Claims Adjuster Apply
NY No Fault / PIP Adjuster – AutomobileExperience in filing PIP Subrogation claims through Arb Forum / Intercompany arbitration. Candidate must possess strong persuasive writing skills and the ability to craft well-reasoned arguments to support subrogation demands and negotiate recoveries effectively.Supervise work product of subordinate adjusters on medical claims.Administer claims following NY No Fault law regulations and timelines.Duties of the candidate may include working directly with Attorneys, assignments and monitoring no fault litigation suits.Review of claim file’s information, such as claimants, medical providers and vendors to process data entry of claims, medical records, bill review, EOB’s and denials, peer review, EUO’s, vendor bills, review insurance claims, perform daily administrative functions.Direct tasks and activities of independent adjuster and other support services.Must maintain integrity of proprietary information.Investigates, evaluates, and advise on medical expense and Personal Injury Protection (PIP) claims as follows : review coverage determinations and advise as to the appropriate course of actionMust be a true team player genuinely interested in working in a supportive, collaborative team environmentMust be proficient in putting and identifying information that pertains to new claims timely and accuratelyMust be proficient in individual State PIP guidelines and requirementsMust be able to identify coverage issuesMust be diligent in identifying fraud or suspicious claims/activities Oversee local council (EUO’s and litigated matters)Ability to understand medical reports and medical terminologyAbility to understand legal concepts and legal terminologyExceptional organizational skillsDemonstrate ability to work under tight deadlinesDemonstrate ability to adapt to new and changing business needsRequirements:Minimum of four years of experience in NY No fault claims.College degree preferredStrong analytical skillsExcellent phone communication skillsComputer skills with knowledge of Microsoft Word and intermediate Excel skills.