PIP Appeal and Litigation Processor Job Listing at NJM Insurance Group in Trenton, NJ (Job ID R2007609)

Description

Our West Trenton General Claims Legal Department is seeking a motivated, detail-oriented individual for a PIP Appeal and Litigation (PAL) Processor role. Reporting to the designated supervisor and accountable for efficiently collecting and organizing pertinent information of appeal, litigation/arbitration process for adjusters and defense counsel.

Essential Duties and 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.

Required Qualifications:

• 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

Compensation: Salary is commensurate with experience and credentials.

Eligible full-time employees receive a competitive Total Rewards package, including but not limited to a 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, and paid parental leave in addition to state-mandated leave. Employees may also be eligible for discretionary bonuses.

Legal Disclaimer: NJM is proud to be an equal opportunity employer. We are committed to attracting, retaining and promoting a diverse and inclusive workforce that is fully representative of the diversity that exists in the communities in which we do business.