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

Z2dtRFdzSy9tbC9Xam10b1JNWlNGMk1ES3c9PQ==
  • 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

Raising Cane's

Restaurant Crewmember Job at Raising Cane's

Job Description Starting hiring pay at: $15 Restaurant Crewmembers at Raising Canes will wear many hats (including a Raising Canes hat) while working hard and having fun as a critical part of the Restaurant team. We are hiring immediately for Restaurant Crew to...

Equinox

Personal Trainer, Scarsdale Job at Equinox

 ...ensures your Personal Training career is as unlimited as your passion. Secure a stronger future and help us redefine the science of fitness and the art of living. PRIMARY RESPONSIBILITIES AS A MEMBER OF OUR TEAM TO LEARN AND EXECUTE PT Business Management ~Build... 

Dental365

Dental Assistant Job at Dental365

 ...by dentists Dental365 is reshaping the way patients experience dental care. By placing patients and providers at the core of our...  ...looking to build a lifelong career in dentistry - now is the time to take part in our journey. Must have or be willing to obtain... 

Snowshoe Mountain

Building Maintenance Technician Job at Snowshoe Mountain

Job Description Please note, this position is located at Snowshoe Mountain Resort inSnowshoe, West Virginia \n Flex Year Round Work, Play, Get Paid and Enjoy the Perks! Housing: Affordable on-mountain employee housing available for rent . Work Location:...

Axiom Software Solutions Limited

Oracle Developer with ETL (OBIA) Job at Axiom Software Solutions Limited

 ...Job Description Job Description Oracle Developer with ETL (OBIA) Location Louisville, KY (Remote) Requirements Note: Customer is looking for OBIA Upgrade/Implementation , OBIEE and ETL experience Developer who has strong understanding of Oracle Business...