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PIP Claims Adjuster
CBCSNew York PIP Claims Adjuster handling No-Fault claims remotely for Cottingham & Butler Claims Services. Ensuring compliance while providing excellent customer service and managing claim documentation.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing New York PIP/No-Fault claims, ensuring compliance with regulations while delivering exceptional customer service. Proficient in evaluating claims, reviewing medical documentation, and coordinating with various stakeholders.
Highest-signal resume keywords
New York PIP/No-Fault Claims HandlingUnderstanding of New York No-Fault LawsActive Adjuster's LicenseInvestigation and Negotiation SkillsClaims Management Software Proficiency
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims EvaluationMedical Documentation ReviewWage Loss Claims AssessmentFraud DetectionReserve Establishment
Soft Skills
Analytical SkillsProblem-Solving AbilitiesWritten CommunicationVerbal CommunicationOrganizational Skills
Tools & Technologies
Microsoft OfficeClaims Management Software
Certifications & Qualifications
Active Adjuster's License
Industry Keywords
New York No-Fault RegulationsStatutory TimelinesCustomer ServiceClaim Documentation
About the role
Key responsibilities & impact- 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
What you’ll need- 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
Comp & perks- 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