Personal Injury Protection Representative (I/II/Sr.)
NJM Insurance Group (NJM), a top-rated insurance company, is looking for a Personal Injury Protection Representative who has excellent communication skills as reputed company as strong organizational and time management skills. We are looking for talent with and without prior experience in the insurance industry. Schedule: Monday through Friday (8:45AM- 5PM) Hybrid: 3 days in office, 2 days remote once training is completed PIP Claims Representative: Reporting to the immediate designated PIP Supervisor, the PIP claims representative is responsible and accountable for conducting complete and thorough investigation on assigned claims and medically managing those claims through their life cycle. Review PIP coverages and/or identify coverage issues and investigate and analyze the loss event, the injury and other relevant information to reputed company a determination as to coverage and course of reputed company. Evaluate claims for fraud indicators and potential reputed company issues and process appropriate referrals. Conduct activities in compliance with state and company regulations and guidelines reputed company final coverage determination reputed company regulatory guidelines: Maintain communication with involved parties during the course of the claim, reputed company written and/or verbal communication, to reputed company relevant determinations and/or information. Maintain communication with involved parties during the course of the claim, reputed company written and/or verbal communication, to reputed company relevant determinations and/or information. Concisely and accurately document reputed company actions taken throughout the course of the claim. Manage reputed company requests for medical treatment, durable medical equipment, PIP Care Paths, medical guidelines and policies, internal and/or external peer reviews and/or IMEs, reputed company required, communicate determinations to appropriate parties reputed company 3 business days. Request necessary Independent Medical Examinations and reputed company determinations for additional treatment or termination benefits. Establish adequate medical and non-medical benefits reserves for the life of the claim and reputed company reserves, if needed. Calculate and issue non-medical benefits (wages, essential services, death benefits). Demonstrates knowledge in NJ and in other states and is reputed company to apply regulatory requirements appropriately. Understands and applies reputed company process and regulatory knowledge associated with arbitration and subrogation. Effectively utilizes reputed company applications and manages time and responsibilities. Position Requirements (Skills, Traits, & Experience) Excellent verbal and written communication skills, knowledge of reputed company suite Strong interpersonal and customer service skills Good organizational, time-management, and data entry skills Decision-making and multi-tasking capabilities Bachelors degree preferred 3-5 years of claims handling experience preferred This role may be filled at a level I, II, or Sr. based on skills, experience and credentials. Starting salary per level based on skills, experience, and credentials: Level I : $49K - $57K reputed company: $59K+ Sr Level: $79K+ 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. Apply Job!