Experienced PIP Claims Adjuster

We are seeking experienced Desk Adjusters to handle New York PIP claims. Candidates must hold an active New York adjuster license and have experience working New York PIP claims. This is a fully remote position requiring availability for 40 hours per week.

Since 1987, Eberl Claims Service has been providing independent claims services to insurance carriers across the country. As we continue to grow and innovate, we remain grounded in the core values that built our reputation: honesty, integrity, and treating our workforce the way we would want to be treated. These principles continue to guide our mission and culture today. We strive to be the first choice for everyone seeking a career in insurance claims.

• Conduct triage upon receipt of claim to determine best method to scope and adjudicate the loss.
• Through interviewing or other methods, obtains necessary information from the claimant and from experts such as health care practitioners, accountants, and others to fully and accurately assess the extent of the loss.
• Work cooperatively with expert witnesses, attorneys, public adjusters, and carrier’s examiners as needed to conduct investigations, confirm findings, and support evaluations.
• Apply understanding of insurance policies and policy interpretation, establishing appropriate loss estimates based on all relevant information and findings.
• Establish and recommends the reasonable and proper amount the insurance company should pay on a claim.
• Ensure the accuracy of information collected and reported and guards against fraudulent claims, based on critical issues identified and accurate conclusions drawn.
• Prepare accurate, clear, thorough, and concise reports and letters to insurance carriers on conclusions and recommendations. Follows established policies, procedures, and processes in preparing information, and submits reports and documents in a timely manner and in accordance with insurer’s standards and expectations. Effectively uses software systems as necessary to produce accurate estimates.
• Maintain accurate, thorough notes, journal entries, and time and expense records as required. Submits reimbursement reports in keeping with organization and client policies, procedures and practices, and accepted industry standards. Applies knowledge of both time-and-expense and fee-for-service procedures, according to the stipulations of the agreement with the insurer.
• Obtain manager guidance as necessary, and in accordance with Eberl policy and practice, in formulating recommendations and completing evaluations and reports.