Job Overview Maya Assurance Company is seeking a dedicated and experienced Claims Adjuster specializing in No-Fault and Personal Injury Protection (PIP) claims. This full-time, on-site position is based in New York, NY. The Claims Adjuster will be responsible for handling and evaluating no-fault and PIP claims on a daily basis, working closely with policyholders, healthcare providers, attorneys, and other stakeholders to ensure accurate and timely processing of claims. The ideal candidate will have extensive claims handling experience, strong evaluation skills, and a thorough understanding of no-fault insurance policies. Duties Handle and evaluate no-fault and PIP insurance claims from initiation through resolution. Review claim documentation, medical records, and related evidence to determine claim validity and coverage. Communicate effectively with policyholders, healthcare providers, attorneys, and other relevant parties to gather necessary information. Assess damages, negotiate settlements, and make informed decisions regarding claim approval or denial. Ensure compliance with all applicable insurance regulations and company policies throughout the claims process. Maintain detailed records of all claim activities, correspondence, and decisions for audit purposes. Collaborate with internal teams to improve claims processing procedures and customer service standards. Stay updated on industry trends, regulatory changes, and best practices related to no-fault/PIP insurance claims. Skills 5 to 10 years of experience in claims handling and evaluation within the insurance industry. Strong knowledge of no-fault (PIP) insurance policies and related legal frameworks. Excellent analytical skills to assess complex medical and legal documentation accurately. Effective communication skills for interacting with diverse stakeholders professionally. Ability to negotiate settlements confidently while maintaining fairness and compliance. Detail-oriented with strong organizational skills to manage multiple claims efficiently. Proficiency in claims management software and Microsoft Office Suite. Ability to work independently in a fast-paced environment while adhering to deadlines. This role offers an opportunity for experienced claims professionals to contribute their expertise within a reputable organization committed to quality service delivery in the insurance industry.

Pay:

$60,000.00 - $80,000.00 per year Ability to

Commute:

Long Island City, NY 11101 (Required)

Work Location:

In person