New York PIP Claims Adjuster

About the role

Cottingham & Butler Claims Services (CBCS) is offering the opportunity to work in a fast-paced and rewarding claims position with NO commute. This role allows you to work from home while handling meaningful and challenging claims.

Responsibilities

• 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.

Qualifications

• 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.

Why CBCS?

• Pay and Benefits: Salary is flexible based on experience level. Most benefits start Day 1 including 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.
• Company Culture: CBCS provides office equipment, IT support, training, and ongoing professional development opportunities. The company aims to hire, train, and grow the best professionals in the industry, fostering a culture of optimism and continuous improvement.