Claims Associate, PIP (IA Channel)

In this fast-paced role, the PIP Associate adjusts first party personal injury claims according to New Jersey state compliance requirements and guidelines.

RESPONSIBILITIES

• 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.


• Functional knowledge of medical terminology and anatomy with a thorough understanding of Personal Injury Protection claim handling regulatory requirements is preferred but not necessary.


• 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.

QUALIFICATIONS

• 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.

SALARY RANGE

The pay range for this position is $50,000 to $65,000 annually. Actual compensation will vary based on multiple factors, including employee knowledge and experience, role scope, business needs, geographical location, and internal equity.

PERKS & BENEFITS

• 4 weeks accrued paid time off, 8 paid national holidays per year. and 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