Medical Manager

ManagerManagerFull TimeRemoteTeam 1-10Company SiteLinkedIn

Location

New Jersey

Posted

6 days ago

Salary

$81.6K - $102K / year

Bachelor Degree3 yrs expEnglish

Job Description

• Leads a team of PIP/MPC Claims Adjusters who are responsible for the handling of first-party medical claims. • Help train and educate leaders and adjusters on New Jersey PIP claim handling best practices. • Ensures adherence to state regulations and applicable policy language. • Oversees adjuster review of medical bills and works with vendor(s) to properly handle 1st party injury claims. • Reviews and approves payments over adjuster authority. • Acts as a coach to promote understanding of MOI, causation and medical management. • Create and execute talent development strategies for claims personnel, while recognizing the outsized impact that people have on the performance of the organization. • Measure, evaluate and communicate individual and team performance results in relation to overall organizational objectives. • Drive pace in a scalable manner, resulting in best-in-class LAE while maintaining high employee and customer satisfaction. • Interacts and communicates effectively with claims leadership, business partners, and teammates. • Understand and leverage analytics, process automation, and technology to improve efficiency and quality within claims operations. • Drive process innovation with a high degree of discernment between true differentiators and superficial features. • Engages in learning opportunities to build knowledge of personal lines claims, court decisions impacting the claims function, current guidelines in claims function, and policy changes and modifications. • Recruits, retains and develops a highly motivated and accountable team of experienced and developing claim liability professionals.

Job Requirements

  • New Jersey PIP adjusting and leadership experience (three years minimum)
  • Insurance licenses or professional insurance designations preferred
  • Strong understanding and application of laws, statutes, and regulations specific to PIP/MPC handling
  • Ability to coach to and drive medical management
  • Ability to interpret insurance policy language and apply coverage correctly to claim decisions
  • High sense of professionalism while remaining empathetic
  • Familiarity with claims best practices required
  • Great attention to detail
  • Self-starter and ability to work independently and effectively prioritize work
  • Ability to handle ambiguity and quickly adapt when changes occur
  • Strong written and oral communication skills
  • Ability to obtain and maintain insurance licenses in several states (including Texas) within three months of start date.

Benefits

  • Health insurance
  • Flexible work arrangements
  • Professional development

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