Claims Representative I, PIP (IA Channel)

Job Description

In this fast-paced role, the PIP Representative adjusts first party personal injury claims according to state compliance requirements and guidelines.

RESPONSIBILITIES

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• This position will handle Personal Injury Protection and Extended Medical Expense Benefit claims in multiple states.
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• The PIP Claim Representative will receive between 3 to 5 first reports a day with a priority on service, patient contact, and claim disposition.
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• Daily duties include first reports, Image Right tasks, medical bill review, treatment monitoring, reserve assessment and Nursing interaction.
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• Maintains an effective follow-up system on pending files, prioritize and handle multiple tasks simultaneously, adjust to fluctuating workload, advises injured parties as to the status of the claim.
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• Investigates and interprets policy provisions and conditions to make a coverage determination.
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• Functional knowledge of medical terminology and anatomy with a thorough understanding of Personal Injury Protection claim handling regulatory requirements is preferred but not necessary.
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• The PIP Claim Representative must have the ability to multitask in time sensitive situations.
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• Ensures that service, loss and expense control are maintained at all times.
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• Adheres to privacy guidelines, law and regulations pertaining to claims handling.
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• Candidates must have strong customer service, organization, verbal and written skills and have the ability to work in a small team environment.
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QUALIFICATIONS

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• A Bachelor’s Degree (B.A.) from a four-year college or university.
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• One (1) to three (3) years related claims experience and/or training.
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• Basic personal computer skills including working knowledge of Microsoft Office Suite products.
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SALARY RANGE

The pay range for this position is $57,000 to $76,000 annually. Actual compensation will vary based on multiple factors, including employee knowledge and experience, role scope, business needs, geographical location, and internal equity.

PERKS & BENEFITS

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• 4 weeks accrued paid time off + 9 paid national holidays per year
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• Low cost and excellent coverage health insurance options that start on Day 1 (medical, dental, vision)
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• Annual 401(k) Employer Contribution
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• Free onsite gym and health center at our Woodbridge location
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• Resources to promote Professional Development (LinkedIn Learning and licensure assistance)
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• Robust health and wellness program and fitness reimbursements
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• Various Paid Family leave options including Paid Parental Leave
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• Tuition Reimbursement
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