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

VkxJUUcyZmZhTGNzRU44TjNXbDdocC9nT3c9PQ==
  • 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

Liberty

Analyst, Energy Procurement (Accounting, Finance, Data Analytics) Job at Liberty

 ...Canada required Valid drivers license required Algonquin Power & Utilities Corp. is a growing renewable energy and utility company...  ...America. And, our growing portfolio of clean, renewable wind, solar, hydro and thermal power generation facilities represent over 3... 

The Personnel Office

On Call Snow Removal Job at The Personnel Office

 ...Looking for a reliable team to join our crew for the winter season. The primary responsibility is to clear snow from sidewalks and other designated areas using shovels. Apply ice melt to surfaces as needed to ensure safety and accessibility. Load and unload equipment... 

Vistage Worldwide, Inc.

Executive Coach Job at Vistage Worldwide, Inc.

 ...Lead a Premier CEO Coaching Practice with Vistage San Antonio Area Are you a seasoned executive ready to lead, inspire, and make a lasting impact on business leaders in your community? Join Vistage , the worlds largest CEO coaching and peer advisory organization... 

Cypress HCM

AI Linguist Job at Cypress HCM

 ...evaluations Experience with programming languages in data annotation space Excellent comprehension and written communication skills in English Preferred working hours: 8:30 am PST - 17:30pm PST Suggested Skills: Strong problem solving Conceptual thinking... 

Cross Country Healthcare

Nursing Manager Job at Cross Country Healthcare

 ...Manager Nursing Psych Adolescent Location - Oregon City, OR Pay: $65 - $101/hr based on experience $10,000 Sign-On Bonus! Overview Lead a dedicated adolescent psychiatric unit focused on safe, compassionate, developmentally appropriate behavioral health...