Current jobs related to PIP Claims Specialist I - Hammonton, New Jersey - NJM Insurance Group
-
PIP Claims Representative
3 weeks ago
Hammonton, New Jersey, United States NJM Insurance Group Full timeJob Title: PIP Claims RepresentativeNJM Insurance Group is seeking a skilled PIP Claims Representative to join our team. As a PIP Claims Representative, you will be responsible for conducting thorough investigations on assigned claims and managing those claims through their life cycle.Key Responsibilities:Conduct complete and thorough investigations on...
-
Claims Account Specialist
2 weeks ago
Hammonton, New Jersey, United States NJM Insurance Group Full timeJob Title: Claims Account SpecialistNJM's Workers' Compensation Claims Team is seeking a highly skilled Claims Account Specialist to join our team. This is a full-time position with a hybrid schedule after training.The Claims Account Specialist will be responsible for contacting all parties involved in the claim, gathering and securing all necessary...
-
Claims Specialist
2 weeks ago
Hammonton, New Jersey, United States NJM Insurance Group Full timeJob Title: Claims Account SpecialistWe are seeking a highly skilled Claims Account Specialist to join our team at NJM Insurance Group. As a Claims Account Specialist, you will be responsible for managing workers' compensation claims from initial reporting to closure. Your primary goal will be to ensure timely and accurate resolution of claims while providing...
-
Claims Adjuster
1 week ago
Hammonton, New Jersey, United States NJM Insurance Group Full timeNJM Insurance Group is seeking a skilled Property Claims Adjuster to join our team in Central NJ. As a Property Claims Adjuster, you will be responsible for handling, settling, and closing property damage claims in a prompt and amicable manner.Key Responsibilities:Verify coverage, investigate new claims, and contact all parties involved.Ensure claims are...
PIP Claims Specialist I
2 months ago
PIP Claims Specialist I
Company: NJM Insurance Group
Location: Hammonton, NJ
NJM Insurance Group is not just about insurance; it’s about building a community. When you become part of NJM, you engage with dedicated professionals who prioritize integrity and service. Our organization has thrived for over a century, focusing on strong relationships and exceptional service. At NJM, you can advance your career while making a positive impact and forming lasting connections.
We are committed to providing our employees with continuous learning opportunities, excellent benefits, wellness programs, and various ways to contribute to the communities we serve.
Position OverviewOur Hammonton Medical Services Administration team is seeking a PIP Claims Specialist. This role is ideal for individuals who are organized and thrive in a dynamic work environment.
Key Responsibilities- Assess PIP coverages, identify coverage issues, and investigate loss events, injuries, and relevant information to determine coverage and appropriate actions.
- Evaluate claims for potential fraud indicators and underwriting concerns, ensuring compliance with state and company regulations.
- Deliver final coverage determinations within regulatory frameworks while maintaining communication with all parties involved throughout the claims process.
- Document all actions taken during the claims process accurately and concisely.
- Manage requests for medical treatments, durable medical equipment, and other related inquiries, communicating decisions to relevant parties promptly.
- Request Independent Medical Examinations as necessary and make determinations regarding additional treatments or benefit terminations.
- Establish and adjust reserves for medical and non-medical benefits throughout the claim lifecycle.
- Calculate and issue non-medical benefits, including wages and essential services.
- Demonstrate knowledge of regulatory requirements applicable in NJ and other states.
- Utilize all applications effectively while managing time and responsibilities efficiently.
- Strong verbal and written communication skills, with proficiency in Microsoft Office Suite.
- Excellent interpersonal and customer service abilities.
- Good organizational skills, time management, and data entry capabilities.
- Ability to make decisions and manage multiple tasks effectively.
- Bachelor's degree is preferred.
- Understanding of state-specific regulatory requirements.
- 3-5 years of claims handling experience is preferred, especially with out-of-state experience.
NJM Insurance Group is proud to be an equal opportunity employer, dedicated to fostering a diverse and inclusive workforce that reflects the communities we serve.
