What are the responsibilities and job description for the PIP Appeal and Litigation Processor position at NJM Insurance Group?
Our West Trenton General Claims Legal Department is seeking a motivated, detail-oriented individual for a PIP Appeal and Litigation (PAL) Processor Processor role. Reporting to the designated supervisor and accountable for efficiently collecting and organizing pertinent information of appeal, litigation/arbitration process for adjusters and defense counsel.
Essential Duties and Responsibilities:
- Receive, analyze, and process complaints/arbitration demands, create litigation matters, and assign to appropriate PAL adjuster for review.
- Assist PAL Adjusters and supervisors by accurately entering pertinent information into Claim Center, OnBase, and AgilePoint.
- Provide support as needed to FNOL First Notice of Loss (FNOL) Dept in taking claims.
- Review the investigation file material, select appropriate information, and electronically send to defense firms.
- Provide support to PAL Adjusters with document requests and information needed for pertinent matters.
- Process monthly vendor bills.
- Properly answer and accurately process incoming inquiries from attorneys requesting payment status, missing Bottomline entries and document requests.
- Periodic telephone and email communication with vendors, defense, and plaintiff counsel firms regarding litigated matters.
- Process incoming mail for distribution to the appropriate PAL Adjuster.
- Maintain Legal Exchange (electronic billing site) by creating matters for defense counsel to bill at conclusion of matter.
- Maintain monthly reports of arbitration demands for management review.
- Process all zero EOB’s within statutory timeframes for upheld payment appeals.
Required Qualifications:
- Strong verbal and written communication skills, including active listening
- Multi-tasking, problem-solving and decision-making abilities
- Ability to work independently
- Effective computer skills and ability to work in multiple systems
- Organization, time management and prioritization abilities
- Demonstrate reliability and conform to the company’s attendance policy
- Minimum High School Diploma or GED required
Compensation: Salary is commensurate with experience and credentials.
Pay Range: $46,950-$54,546
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.
Pay: $46,950.00 - $54,546.00 per year
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Employee discount
- Free parking
- Health insurance
- Life insurance
- Opportunities for advancement
- Paid sick time
- Paid time off
- Referral program
- Tuition reimbursement
- Vision insurance
Application Question(s):
- Do you now, or will you in the future, require sponsorship for employment visa status to work legally for NJM in the United States?
Ability to Commute:
- Ewing, NJ 08628 (Required)
Work Location: In person
Salary : $46,950 - $54,546