Claims Adjuster Job at Tower Auto Mall, Fort Lee, NJ

eHdORU9BMDY1WndoVlJyZ040dGhQVmZEbUE9PQ==
  • Tower Auto Mall
  • Fort Lee, NJ

Job Description

NY No Fault / PIP Adjuster – Automobile

  • Experience in filing PIP Subrogation claims through Arb Forum / Intercompany arbitration.
  • Candidate must possess strong persuasive writing skills and the ability to craft well-reasoned arguments to support subrogation demands and negotiate recoveries effectively.
  • Supervise work product of subordinate adjusters on medical claims.
  • Administer claims following NY No Fault law regulations and timelines.
  • Duties of the candidate may include working directly with Attorneys, assignments and monitoring no fault litigation suits.
  • Review of claim file’s information, such as claimants, medical providers and vendors to process data entry of claims, medical records, bill review, EOB’s and denials, peer review, EUO’s, vendor bills, review insurance claims, perform daily administrative functions.
  • Direct tasks and activities of independent adjuster and other support services.
  • Must maintain integrity of proprietary information.
  • Investigates, evaluates, and advise on medical expense and Personal Injury Protection (PIP) claims as follows : review coverage determinations and advise as to the appropriate course of action
  • Must be a true team player genuinely interested in working in a supportive, collaborative team environment
  • Must be proficient in putting and identifying information that pertains to new claims timely and accurately
  • Must be proficient in individual State PIP guidelines and requirements
  • Must be able to identify coverage issues
  • Must be diligent in identifying fraud or suspicious claims/activities Oversee local council (EUO’s and litigated matters)
  • Ability to understand medical reports and medical terminology
  • Ability to understand legal concepts and legal terminology
  • Exceptional organizational skills
  • Demonstrate ability to work under tight deadlines
  • Demonstrate ability to adapt to new and changing business needs

Requirements:

  • Minimum of four years of experience in NY No fault claims.
  • College degree preferred
  • Strong analytical skills
  • Excellent phone communication skills
  • Computer skills with knowledge of Microsoft Word and intermediate Excel skills.

Job Tags

Local area,

Similar Jobs

Dan Butler-District Office

Farmers Insurance Agent Job at Dan Butler-District Office

 ...Butler-District Office in SACRAMENTO, California, is looking for an organized, and motivated leader to join our team as a Full Time Insurance Agent/ Manager. You will be responsible for developing and implementing strategies to meet company goals, managing and mentoring a... 

Motion Recruitment

Human Resources Assistant ( {{city}}) Job at Motion Recruitment

 ...be providing administrative and transactional support across a variety of HR functions, including onboarding, records management, data entry, and responding to employee inquiries. Responsibilities: Maintaining and updating HR systems and personnel files... 

UPMC - Pittsburgh Medical Center

CRNA, UPMC Horizon/UPMC Jameson, Casual Job at UPMC - Pittsburgh Medical Center

 ...Registered Nurse Anesthetist (CRNA), Non-Exempt Hourly Rates\n \n \n Why UPMC Horizon/...  ...Coverage System ensures a well-structured work environment, with a 76% outpatient base...  ...balance, so you can thrive both at work and at home. \n Living here: Enjoy a vibrant... 

Manpower

CNC Machine Operator 2nd and 3rd Shift Job at Manpower

 ...client, a leader in the manufacturing industry, is seeking a CNC Machine Operator 2nd and 3rd Shift to join their team. As a CNC Machine...  ...machinery. Develop skills through cross-training in various machine shop operations. Be part of a company that values safety and... 

Treliant

AML/KYC/Sanctions Analyst Job at Treliant

 ...championing every voice and ensuring everyone's full potential.Treliant's Financial Crimes and Fraud Services business unit is looking for AML/KYC/Sanctions Analysts for a multi-year client engagement. This is an onsite opportunity, and all work will be conducted at a Treliant...