PIP Rep I Job at New Jersey Manufacturers Insurance Company, Parsippany, NJ

bjlZZEh5cy9uRzNSNmU3bVg4Y3N2REdBaGc9PQ==
  • New Jersey Manufacturers Insurance Company
  • Parsippany, NJ

Job Description

NJM Insurance Group (NJM), a top-rated insurance company, is looking for a Personal Injury Protection Representative who has excellent communication skills as well as strong organizational and time management skills. We are looking for talent with and without prior experience in the insurance industry.

Schedule: Monday through Friday, with work from home opportunities after training.

PIP Claims Representative:

Reporting to the immediate 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.

  • 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).

  • Demonstrates knowledge in NJ and in other states and is able to apply regulatory requirements appropriately.

  • Understands and applies all process and regulatory knowledge associated with arbitration and subrogation. Effectively utilizes all applications and manages time and responsibilities.

Position Requirements (Skills, Traits, & 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 experience preferred

Salary Range: $48,000 - $56,000 annually. Salary is commensurate with experience and credentials.

This role may be filled at a Level II or Senior level based on skills, experience and credentials.

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.

Job Tags

Immediate start,

Similar Jobs

Terra-Gen Operating Company, LLC.

Engineer - Renewable Energy Job at Terra-Gen Operating Company, LLC.

 ...understanding of AC and DC electrical theory and principles, Lithium-based battery knowledge, Photovoltaic (PV) cell theory, solar energy collection, Familiarity with use of digital multi-meters, Capable of taking measurements with various mechanical measuring instruments... 

PwC

Tax Associate - Winter 2026 Save for Later Remove job Job at PwC

 ...At PwC, our people in tax services focus on providing advice and guidance to clients...  ...you need to lead and deliver value at this level include but are not limited to: Apply a learning...  ...*Client service associate positions are entry-level roles and job seekers have completed... 

Orosof

Release Train Manager Location Multiple Locations Contract Hybrid Job at Orosof

 ...Release Train Manager Location: Multiple Locations Contract Hybrid Client is looking for an experienced Release Train Manager to join our team and lead our cloud-based product development initiatives. The Release Train Manager (RTM) will be responsible for overseeing... 

Per Lei Boutique

Stylist Job at Per Lei Boutique

 ...Position Overview : The Stile Stylist is motivated and engaged in an effort to maintain/grow a customer base and hit personal and location...  ...with the Store Manager if necessary. Ensures that all online and over-the-phone orders are fulfilled, properly packaged, and... 

CA CIB Americas

Global Investment Banking: Mergers & Acquisitions and Equity Capital Markets Summer 2025 Intern Job at CA CIB Americas

Credit Agricole CIB Americas is currently looking for interns for its GIB New York Office.As an intern, you will work on a variety...  ...QualificationsA previous experience in Corporate Finance/ Investment Banking (preferably M&A) is requiredStrong analytical and financial...