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

Wk9HU09mOGZ0OWNiNEhlallyK3VRWFQwUlE9PQ==
  • 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

Visiting Rehab and Nursing Services

Physical Therapy Assistant - PTA Job at Visiting Rehab and Nursing Services

Description: Physical Therapy Assistant (PTA) (LOCATION) $37-$40 Per Visit | Flexible Schedule | Comprehensive Benefits ***Proud Winner of Boston Globe's Top Places to Work 2024!*** Are you looking for a rewarding career where you can make a real difference ...

California Retina Consultants

Clinical Research Coordinator Job at California Retina Consultants

Clinical Research Coordinator Job Summary The Clinical Research Coordinator is responsible for coordinating research patient visits according to both the ICH-GCP guidelines and the IRB-approved study protocol and / or manual of procedures. Day to-day activities...

Insight Global

Electrician Job at Insight Global

A non-profit in San Antonio, Texas is looking for a Building Maintenance Technician III/Electrician to join their team. This person will report on-site each day performing or assisting in general repairs and maintenance of buildings, grounds, and equipment. Primary responsibilities...

40HRS

Care Manager, RN Job at 40HRS

 ...providing direct and collaborative health care in a variety of clinical settings designed to promote and restore optimal health across the...  ...starts intravenous lines safely Job Requirement ~ Active RN license ~ Bachelor's Degree - Nursing preferred ~ BLS, PRI,... 

Career Group

Executive Assistant to CEO @ Consumer Goods Brand in Miami, FL Job at Career Group

 ...Ideally has experience working in Consumer Goods or Private Equity. Although this role is mainly remote, this individual must live in Miami, FL. You can use WorkGrades to collect and manage your references for free and share them with us or anyone else you choose...