Pip claims supervisor | new jersey

Our client is seeking an experienced PIP Claims Supervisor to join their New Jersey claims operations. This position is responsible for overseeing a team of PIP Claims Adjusters, ensuring accurate coverage and eligibility determinations, and supporting the investigation and resolution of complex Personal Injury Protection (PIP) claims. The ideal candidate will have a strong understanding of New Jersey PIP regulations, experience working closely with Special Investigations Units (SIU) on suspected fraudulent claims, and a proven ability to lead and develop claims professionals.

Key Responsibilities:

• Supervise and support a team of PIP Claims Adjusters responsible for evaluating coverage, eligibility, and claim validity in accordance with New Jersey PIP regulations.
• Oversee complex coverage and eligibility investigations, ensuring accurate determinations and appropriate claims handling.
• Collaborate closely with Special Investigations Units (SIU) to identify potential fraud, investigate suspicious claims, and determine appropriate next steps.
• Monitor team productivity, claim quality, and overall performance while providing ongoing coaching, mentorship, and performance evaluations.
• Review policy language, coverage provisions, and supporting documentation to ensure accurate eligibility decisions.
• Develop and improve workflows to promote timely investigations, consistent claims handling, and efficient resolution.
• Provide guidance on escalated claims, coverage disputes, and complex eligibility matters.
• Partner with internal departments to maintain compliance with applicable insurance laws, regulatory requirements, and company procedures.

Requirements:

• 5 - 10+ years of experience handling PIP claims, with demonstrated supervisory or team lead responsibilities.
• Thorough knowledge of New Jersey PIP laws, coverage requirements, and eligibility procedures.
• Demonstrated experience collaborating with SIU on fraud investigations and suspicious claims.
• Strong leadership, analytical, problem-solving, and decision-making skills.
• Proficiency in Microsoft Word and Excel, including the ability to monitor and report on team performance metrics.
• Familiarity with claims management systems and regulatory compliance.

Salary/Benefits:

• $85,000–$100,000 annual base salary, depending on experience
• Competitive medical, dental, and vision insurance plans
• Attractive paid time off (PTO)
• Employer-matched 401(k) retirement plan
• Flexible working hours