Experienced PIP Claims Adjuster

Eberl Claims Service; New York (NY); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading claims service provider is seeking experienced Desk Adjusters to handle New York PIP claims in a fully remote capacity. Candidates must possess an active New York adjuster license and demonstrated experience in managing PIP claims. Responsibilities include conducting claim triage, gathering necessary information, collaborating with experts, preparing detailed reports, and ensuring the accuracy of information to prevent fraudulent claims. This role requires a commitment of 40 hours per week, emphasizing strong analytical and communication skills.

Qualifications

• Must hold an active New York adjuster license.
• Experience handling New York PIP claims is required.
• Ability to work remotely and manage time effectively.

Responsibilities

• Conduct triage upon receipt of claim to determine best method to scope and adjudicate the loss.
• Obtain necessary information from claimants and experts.
• Work cooperatively with other professionals in investigations.
• Establish reasonable amounts the insurer should pay on claims.
• Ensure accuracy of collected information to prevent fraud.
• Prepare clear and concise reports for insurance carriers.
• Maintain accurate notes and records of claims.
• Obtain managerial guidance for evaluations and reports.

Skills

Experience with New York PIP claims

Active New York adjuster license

Strong communication skills

Analytical skills

Job description

We are seeking experienced Desk Adjusters to handle New York PIP claims. Candidates must hold an active New York adjuster license and have experience working New York PIP claims. This is a fully remote position requiring availability for 40 hours per week.

Join the Eberl Team

Since 1987, Eberl Claims Service has been providing independent claims services to insurance carriers across the country. As we continue to grow and innovate, we remain grounded in the core values that built our reputation: honesty, integrity, and treating our workforce the way we would want to be treated. These principles continue to guide our mission and culture today. We strive to be the first choice for everyone seeking a career in insurance claims.

PRIMARY JOB RESPONSIBILITIES

• Conduct triage upon receipt of claim to determine best method to scope and adjudicate the loss.
• Through interviewing or other methods, obtains necessary information from the claimant and from experts such as health care practitioners, accountants, and others to fully and accurately assess the extent of the loss.
• Work cooperatively with expert witnesses, attorneys, public adjusters, and carrier’s examiners as needed to conduct investigations, confirm findings, and support evaluations.
• Apply understanding of insurance policies and policy interpretation, establishing appropriate loss estimates based on all relevant information and findings.
• Establish and recommends the reasonable and proper amount the insurance company should pay on a claim.
• Ensure the accuracy of information collected and reported and guards against fraudulent claims, based on critical issues identified and accurate conclusions drawn.
• Prepare accurate, clear, thorough, and concise reports and letters to insurance carriers on conclusions and recommendations. Follows established policies, procedures, and processes in preparing information, and submits reports and documents in a timely manner and in accordance with insurer’s standards and expectations. Effectively uses software systems as necessary to produce accurate estimates.
• Maintain accurate, thorough notes, journal entries, and time and expense records as required. Submits reimbursement reports in keeping with organization and client policies, procedures and practices, and accepted industry standards. Applies knowledge of both time-and-expense and fee-for-service procedures, according to the stipulations of the agreement with the insurer.
• Obtain manager guidance as necessary, and in accordance with Eberl policy and practice, in formulating recommendations and completing evaluations and reports.