The MCS department is searching for a PIP Claims Assistant. The PIP Claims Assistant reports directly to the PIP Administrator/Supervisor, the PIP Claims Assistant supports the PIP Department by performing assigned claim functions and tasks. The position requires the assistant to work and communicate with the PIP Claims Representatives, PIP Supervisors, and other team members. The position also interacts with NJM policyholders, associated injured parties or their legal representatives, medical providers, and other departments within NJM, as needed.
Hours
Monday-Friday, specific hours are subject to selected start time between 8am-9am pending supervisory approval.
Hybrid opportunity after training is completed (3 days in office, 2 days remote)
Essential Duties and Responsibilities: Essential functions of this job are listed below in order of priority. Reasonable accommodations may be made to enable individuals to perform the essential duties. Regular and predictable onsite attendance is an essential function of the job.
- Initiate contact with insureds, claimants, or their representatives to obtain pertinent information and to clearly explain the policy, coverage, and claims process.
- Document and process No-Fault benefit claims consistent with statutory and NJM guidelines. Complete independent evaluation/determination of claim coverage and provide recommendation to supervisor.
- Provide claim information to insured and medical providers and respond to inquiries as needed.
- Issue expense payments as outlined in the authority limit profile, retrieve, and distribute PIP Payment ledgers, manage incoming calls, and direct calls to appropriate individuals or departments, if unable to answer.
- Respond to incoming correspondence and prepare claim files and/or other communication for distribution to external customers.
- Manage various queues within ClaimCenter.
- Participate in special projects or initiatives.
- Participate in User Acceptance Testing to ensure appropriate system functionality after program upgrades.
- Participate in educational or training activities as required.
- Perform other duties as requested.
Required Qualifications: Knowledge, skills & abilities, experience, minimum & desired education, certification and/or license requirements.
- Knowledge of Word and Excel
- Strong PC skills, including accurate data entry and typing ability.
- Effective communication skills
- Customer service experience
- Ability to work independently and in a team environment.
- Ability to multi-task, prioritize work activities, and use time efficiently.
- Detail-oriented. Demonstrate accuracy and thoroughness.
- Demonstrate reliability and conform to the company’s attendance policy.
- High School Diploma or GED Equivalent
Preferred Qualifications
A college degree or three years of claims experience
Compensation: Salary is commensurate with experience and credentials.
Pay Range: $46,950-$54,546Eligible 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.
What We Do
NJM is among the Mid-Atlantic's leading property and casualty insurers. Founded in 1913, NJM's mission is to provide value-based insurance solutions to its policyholders with the highest levels of service, integrity, and financial stewardship. The Company operates in a mutual fashion for the exclusive benefit of its policyholders. Headquartered in West Trenton, NJ, with offices in Hammonton and Parsippany, NJM employs nearly 2,500 workers. - 2019-2023 Forbes Best In-state Employer (Ranked #11 out of 89 NJ employers in 2023) - 2018, 2019, 2020, 2021, certified by J.D. Power for providing "An Outstanding Auto Claims Experience" for personal lines customers* - 2018, 2019, & 2020 Clearsurance Customers’ Choice Top Ranked Insurance Companies - 2021 American Heart Association Gold Level Workplace Health Achievement - 2020 American Heart Association Silver Level Workplace Health Achievement - 2019 Forbes Best Mid-size Employers in the country *J.D. Power Auto Claims Certification Program℠ recognition is based on successful completion of an audit, exceeding a customer experience benchmark through a survey of recent claims servicing interactions, and a Financial Strength rating. For more information, visit jdpower.com.
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