NJM's General Claims Legal department is seeking a PIP Appeal and Litigation (PAL) Adjuster who will be responsible for conducting a complete and thorough investigation on assigned claims and manage those claims through their life cycle.

Job Responsibilities:

• Review, evaluate and process incoming Pre-Litigation Appeals in accordance with the PIP Internal Appeal Procedures.
• Review, manage and update litigated files to maximize litigation resources and ensure legal outcomes consistent with NJM litigation strategy.
• Evaluate and process all claims, settlements and awards consistent with the proper regulatory, statutory and NJM guidelines for the governing time periods.
• Communicate timely and effectively with defense counsel in preparing for trial/arbitration and attend legal proceedings as appropriate.
• Collaborate and communicate cross-departmentally regarding claims and appeals handling related to pending litigation.

Required Skills & Qualifications:

• Minimum 3 years’ experience working in a previous role dealing with PIP Regulations and Statutes
• Arbitration experience is a plus
• Must have strong attention to detail and ability to read, analyze and assess data
• Strong written and verbal communication skills
• Must be open to change and be able to rapidly adapt to new information or unexpected obstacles.
• Must be able to demonstrate strong problem-solving skills and the ability to make sound decisions
• Ability to multi-task
• Bachelor’s Degree is a plus but not required
• Proficient skills in Microsoft, Word, Excel and Outlook. 
• Working knowledge of all or any of the following is a plus: Guidewire Claim Center, Mitchell Decision Point, OnBase Unity Client, Agile Point

Compensation: This role may be filled at PAL Adjuster, or PAL Adjuster, Senior level based on skills, experience and credentials.

PAL Adjuster: $59,744 - $75,360

PAL Adjuster, Sr: $79,129 - $91,833

Compensation: Salary is commensurate with experience and credentials.

Pay Range: $59,745-$75,361