There has never been a better time to join NJM! With a nationally ranked reputation for outstanding customer service and a history that spans more than a century, NJM is a leading provider of workers' compensation, automobile and homeowners insurance in New Jersey. It is an exciting time to join NJM as we have just expanded into other states.
Become a member of our team and you’ll be part of company who operates for the sole benefit of its policyholders and is committed to maintaining the highest levels of service. Team members are offered a competitive compensation package and benefits including: a 401k plan, health coverage, a generous paid time off plan, and much more!
Our Parsippany Medical Services Administration team is in search of a Personal Injury Protection Claims Representative ( PIP Rep is the official NJM title). Reporting to the designated PIP Supervisor, the PIP claims representative is responsible and accountable for conducting complete and thorough investigation on assigned claims and medically managing those claims through their life cycle. This exciting opportunity is great for someone who is highly organized and enjoys working in a fast-paced environment.
Job Responsibilities:
Review PIP coverages and/or identify coverage issues and investigate and analyze the loss event, the injury and other relevant information to make a determination as to coverage and course of action.
Evaluate claims for fraud indicators and potential underwriting issues and process appropriate referrals. Conduct activities in compliance with state and company regulations and guidelines.
Render final coverage determination within regulatory guidelines: Maintain communication with involved parties during the course of the claim, via written and/or verbal communication, to provide relevant determinations and/or information.
Maintain communication with involved parties during the course of the claim, via written and/or verbal communication, to provide relevant determinations and/or information. Concisely and accurately document all actions taken throughout the course of the claim.
Manage all requests for medical treatment, durable medical equipment, PIP Care Paths, medical guidelines and policies, internal and/or external peer reviews and/or IMEs, when required, communicate determinations to appropriate parties within 3 business days.
Request necessary Independent Medical Examinations and render determinations for additional treatment or termination benefits.
Establish adequate medical and non-medical benefits reserves for the life of the claim and adjust reserves, if needed.
Calculate and issue non-medical benefits (wages, essential services, death benefits).
Required Qualifications and Experience:
Excellent verbal and written communication skills, knowledge of Microsoft suite
Strong interpersonal and customer service skills
Good organizational, time-management, and data entry skills
Decision-making and multi-tasking capabilities
Bachelor’s degree preferred
3-5 years of claims handling
Able to apply regulatory requirements appropriately by state
Thorough understanding of all process and regulatory knowledge associated with arbitration and subrogation
What is it like to work at NJM? Click here to see!
Compensation: Salary is commensurate with experience and credentials.
Pay Range: $51,121-$59,332Eligible 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.
Skills Required
- Excellent verbal and written communication skills
- Knowledge of Microsoft suite
- Strong interpersonal and customer service skills
- Good organizational, time-management, and data entry skills
- Decision-making and multi-tasking capabilities
- Bachelor's degree preferred
- 3-5 years of claims handling
- Able to apply regulatory requirements appropriately by state
- Thorough understanding of all process and regulatory knowledge associated with arbitration and subrogation
NJM Insurance Group Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about NJM Insurance Group and has not been reviewed or approved by NJM Insurance Group.
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Retirement Support — Retirement benefits include a 401(k) match with additional company contributions, materially boosting total compensation. This component is presented as a core element of the total rewards offering.
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Healthcare Strength — Health coverage offers multiple medical plan options plus dental and vision, complemented by company-paid basic life insurance and disability protection. Wellness resources and assistance programs further support overall health needs.
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Leave & Time Off Breadth — Time off includes a first-year PTO allotment paired with paid/floating holidays and state-based paid sick leave. Paid parental leave references and adoption assistance indicate breadth for various family situations.
NJM Insurance Group Insights
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.
