What are the responsibilities and job description for the PIP Appeal and Litigation Adjuster position at NJM Insurance Group?
NJM's General Claims Legal department is seeking a PIP Appeal and Litigation (PAL) Adjuster who will be responsible for conducting a complete and thorough investigation on assigned claims and manage those claims through their life cycle.
Job Responsibilities
PAL Adjuster: $59,744 - $75,360
PAL Adjuster, Sr: $79,129 - $91,833
Compensation: Salary is commensurate with experience and credentials.
Pay Range: $61,256-$77,255
Eligible full-time employees receive a competitive Total Rewards package, including but not limited to a 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, and paid parental leave in addition to state-mandated leave. Employees may also be eligible for discretionary bonuses.
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.
Job 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.
- Minimum 3 years’ experience working in a previous role dealing with PIP Regulations and Statutes
- Arbitration experience is a plus
- 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
- Bachelor’s Degree is a plus but not required
- Proficient skills in Microsoft, Word, Excel and Outlook.
- Working knowledge of all or any of the following is a plus: Guidewire Claim Center, Mitchell Decision Point, OnBase Unity Client, Agile Point
PAL Adjuster: $59,744 - $75,360
PAL Adjuster, Sr: $79,129 - $91,833
Compensation: Salary is commensurate with experience and credentials.
Pay Range: $61,256-$77,255
Eligible full-time employees receive a competitive Total Rewards package, including but not limited to a 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, and paid parental leave in addition to state-mandated leave. Employees may also be eligible for discretionary bonuses.
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.
Salary : $61,256 - $77,255