote. Regular and predictable onsite attendance is an essential function of the job. Reasonable accommodations may be made to enable individuals to perform the essential duties.

Requirements

Knowledge of 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.
Detail-oriented, with demonstrated accuracy and thoroughness.
Demonstrated reliability and adherence to the company’s attendance policy.
High school diploma or GED equivalent.

Nice To Haves

A college degree.
Three years of claims experience.

Responsibilities

Initiate contact with 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 provide 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 individuals 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 appropriate system functionality after program upgrades.
Participate in educational or training activities as required.
Perform other duties as requested.