New Jersey Statutes Title 17. Corporations and Institutions for Finance and Insurance 17 § 29E-4

Any person who: a. has reasonable cause to believe that an insurer has failed or refuses to settle a claim in accordance with the provisions of the insurance contract or engaged in any practice in violation of the provisions of P.L.1985, c. 179 (C.17:23A-1 et seq.), P.L.1947, c. 379 (C.17:29B-1 et seq.), P.L.1982, c. 95 (C.17:35C-1 et seq.), chapter 30 of Title 17B of the New Jersey Statutes or section 8 of P.L.1992, c. 144 (C.17:35C-11); and, in the case of disputed claims, b. has previously filed an appeal with the insurer's internal appeals procedure established pursuant to section 55 of this amendatory and supplementary act,  1 which has been adjudicated, or other dispute resolution procedure established pursuant to P.L.1972, c. 70 (C.39:6A-1 et seq.), P.L.1997, c. 192 (C.26:2S-1 et seq.), or sections 1 through 12 of P.L.1983, c. 358 (C.39:6A-24 through 39:6A-35, inclusive) may file an application with the ombudsman for a review of the claims settlement. Any disputes which may be or have been filed or adjudicated pursuant to sections 24 and 25 of P.L.1998, c. 21 (C.39:6A-5.1 and C.39:6A-5.2) shall not be subject to the ombudsman's review.