NJM’s General Claims Legal Department is currently seeking to fill a PIP Appeals and Litigation (PAL) Representative position. We are looking for talent who has excellent communication skills as well as strong organizational and time management skills.
This is a full-time position and offers a hybrid schedule after training.
The PAL Representative will conduct a complete and thorough investigation on assigned PIP Payment Appeal and Litigation claims and manage those claims through their life cycle. It is an exciting and challenging opportunity for anyone who is willing to learn and grow while further developing their PIP knowledge.
Essential Duties and Responsibilities:
• Review, evaluate and process incoming Pre-Litigation Appeals in accordance with the PIP Internal Appeal Procedures
• Review, manage and update litigated files to maximize litigation resources and ensure legal outcomes consistent with NJM litigation strategy
• Evaluate and process all claims, settlements and awards consistent with the proper regulatory, statutory and NJM guidelines for the governing time periods
• Communicate timely and effectively with defense counsel in preparing for
trial/arbitration and attend legal proceedings as appropriate
• Collaborate and communicate cross-departmentally regarding claims and appeals handling related to pending litigation
Required Qualifications and Experience:
• 3 plus years experience working in a previous role dealing with PIP
Regulations and Statutes, preferred
• Arbitration experience is a plus
• Must have strong attention to detail and ability to read, analyze and assess data
• Strong written and verbal communication skills
• Must be open to change and be able to rapidly adapt to new information or
unexpected obstacles.
• Must be able to demonstrate strong problem solving skills and the ability to make sound decisions
• Ability to multi-task
• Bachelor’s Degree is a plus but not required
• Proficient skills with Microsoft, Word, Excel and Outlook
• Working knowledge of all or any of the following is a plus: Guidewire Claim Center, Mitchell Decision Point, OnBase Unity Client, Agile Point
Salary Range for the Level I is : $55,875 - 70,500. Salary is commensurate with experience and credentials. This role may be filled at a Level I 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.