Job description

Job description

Network Adjusters , Inc. is seeking a highly qualified New York No Fault –PIP adjuster for immediate hire to fill our employment needs. We're looking for someone with the skill to assess situations while investigating the details and effectively negotiating and bringing the injury claims to resolution. Solid knowledge of Regulation 68, the NYS Fee Schedule and handling of Civil Litigation and Arbitration is necessary.

Responsibilities:

• Evaluate policy coverage, contact insured’s, attorneys, and medical staff to determine injuries stemming from an accident while determining and establishing reserve requirements.
• Plan and conduct investigations (including but not limited to interviewing parties involved, collecting and evaluating documentation and securing evidence and protecting the chain-of-custody) to analyze coverage and compensability.
• Maintains accurate records and handles the medical management file handling responsibilities associated with the claims. Records and updates status notes, and documents results of contacts, relevant medical reports and duration information per file posting standards.
• Evaluate claim for potential fraud.
• Assess injuries associated with claims and conduct negotiations to settle claims.
• May be involved with litigation as necessary.

Qualifications:

• Ability to communicate effectively with individuals from all backgrounds and uphold our high standard of customer service.
• Thorough knowledge of insurance coverage, contracts, claims handling guidelines, legal and medical terminology.
• Ability to analyze information, such as medical records and legal documentation.· Negotiation and settlement skills.
• Hard work, honesty, integrity, and unwavering business ethics.
• Detail-oriented organizational skills in a multi-tasking environment.
• Success driven individual who has demonstrated success in a claims adjusting role.

Job Type: Full-time

Pay: From $65,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Physical setting:

• Office

Schedule:

• 8 hour shift
• Monday to Friday

Ability to commute/relocate:

• Farmingdale, NY 11735: Reliably commute or planning to relocate before starting work (Required)

Work Location: In person

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