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Description

We are looking for a dedicated Personal Injury Claims Representative to join our team in the Lawrenceville, New Jersey area. In this role, you will manage complex personal injury protection claims, ensuring compliance with company policies and regulatory requirements. This position requires a detail-oriented individual with strong analytical skills and a commitment to delivering high-quality service.

Salary is 58,240 - 76,960.

Benefits include medical, dental, vision insurance, PTO, life insurance, and 401k.

Responsibilities:

• Investigate assigned claims, confirm coverage, verify eligibility, and determine the appropriate course of action.

• Evaluate gathered information to assess claim validity, injury extent, and potential exposure.

• Establish and maintain accurate reserves for each claim based on exposure estimates.

• Coordinate medical case reviews, independent medical examinations, or expert consultations when necessary.

• Respond to inquiries and concerns from subscribers, claimants, attorneys, and healthcare providers.

• Document claim files comprehensively and maintain an organized follow-up system for timely reporting.

• Ensure claims are managed in alignment with the organization's Decision Point Review Plan.

• Collaborate with internal departments and external specialists to optimize claim outcomes.

• Oversee loss adjustment expenses and manage vendor activities to ensure efficient and necessary work completion.

• Adhere to guidelines outlined in the Unfair Claim Practices Acts and other relevant regulations.

Requirements

• 2+ years of experience in claims processing or insurance industry roles.

• Proficiency in handling personal injury litigation and related claims.

• Strong analytical and decision-making skills to evaluate claim information effectively.

• Familiarity with regulatory guidelines and compliance requirements for claims.

• Excellent communication skills for interacting with diverse stakeholders.

• Ability to manage multiple claims simultaneously and maintain accurate documentation.

• Experience working with medical case reviews and independent examinations.

• Knowledge of loss adjustment expense management and vendor coordination

Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.

Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.

All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.

• 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (https://www.roberthalf.com/us/en/terms) and Privacy Notice (https://www.roberthalf.com/us/en/privacy) .