PIP Appeal and Litigation Adjuster jobs in United States
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NJM Insurance Group · 2 days ago

PIP Appeal and Litigation Adjuster

NJM Insurance Group is seeking a PIP Appeal and Litigation Adjuster in their General Claims Legal department. The role involves conducting thorough investigations on assigned claims and managing them throughout their life cycle, ensuring compliance with PIP regulations and effective communication with defense counsel.

InsuranceManufacturingTransportation

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

Qualification

PIP RegulationsArbitration experienceMicrosoft OfficeMulti-taskingGuidewire Claim CenterMitchell Decision PointOnBase Unity ClientAgile PointAttention to detailWritten communicationVerbal communicationProblem-solving

Required

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

Preferred

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

Benefits

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
Paid parental leave in addition to state-mandated leave
Discretionary bonuses

Company

NJM Insurance Group

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NJM (New Jersey Manufacturers) is an auto, homeowners, renters, commercial auto, umbrella and workers' compensation insurance providers.

Funding

Current Stage
Late Stage

Leadership Team

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Chris Malone
SVP, CFO & Treasurer
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Carol Voorhees
Senior Vice President & Chief Information Officer
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Company data provided by crunchbase