Personal Injury Protection (PIP) Representative (I/II/ Sr.) job opportunity at NJM Insurance Group.

Home Jobs In United States Of America Tag: Job Personal Injury Protection (PIP) Representative (I/II/ Sr.) position at NJM Insurance Group


DateMore Than 30 Days Ago bot
NJM Insurance Group Personal Injury Protection (PIP) Representative (I/II/ Sr.)
Experience: 5-years
Pattern: full-time
Country:
apply Apply Now
Salary:
Status:

Job

Copy Link Report
degreeAssociate
loacation NJM - Parsippany, United States Of America
loacation NJM - Parsippa..........United States Of America

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 (8:45AM- 5PM) Position is based out of the NJM- Parsippany Office. Hybrid: 3 days in office, 2 days remote once training is completed Essential Duties and Responsibilities: 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 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 three 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. Required Qualifications: 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 High school diploma or GED required. Preferred Qualifications: Bachelor’s degree 3-5 years of claims handling experience 5-7 years of claims handling experience This role may be filled at a level I, II, or Sr. The starting salary per level based on skills, direct experience, and credentials: Level I (0- 3 years of direct experience) : $49,871 - $57,881 Level II (3- 6 years of direct experience): $59,744 - $75,361 Sr Level (6- 8 years of direct experience): $79,129- $91,833 Benefits Offered: Medical Insurance (Blue Cross Blue Shield) Dental Insurance (Delta Dental) Vision (Delta Vision/ VSP) Flexible Spending Account Discounts on NJM auto insurance Tuition reimbursement Life insurance Plus, additional company discounts for items like travel, service, car rental and more! Compensation: Salary is commensurate with experience and credentials. Pay Range: $51,121-$59,332 Eligible full-time employees receive a competitive Total Rewards package, including but not limited to a 401(k) with employer match up to 8% and additional service-based contributions, Health, Dental, and Vision insurance, Life and Disability coverage, generous PTO, Paid Sick Leave, and paid parental leave in addition to state-mandated leave. Employees may also be eligible for discretionary bonuses. 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.

Other Ai Matches

Business Process Operations Analyst I - Medical Claim Services Applicants are expected to have a solid experience in handling Job related tasks
Paralegal Applicants are expected to have a solid experience in handling Job related tasks
Commercial Lines Product Manager Applicants are expected to have a solid experience in handling Job related tasks
W0514 - Data Management Analyst - Personal Lines Applicants are expected to have a solid experience in handling Job related tasks
First Notice of Loss Associate Applicants are expected to have a solid experience in handling Job related tasks
Insurance Product Management Analyst Applicants are expected to have a solid experience in handling Job related tasks
Distribution Representative - Maryland/Delaware Territory (Remote) Applicants are expected to have a solid experience in handling Job related tasks
Workers Compensation Claims Specialist, Sr Applicants are expected to have a solid experience in handling Sr related tasks
IT Service Delivery Manager Applicants are expected to have a solid experience in handling Job related tasks
Customer Service (Licensed Account Representative) Applicants are expected to have a solid experience in handling Job related tasks
Functional Analyst, Principal Applicants are expected to have a solid experience in handling Principal related tasks
Functional Analyst, Senior Applicants are expected to have a solid experience in handling Senior related tasks
Telecom Apps Software Engineer, Senior Applicants are expected to have a solid experience in handling Senior related tasks
Law & Regulation Analyst Level II Applicants are expected to have a solid experience in handling Job related tasks
First Notice of Loss Associate Applicants are expected to have a solid experience in handling Job related tasks
Property Damage Representative (I/ II/Sr.) – Hammonton, NJ Applicants are expected to have a solid experience in handling NJ related tasks
Virtual Distribution Representative - Commercial Lines Applicants are expected to have a solid experience in handling Job related tasks
PIP Appeal and Litigation Adjuster Applicants are expected to have a solid experience in handling Job related tasks
IT - Innovation Intern- Summer 2026 Applicants are expected to have a solid experience in handling Job related tasks
Network Engineer, Senior Applicants are expected to have a solid experience in handling Senior related tasks
Claims Account Specialist, I Applicants are expected to have a solid experience in handling I related tasks
First Notice of Loss Associate - Hourly Applicants are expected to have a solid experience in handling Job related tasks
Mail & Document Processor, Associate Applicants are expected to have a solid experience in handling Associate related tasks