PIP Claims Specialist - Remote

Remote Jobs; New Jersey; Remote; USD 50,000 - 70,000; Full time

Job summary

An insurance company in New Jersey is seeking a Claims Specialist to manage PIP and Medical Pay claims. This role involves handling complex claims and requires a bachelor's degree along with at least 1-2 years of claims experience. The organization offers a flexible remote work arrangement and is dedicated to fostering an inclusive workplace. Benefits include performance bonuses, a 401(k) plan, and opportunities for community volunteering.

Benefits

Performance bonuses

401(k) plan with company match

Flexible remote work arrangement

Engaging company culture

Qualifications

• 1-2 years of claims experience required.
• Ability to obtain and maintain multiple Adjuster's Licenses within the first 90 days.
• Strong understanding of insurance coverages.

Responsibilities

• Manage moderately complex Personal Injury Protection (PIP) and Medical Pay claims.
• Investigate and settle claims, making necessary coverage determinations.
• Assist with FNOL calls and provide necessary support.

Skills

Claims management

Interpersonal communication

Computer navigation

Education

Bachelor's degree in business, insurance, or related field

Job description

Employer Industry: Personal Lines Property and Casualty Insurance

Why consider this job opportunity:

• Opportunity for performance bonuses and a comprehensive total compensation package
• 401(k) plan with company match to support your retirement savings
• Flexible remote work arrangement available
• Commitment to inclusion and diversity within the workplace
• Chance to be part of a mission-driven organization focused on community service and innovation
• Engaging company culture that encourages participation in employee resource groups and community volunteering

What to Expect (Job Responsibilities):

• Manage moderately complex Personal Injury Protection (PIP) and Medical Pay claims with reserves up to $30,000
• Investigate, evaluate, and settle medical expense and PIP claims, making necessary coverage determinations
• Handle claims involving additional suffixes such as income continuation and essential services
• Present coverage issues to a committee for discussion and resolution
• Provide assistance with FNOL calls, Claims Advisory Support, and Casualty Support as needed

What is Required (Qualifications):

• Minimum of 1-2 years of claims experience
• Bachelor's degree in business, insurance, or a related field, or equivalent combination of education and experience
• Ability to obtain and maintain multiple Adjuster's Licenses within the first 90 days of employment
• Strong computer navigation skills and the ability to handle multiple tasks simultaneously
• Excellent interpersonal communication skills and a solid understanding of insurance coverages

How to Stand Out (Preferred Qualifications):

• Prior experience handling PIP claims and first-party medical coverage
• Knowledge or experience with collision, loss-of-use, third-party property damage, and bodily injury exposures
• Flexibility to work any shift during operating hours, including evenings and weekends
• Bilingual skills are a plus
• Demonstrated commitment to shaping company culture through active participation in team activities

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