PIP Appeal and Litigation Processor
NJM Insurance - Trenton, NJ
Apply NowJob Description
Our West Trenton General Claims Legal Department is seeking a motivated, detail-oriented individual for a PIP Appeal and Litigation (PAL) Processor Processor role. Reporting to the designated supervisor and accountable for efficiently collecting and organizing pertinent information of appeal, litigation/arbitration process for adjusters and defense counsel. Essential Duties and Responsibilities: + Receive, analyze, and process complaints/arbitration demands, create litigation matters, and assign to appropriate PAL adjuster for review. + Assist PAL Adjusters and supervisors by accurately entering pertinent information into Claim Center, OnBase, and AgilePoint. + Provide support as needed to FNOL First Notice of Loss (FNOL) Dept in taking claims. + Review the investigation file material, select appropriate information, and electronically send to defense firms. + Provide support to PAL Adjusters with document requests and information needed for pertinent matters. + Process monthly vendor bills. + Properly answer and accurately process incoming inquiries from attorneys requesting payment status, missing Bottomline entries and document requests. + Periodic telephone and email communication with vendors, defense, and plaintiff counsel firms regarding litigated matters. + Process incoming mail for distribution to the appropriate PAL Adjuster. + Maintain Legal Exchange (electronic billing site) by creating matters for defense counsel to bill at conclusion of matter. + Maintain monthly reports of arbitration demands for management review. + Process all zero EOBu2019s within statutory timeframes for upheld payment appeals. Required Qualifications: + Strong verbal and written communication skills, including active listening + Multi-tasking, problem-solving and decision-making abilities + Ability to work independently + Effective computer skills and ability to work in multiple systems + Organization, time management and prioritization abilities + Demonstrate reliability and conform to the companyu2019s attendance policy + Minimum High School Diploma or GED required Compensation: Salary is commensurate with experience and credentials. Pay Range: $46,950-$54,546 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.
Created: 2026-02-12