PIP Appeal and Litigation Processor jobs in United States
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NJM Insurance Group · 1 day ago

PIP Appeal and Litigation Processor

NJM Insurance Group is seeking a motivated and detail-oriented individual for a PIP Appeal and Litigation Processor role within their West Trenton General Claims Legal Department. The role involves efficiently collecting and organizing information related to the appeal and litigation processes for adjusters and defense counsel.

InsuranceManufacturingTransportation

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 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

Qualification

Communication skillsMulti-taskingComputer skillsProblem-solvingDecision-makingOrganizationPrioritizationIndependenceTime managementActive listening

Required

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

Benefits

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
Paid parental leave
State-mandated leave
Discretionary bonuses

Company

NJM Insurance Group

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NJM (New Jersey Manufacturers) is an auto, homeowners, renters, commercial auto, umbrella and workers' compensation insurance providers.

Funding

Current Stage
Late Stage

Leadership Team

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Chris Malone
SVP, CFO & Treasurer
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Carol Voorhees
Senior Vice President & Chief Information Officer
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Company data provided by crunchbase