Personal Injury Protection Specialist – Mt. Laurel

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Job Title
Personal Injury Protection Specialist – Mt. Laurel

Requisition Number
R2388 Personal Injury Protection Specialist – Mt. Laurel (Open)

Location
Mt Laurel, New Jersey

Additional Locations

Job Information

Job Summary

Handles to conclusion first-party Personal Injury Protection (PIP) claims, including Medical Pay, depending on level of proficiency. Cases are generally reserved up to $30,000. Handles litigated claims of a minor to complex nature. Represents the company at arbitration hearings. May handle catastrophic claims and transfer to high-level adjuster as necessary. Handles claims in multiple states. May take First Notice of Loss (FNOL) calls.

Essential Functions / Principal Responsibilities

Assigned as owning adjuster when injury exposure is identified for the first party, for files with reserves up to policy limits.

Handles first-party medical payments and Personal Injury Protection claims.

Negotiates, settles and resolves claims within authority level. Assists in catastrophes as needed.

Claims may involve additional suffixes such as income continuation and essential services as well as death and funeral benefits for fatality claims.

Investigates to rule out exposures: uninsured/underinsured motorist, subrogation, dram shop.

Makes coverage determinations and advises customers as to the proper course of action.

Handles litigated and arbitrated cases, minor to complex.

Directs defense counsel on suits and arbitrations and represents company at arbitration hearings.

Presents to committee on coverage issues, reserving and settlement authority.

#LI-SH1

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Knowledge, Skills and Abilities
Required:
Negotiating skills and the ability to develop effective negotiating strategies
Strong analytical, problem-solving and organizational skills
Strong ability to work independently
Strong decision-making ability
Strong customer service orientation
Basic math and computer skills
Proficient oral and written communication skills and good command of the English language
Ability to function in a team environment
Ability to successfully complete training courses pertinent to job duties
Understanding of statutory and regulatory requirementsUnderstanding of AAA claims policies and procedures
Ability to travel on rare occasions
Ability to work extended hours and/or weekends
Developing knowledge of litigation file handling for minor, moderate and complex litigated claims

Education, Work Experience, Licenses & Certifications
Required:
BA/BS in business, insurance or related area, or equivalent combination of education and experience
1-2 years of claims experience
Ability to obtain license in required states
Preferred:
1-2 years of experience handling first-party medical benefits
Bilingual a plus