PIP Claims Adjuster

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🗽 New York – Remote

🗽 New York – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

📋 Claims Specialist

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CBCS

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201 - 500 employees

📋 Description

• Investigate and manage New York PIP/No-Fault claims from inception through closure. • Review medical documentation, treatment plans, wage loss claims, and related expenses. • Evaluate claim exposure and establish appropriate reserves. • Coordinate with medical providers, attorneys, insureds, claimants, and vendors. • Identify and address potential fraud indicators. • Ensure compliance with New York No-Fault regulations, statutory timelines, and reporting requirements. • Maintain accurate and timely claim documentation. • Deliver exceptional customer service while effectively managing claim outcomes.

🎯 Requirements

• Minimum of 2 years of New York PIP/No-Fault claims handling experience. • Strong understanding of New York No-Fault laws, regulations, and fee schedules. • Active adjuster's license preferred, if applicable. • Experience reviewing medical bills, treatment records, and wage loss claims. • Excellent investigation, negotiation, and decision-making skills. • Strong analytical and problem-solving abilities. • Exceptional written and verbal communication skills. • Ability to work independently in a remote environment while collaborating with a team. • Strong organizational and time-management skills. • Proficiency with Microsoft Office and claims management software.

🏖️ Benefits

• Flexible based on your experience level. • Most Benefits start Day 1 • Medical, Dental, Vision Insurance • Flex Spending or HSA • 401(k) with company match • Profit-Sharing/ Defined Contribution (1-year waiting period) • PTO/ Paid Holidays • Company-paid ST and LT Disability • Maternity Leave/ Parental Leave • Company-paid Term Life/ Accidental Death Insurance