AmTrust is a major player in the commercial P&C market and the third largest workers' compensation provider in the U.S. Our small business insurance product suite continues to expand with Cyber, BOP, Employment Practices Liability Insurance (EPLI), Package and other core coverages and capabilities, including more middle-market and large accounts.
As a Workers' Compensation Claims Examiner Associate, you'll dive into investigating and resolving employee injury claims. You'll be the key link between injured workers, healthcare providers, employers, and legal teams, ensuring fair and efficient claim handling. Master examination by assessing liability through detailed evaluations, hone investigation skills by interviewing claimants and reviewing medical files and sharpen negotiation tactics for fair claim resolutions. Ultimately, you'll confidently settle claims using your investigative insights.
Note, this is an in-office opportunity out of our Princeton, NJ office.
Responsibilities
At AmTrust, we are excited about fostering organic growth and promoting from within! This training program is your gateway to an exciting Claims career journey. Our commitment to your growth doesn't stop when the training ends. AmTrust is dedicated to continually nurturing and training all adjusters to advance their careers in claims. Whether you're eager to climb the ranks in adjusting or aspire to leadership roles, we're here to develop top-notch adjusters and future leaders through this rewarding program!
Qualifications
Requirements
4-year degree OR 3 years of relevant experience - ideal candidate for the role is a recent graduate or early-career professional interested in a dynamic, intellectually engaging role.
Strong analytical, communication, and problem-solving skills.
Strong organizational abilities and attention to detail.
Ability to work collaboratively and independently in a fast-paced environment.
Interest in building a long-term career in insurance or claims management.
Benefits
15-22 Paid Holidays and 18 days of PTO.
Monday through Friday work schedule - no nights or weekends required.
401k Savings Plan
Medical, Dental and Vision Health Benefits - including spouses and children.
Internal Wellness Program with yearly discounts and incentives.
Paid training and State Licensure.
Why Claims?
A Claims career is dynamic and intellectually stimulating, enhancing your skills in policy interpretation, legal understanding, and medical expertise. You'll collaborate with defense attorneys, engage in trials and mediations, and hone investigative, analytical, and negotiation skills. Exposed to facets like Underwriting, Loss Control, Managed Care, and SIU, Claims opens diverse career paths with technical and leadership growth-perfect for making an impact and building a lasting career.
Why Insurance?
AmTrust provides insurance protection, warranty programs and risk management expertise to small businesses, professional and financial services firms, retailers, and manufacturers worldwide. The insurance industry is vital for economic stability, offering financial protection and career opportunities with $932.5 billion in premiums and 2.98 million US employees in 2024. Careers include Claims, Loss Control, Underwriting, Actuary, and Sales, with resilience to economic fluctuations and skills transferable across sectors.
The expected salary for this role is $28.50/hr.
Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations.
What We Offer
AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.
AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.
AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.
Not ready to apply? Connect with us for general consideration.
$28.5 hourly Auto-Apply 14d ago
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Claims Specialist - Management Liability
Axis Capital Holdings Ltd. 4.0
Claim processor job in Red Bank, NJ
This is your opportunity to join AXIS Capital - a trusted global provider of specialty lines insurance and reinsurance. We stand apart for our outstanding client service, intelligent risk taking and superior risk adjusted returns for our shareholders. We also proudly maintain an entrepreneurial, disciplined and ethical corporate culture. As a member of AXIS, you join a team that is among the best in the industry.
At AXIS, we believe that we are only as strong as our people. We strive to create an inclusive and welcoming culture where employees of all backgrounds and from all walks of life feel comfortable and empowered to be themselves. This means that we bring our whole selves to work.
All qualified applicants will receive consideration for employment without regard to race, color, religion or creed, sex, pregnancy, sexual orientation, gender identity or expression, national origin or ancestry, citizenship, physical or mental disability, age, marital status, civil union status, family or parental status, or any other characteristic protected by law. Accommodation is available upon request for candidates taking part in the selection process.
About the Team
AXIS is a leading provider of specialty insurance and global reinsurance. The Management Liability team is an engaging team handling claims in a variety of financial lines. The strength of our team is grounded in our people and culture, encouraging collaboration, growth, and diversity.
How does this role contribute to our collective success?
The selected individual will collaborate with a team to investigate, analyze, and evaluate Third Party Liability claims, ensuring proper coverage determinations. Expertise will be developed in Directors & Officers or Financial Institutions units while engaging with complex insureds on significant and dynamic disputes. This role offers meaningful opportunities to contribute to impactful case resolutions within specialized insurance sectors.
What Will You Do In This Role?
* Serving as a Claims Specialist focused on Management Liability Claims within AXIS' North America Claim team.
* Managing a diverse range of liability claims, including Public D&O, Private D&O, and Private Equity, and Insurance Company Professional Liability.
* Determining the appropriate valuation of complex claims, recommending settlement strategies, adhering to company policies, and collaborating with insureds, brokers, and partners effectively.
* Traveling to distinctive destinations to participate in mediations, observe trials, and strengthen relationships with vital AXIS partners.
* Escalating coverage concerns to internal teams and collaborating with external coverage attorneys when specific assignments necessitate their involvement.
* Developing claims and litigation strategies, delegating tasks, and overseeing the work of external legal advisors effectively.
* Assisting with underwriting inquiries while analyzing claim trends, conducting data analysis, and performing comprehensive risk assessments to support decision-making processes.
* Keeping precise records of claim activities and promptly updating systems with all relevant details ensuring accuracy and efficiency.
About You
We encourage you to bring your own experience and expertise to the table, so while there are some qualifications and experiences, we need you to have, we are open to discussing how your individual knowledge might lend itself to fulfilling this role and help us achieve our goals.
What We're Looking For
* Seek candidates who bring unique perspectives and diverse skills to the team.
* Contribute actively to the success of a growing and dynamic team by bringing energy and a positive attitude.
* Hold a Juris Doctorate.
* Operate efficiently in settings with high visibility, shifting deadlines, and evolving expectations while staying focused and achieving outcomes.
* Demonstrate organizational abilities and solve problems effectively.
* Exhibit outstanding skill in verbal communication and written expression.
* Showcase skill as a litigator or litigation manager, well-versed in dispute resolution.
* Write coverage letters independently with precision and attention to detail, ensuring accuracy in all aspects of the work.
Role Factors
Travel is associated with this role. The role requires you to be in office 3 days per week and adhere to AXIS licensing requirements.
What We Offer
For this position, we currently expect to offer a base salary in the range of $73,000 - $146,000. Your salary offer will be based on an assessment of a variety of factors including your specific experience and work location.
In addition, you will be offered competitive target incentive compensation, with awards based on overall corporate and individual performance. On top of this, you will be eligible for a comprehensive and competitive benefits package which includes medical plans for you and your family, health and wellness programs, retirement plans, tuition reimbursement, paid vacation, and much more.
Where this role is based in the United States of America, this role is Exempt for FLSA purposes.
About Axis
This is your opportunity to join AXIS Capital - a trusted global provider of specialty lines insurance and reinsurance. We stand apart for our outstanding client service, intelligent risk taking and superior risk adjusted returns for our shareholders. We also proudly maintain an entrepreneurial, disciplined and ethical corporate culture. As a member of AXIS, you join a team that is among the best in the industry.
At AXIS, we believe that we are only as strong as our people. We strive to create an inclusive and welcoming culture where employees of all backgrounds and from all walks of life feel comfortable and empowered to be themselves. This means that we bring our whole selves to work.
All qualified applicants will receive consideration for employment without regard to race, color, religion or creed, sex, pregnancy, sexual orientation, gender identity or expression, national origin or ancestry, citizenship, physical or mental disability, age, marital status, civil union status, family or parental status, or any other characteristic protected by law. Accommodation is available upon request for candidates taking part in the selection process.
AXIS Persona
AXIS Capital seeks professionals who thrive in a dynamic, high-performing environment grounded in humility and mutual respect. We employ those who exemplify our core values of People, Excellence, Decisiveness, and Stronger Together.
We are a team characterized by integrity and self-discipline, striving for continuous improvement and driven to achieve ambitious results. Our focus is on hiring, developing, retaining, and rewarding individuals who excel in:
Purposeful Action: Delivering top-tier work with a data-driven approach and operating at AXIS speed.
Collaborative Decision-Making: Valuing input from all relevant groups and being open to debate. Able to leave their ego at the door and be committed to achieving results through teamwork, fully supporting decisions once made.
Measuring Outcomes: Consistently evaluating performance against established expectations.
The AXIS employee will cultivate a collaborative workplace atmosphere, fostering trust within the team. We believe in respectful challenges, presuming best intent, and building meaningful relationships with colleagues, customers, and the communities we serve.
Joining our team means becoming part of a workplace where every individual's contributions are valued, and excellence is pursued with purpose and passion. Together, we elevate our standards, achieve ambitious results, and make a lasting impact on each other and those we serve.
$73k-146k yearly Auto-Apply 3d ago
Associate Claims Examiner
Markel 4.8
Claim processor job in Red Bank, NJ
What part will you play? If you're looking for a place where you can make a meaningful difference, you've found it.
The work we do at Markel gives people the confidence to move forward and seize opportunities, and you'll find your fit amongst our global community of optimists and problem-solvers. We're always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! This position will be responsible for the resolution of low complexity and low exposure claims and provide support to other team members as directed. This position will work closely with their manager to train and develop fundamental claims handling skills.
Associate Claims Examiner will be responsible for the resolution of claims with the Prompt Resolution Team (PRT) of lower complexity and exposure. This position will have decision-making authority in the amount of $25,000 and work under the general direction of their manager. The ACE position supports all product lines in Casualty with particular emphasis on Binding and Commercial Wholesale Primary and Small Commercial Programs.
Job Responsibilities
Confirms coverage of claims by reviewing policies and documents submitted in support of claims.
Conducts, coordinates and directs investigation into loss facts and extent of damages.
Evaluates information on coverage, liability, and damages to determine the extent of insured's exposure.
Strong emphasis on customer service to both internal and external customers is a major focus for the ACE as this role will handle small commercial claims that require excellent customer service to insureds and agents.
Set reserves within authority (up to $25,000) and resolve claims within a prompt timeframe avoiding expense relating to independent adjusting.
Required Qualifications
Must have or be eligible to receive claims adjuster license.
Successful completion of basic insurance courses or achievement of industry designations.
Ability to be trained in insurance adjusting up to two years of claims experience.
2-4 years of experience in general liability, construction defect, or related liability lines preferred.
Bachelor's degree preferred
Excellent written and oral communication skills.
Strong organizational and time management skills.
#
LI-Hybrid
US Work Authorization
US Work Authorization required. Markel does not provide visa sponsorship for this position, now or in the future.
Pay information:
The base salary offered for the successful candidate will be based on compensable factors such as job-relevant education, job-relevant experience, training, licensure, demonstrated competencies, geographic location, and other factors. The salary for the position is $25 - $38.25 with a 10% bonus potential.
Who we are:
Markel Group (NYSE - MKL) a fortune 500 company with over 60 offices in 20+ countries, is a holding company for insurance, reinsurance, specialist advisory and investment operations around the world.
We're all about people | We win together | We strive for better
We enjoy the everyday | We think further
What's in it for you:
In keeping with the values of the Markel Style, we strive to support our employees in living their lives to the fullest at home and at work.
We offer competitive benefit programs that help meet our diverse and changing environment as well as support our employees' needs at all stages of life.
All full-time employees have the option to select from multiple health, dental and vision insurance plan options and optional life, disability, and AD&D insurance.
We also offer a 401(k) with employer match contributions, an Employee Stock Purchase Plan, PTO, corporate holidays and floating holidays, parental leave.
Are you ready to play your part?
Choose ‘Apply Now' to fill out our short application, so that we can find out more about you.
Caution: Employment scams
Markel is aware of employment-related scams where scammers will impersonate recruiters by sending fake job offers to those actively seeking employment in order to steal personal information. Frequently, the scammer will reach out to individuals who have posted their resume online. These "job offers" include convincing offer letters and frequently ask for confidential personal information. Therefore, for your safety, please note that:
All legitimate job postings with Markel will be posted on Markel Careers. No other URL should be trusted for job postings.
All legitimate communications with Markel recruiters will come from Markel.com email addresses.
We would also ask that you please report any job employment scams related to Markel to ***********************.
Markel is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of any protected characteristic. This includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law.
Should you require any accommodation through the application process, please send an e-mail to the ***********************.
No agencies please.
$49k-72k yearly est. Auto-Apply 60d+ ago
Technical Claims Specialist, WC
Liberty Mutual 4.5
Claim processor job in Marlton, NJ
This is a complex claims role responsible for end-to-end handling of small commercial Workers' Compensation claims, including high-severity and litigated matters. The position primarily supports CT, MA, NJ, PA, and RI and requires strong technical expertise and multi-jurisdiction experience.
Key Responsibilities:
* Investigate, evaluate, and resolve complex and litigated WC claims with accuracy and timeliness
* Set and manage reserves; develop resolution strategies; negotiate settlements
* Partner with defense counsel and vendors; manage litigation plans and outcomes
* Ensure compliance with state statutes, regulations, and internal guidelines
* Communicate effectively with insureds, brokers, medical providers, and internal stakeholders
Strong Preference:
* Required: Prior Workers' Compensation claims experience, including complex and litigated case handling
* Proven negotiation, litigation management, and analytical skills
* Excellent communication, organization, and decision-making abilities
* May require state-specific claims adjuster licensing; candidates must hold (or be able to obtain and maintain) all necessary licenses for CT, MA, NJ, PA, and RI.
Remote role. If you live within 50 miles of a USRM hub location, in-office presence is required twice per month.
Qualifications
* A Bachelors degree or equivalent business experience is required
* In addition, the candidate will generally posses 5-7 years of related claims experience with 1-2 years of experience in complex claims
* Demonstrated proficiency in Excel, PowerPoint as well as excellent written and verbal communication skill required
About Us
Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in
every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive
benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve.
We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: ***********************
Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.
Fair Chance Notices
* California
* Los Angeles Incorporated
* Los Angeles Unincorporated
* Philadelphia
* San Francisco
$86k-117k yearly est. Auto-Apply 5d ago
Claims Specialist - Public Entity
Munich Re 4.9
Claim processor job in Princeton, NJ
We are adding to our diverse team of experts and are looking to hire those who are committed to building a culture that enables the creation of innovative solutions for our business units and clients. The Company Welcome to Munich Re Specialty - North America, a leading specialty insurance provider dedicated to delivering exceptional underwriting, claims, and risk management expertise to our partners and customers. As a trusted industry expert, we offer a broad range of comprehensive and customized solutions, including casualty, professional lines, property, surety, and public entity coverages. With the financial strength and global resources of our A+ Superior (A.M. Best) rated organization, we provide unmatched stability and reliability. Our team is committed to superior service levels, a distinctive approach to specialty solutions, and a deep understanding of the complex risks our clients face. Join our team and be part of a dynamic and experienced organization that is shaping the future of specialty insurance in North America.
The Opportunity
Future focused and always one step ahead!
The Claims Specialist is a critical role in our growing Public Entity team and will be responsible to direct all aspects of file handling on internal and third-party administered claims in the Public Entity line of business. The Claims Specialist will manage the claim investigation, analyze and determine coverage, evaluate the overall claim, and pursue risk transfer as warranted in a variety of public entity claims. The Claims Specialist will also direct the litigation process, strategically partner with counsel and vendors, and participate in mediations to drive optimal claim outcomes.
Responsibilities
* Thorough investigation in claims for coverage, trigger (liability, wrongful act, breach), damages, and subrogation/contribution opportunities.
* In-depth understanding of coverage issues, policy forms, reinsurance contracts, regulatory requirements, and changing legal landscape for casualty claims.
* Proactive management of claims, considering all aspects with a strategic vision for optimal claim outcome.
* Continual evaluation claim to set appropriate, timely reserves over the life of the claim to reflect changes in exposure.
* Strong technical claims proficiency through consistent execution of best claim practices.
* Strategically coordinate and manage outside counsel and vendors to obtain optimal claim outcome.
* Present high exposure claims to Claims Leadership and Key Stakeholders.
* Collaboration with internal and external business partners for client meetings, product development and improvement, and account audits.
* Innovative mindset - looks for ways to improve claim efficiencies and outcomes.
* Proactive management of claims with a strategic, total cost of claim mindset.
* Highly technical, analytical and critical thinking ability to properly determine coverage and liability.
Qualifications
Successful candidates will possess the following experience/skills/qualifications:
* 8+ years' experience of handling claims
* Experience in Public Entity or relevant lines of business.
* In-depth understanding of coverage issues, policy forms, reinsurance contracts, regulatory requirements, and changing legal landscape for casualty claims.
* Strong technical claims proficiency through consistent execution of best claim practices.
* Highly collaborative and proactive with strong interpersonal skills
* Innovative mindset - looks for ways to improve property claim efficiencies and outcomes.
* Excellent verbal and writing skills for internal and external communication, presentations and reporting.
* Superior analytical thinking and negotiation skills.
* Ability to travel for mediations, settlement conferences, and client or account meetings. (25%)
The Company is open to considering candidates in numerous locations, including Philadelphia (PA), Princeton (NJ), Chicago (IL), Atlanta (GA), and Hartford (CT). The salary range posted below reflects market variations across various locations. The offer will be adjusted per geography.
The base salary range anticipated for this position is $99,700-$152,800, plus opportunity for company bonus based upon a percentage of eligible pay. In addition, the company makes available a variety of benefits to employees, including health insurance coverage, an employee wellness program, life and disability insurance, 401k match, retirement savings plan, paid holidays and paid time off (PTO).
The salary estimate is adjusted to reflect the varying market conditions across different locations, with the with the higher end being more aligned with the Princeton, NJ job market. Factors that may be used to determine your actual salary include your specific skills, how many years of experience you have and comparison to other employees already in this role. Most candidates will start in the bottom half of the range.
We are proud to offer our employees, their domestic partners, and their children, a wide range of insurance benefits:
* Two options for your health insurance plan (PPO or High Deductible).
* Prescription drug coverage (included in your health insurance plan).
* Vision and dental insurance plans.
* Additional insurance coverages provided at no cost to you, such as basic life insurance equal to 1x annual salary and AD&D coverage that is equal to 1x annual salary.
* Short and Long Term Disability coverage.
* Supplemental Life and AD&D plans that you can purchase for yourself and dependents (includes Spouse/domestic partner and children).
* Voluntary Benefit plans that supplement your health and life insurance plans (Accident, Critical Illness and Hospital Indemnity).
In addition to the above insurance offerings, our employees also enjoy:
* A robust 401k plan with up to a 5% employer match
* A retirement savings plan that is 100% company funded.
* Paid time off that begins with 24 days each year, with more days added when you celebrate milestone service anniversaries.
* Eligibility to receive a yearly bonus as a Munich Re employee.
* A variety of health and wellness programs provided at no cost.
* Paid time off for eligible family care needs.
* Tuition assistance and educational achievement bonuses.
* A corporate matching gifts program that further enhances your charitable donation.
* Paid time off to volunteer in your community.
At Munich Re, we see Diversity, Equity and Inclusion as a solution to the challenges and opportunities all around us. Our goal is to foster an inclusive culture and build a workforce that reflects the customers we serve and the communities in which we live and work. We strive to provide a workplace where all of our colleagues feel respected, valued and empowered to achieve their very best every day. We recruit and develop talent with a focus on providing our customers the most innovative products and services.
We are an equal opportunity employer. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
#LI-MB-1
$99.7k-152.8k yearly 8d ago
Warranty Claims Analyst - Bensalem, PA
Foley 4.1
Claim processor job in Bensalem, PA
Daily
Advise sales, parts, and service managers on warranty-related matters to ensure our customers receive fair value while recovering maximum dollars.
Assure that our Service Departments follow procedures and complete warranty requirements on warranty service calls and other service documents.
Assure all Caterpillar and other product lines' warranty requirements are met daily, and warranty issues are resolved immediately.
Communicate with Factory Warranty Analysts and Service Operations Rep. when necessary to ensure fair claims settlement.
Advises Corporate Warranty Manager without delay any discrepancies and problems associated with claim recovery, maintenance, processing, and procedures. (i.e., Excessive Labor, partial settlements, zero settlements)
Assist the Service Departments in all divisions with warranty service calls and claims processing when necessary.
Analyze and process on a timely basis suspected warranty failures to determine responsibility and fair settlement of claims to all parties concerned.
Weekly
Analyze settlement maintenance (i.e., Status: pending, held) and process to maintain the accuracy of accounting reports.
Assure, when presented, that warranty service calls are finished and invoiced without delay. Respond to inquiries and provide warranty-related data on all product lines when requested by customers, co-workers, TEPS dealers, and the credit department promptly.
RECOMMENDED QUALIFICATIONS:
High School Diploma or equivalent required; Associate degree preferred.
Minimum 5 years experience in the heavy equipment or automotive industries and equivalent combination of training and experience, which provides the required knowledge, skills, and abilities.
Excellent communication and interpersonal skills, both verbal and written.
Experience with Microsoft Office, Excel, and Word.
Equal Opportunity Employer
Foley, Incorporated does not discriminate against any person applying for employment based on race, color, sex, age, religion, national origin or citizenship status, physical or mental disability, marital status, sexual orientation, gender identity, status as a covered Veteran, or any other legally protected status.
This contractor and subcontractor shall abide by the requirements of 41 CFR 60.300.5(a) and 41 CFR 60.741.5(a). These regulations prohibit discrimination against qualified individuals on the basis of disability and protected veteran status, and require affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified individuals with disabilities and protected veterans.
$33k-57k yearly est. Auto-Apply 60d+ ago
Liability Claims Specialist (Construction Defect)
CNA Financial Corp 4.6
Claim processor job in Princeton, NJ
You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.
This individual contributor position works under moderate direction, and within defined authority limits, to manage third party liability construction defect commercial claims with moderate to high complexity and exposure. Responsibilities include investigating and resolving claims according to company protocols, quality and customer service standards. Position requires regular communication with customers and insureds and may be dedicated to specific account(s).
JOB DESCRIPTION:
Essential Duties & Responsibilities:
Performs a combination of duties in accordance with departmental guidelines:
* Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits.
* Provides exceptional customer service by interacting professionally and effectively with insureds, claimants and business partners, achieving quality and cycle time standards, providing regular, timely updates and responding promptly to inquiries and requests for information.
* Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language and partnering with coverage counsel on more complex matters , estimating potential claim valuation, and following company's claim handling protocols.
* Conducts focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim.
* Establishes and maintains working relationships with appropriate internal and external work partners, suppliers and experts by identifying and collaborating with resources that are needed to effectively resolve claims.
* Authorizes and ensures claim disbursements within authority limit by determining liability and compensability of the claim, negotiating settlements and escalating to manager as appropriate.
* Contributes to expense management by timely and accurately resolving claims, selecting and actively overseeing appropriate resources, and delivering high quality service.
* Identifies and addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making referrals to appropriate Recovery or SIU resources for further investigation.
* Achieves quality standards on every file by following all company guidelines, achieving quality and cycle time targets, ensuring proper documentation and issuing appropriate claim disbursements.
* Maintains compliance with state/local regulatory requirements by following company guidelines, and staying current on commercial insurance laws, regulations or trends for line of business.
* May serve as a mentor/coach to less experienced claim professionals
May perform additional duties as assigned.
Reporting Relationship
Typically Manager or above
Skills, Knowledge & Abilities
* Solid working knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices.
* Solid verbal and written communication skills with the ability to develop positive working relationships, summarize and present information to customers, claimants and senior management as needed.
* Demonstrated ability to develop collaborative business relationships with internal and external work partners.
* Ability to exercise independent judgement, solve moderately complex problems and make sound business decisions.
* Demonstrated investigative experience with an analytical mindset and critical thinking skills.
* Strong work ethic, with demonstrated time management and organizational skills.
* Demonstrated ability to manage multiple priorities in a fast-paced, collaborative environment at high levels of productivity.
* Developing ability to negotiate low to moderately complex settlements.
* Adaptable to a changing environment.
* Knowledge of Microsoft Office Suite and ability to learn business-related software.
* Demonstrated ability to value diverse opinions and ideas
Education & Experience:
* Bachelor's Degree or equivalent experience.
* Typically a minimum four years of relevant experience, preferably in claim handling.
* Candidates who have successfully completed the CNA Claim Training Program may be considered after 2 years of claim handling experience.
* Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable.
* Professional designations are a plus (e.g. CPCU)
#LI-KP1
#LI-Hybrid
In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington, the national base pay range for this job level is $54,000 to $103,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees - and their family members - achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA's benefits, please visit cnabenefits.com.
CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact ***************************.
$54k-103k yearly Auto-Apply 29d ago
Claims Specialist, Professional Liability (Medical Malpractice)
Sedgwick 4.4
Claim processor job in Trenton, NJ
By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.
Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies
Certified as a Great Place to Work
Fortune Best Workplaces in Financial Services & Insurance
Claims Specialist, Professional Liability (Medical Malpractice)
**PRIMARY PURPOSE** **:** To analyze complex or technically difficult medical malpractice claims; to provide resolution of highly complex nature and/or severe injury claims; to coordinate case management within Company standards, industry best practices and specific client service requirements; and to manage the total claim costs while providing high levels of customer service.
**ESSENTIAL FUNCTIONS and RESPONSIBILITIES**
+ Analyzes and processes complex or technically difficult medical malpractice claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
+ Conducts or assigns full investigation and provides report of investigation pertaining to new events, claims and legal actions.
+ Negotiates claim settlement up to designated authority level.
+ Calculates and assigns timely and appropriate reserves to claims; monitors reserve adequacy throughout claim life.
+ Recommends settlement strategies; brings structured settlement proposals as necessary to maximize settlement.
+ Coordinates legal defense by assigning attorney, coordinating support for investigation, and reviewing attorney invoices; monitors counsel for compliance with client guidelines.
+ Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall claim cost for our clients.
+ Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case management opportunities to reduce total claim cost.
+ Represents Company in depositions, mediations, and trial monitoring as needed.
+ Communicates claim activity and processing with the client; maintains professional client relationships.
+ Ensures claim files are properly documented and claims coding is correct.
+ Refers cases as appropriate to supervisor and management.
+ Delegates work and mentors assigned staff.
**ADDITIONAL FUNCTIONS and RESPONSIBILITIES**
+ Performs other duties as assigned.
+ Supports the organization's quality program(s).
**QUALIFICATIONS**
**Education & Licensing**
Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certification as applicable to line of business preferred.
**Experience**
Six (6) years of claims management experience or equivalent combination of education and experience required.
**Skills & Knowledge**
+ In-depth knowledge of appropriate medical malpractice insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security application procedures as applicable to line-of-business
+ Excellent oral and written communication, including presentation skills
+ PC literate, including Microsoft Office products
+ Analytical and interpretive skills
+ Strong organizational skills
+ Excellent negotiation skills
+ Good interpersonal skills
+ Ability to work in a team environment
+ Ability to meet or exceed Performance Competencies
**WORK ENVIRONMENT**
When applicable and appropriate, consideration will be given to reasonable accommodations.
**Mental** **:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
**Physical** **:** Computer keyboarding, travel as required
**Auditory/Visual** **:** Hearing, vision and talking
_As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is_ **_$117,000 - $125,000_** _. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits._
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
**If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.**
**Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**
$117k-125k yearly 15d ago
Claims Supervisor, Operations
Plymouth Rock 4.7
Claim processor job in Woodbridge, NJ
The Claims Supervisor, Operations will oversee a unit of operations associates in the Woodbridge and Mount Laurel claim departments. The unit handles a variety of claim related functions including, but not limited to data entry, rental claim handling, salvage processing, subrogation assistance and switchboard functions. In addition, this role also has responsibilities with regards to claim system applications including testing, quality assurance and production support.
RESPONSIBILITIES
* Establish and monitor unit goals for service, production and work quality.
* Plan unit workflow and monitor assignment of tasks to unit members based on complexity, severity, and volume.
* Perform Quality Assurance reviews on associates work product to identify trends, provide direction and feedback.
* Provide management with monthly analysis of quality trends and performance of claims associates.
* Conduct individual and group training on all aspects of the job.
* Conduct performance reviews and counseling sessions, write performance appraisals and monitor attendance.
* Make recommendations for promotions, staff changes, and salary.
* Must be willing to travel to the other claim locations (Mt Laurel and/or Horsham). At least twice a month and more if needed.
* Perform user acceptance testing for technology projects and following monthly production releases which may occur on Friday evenings or on weekends. (May alternate availability with other team members.)
* Handle special projects/assignments as requested.
QUALIFICATIONS
* Five or more years of related claims experience across multiple lines of business required.
* Bachelor's degree from a four-year college or university required.
* Strong leadership, critical thinking, problem solving and communication skills.
* Ability to multi-task and prioritize responsibilities in a fast-paced environment.
* Excellent verbal and written communication skills.
* Must have an aptitude for technology including a strong working knowledge of Microsoft Products (Word, Excel, Powerpoint, etc). Knowledge of ClaimsPro, Image Right, Client Letter also preferred.
SALARY RANGE
The pay range for this position is $ 73,000 to $103,500 annually. Actual compensation will vary based on multiple factors, including employee knowledge and experience, role scope, business needs, geographical location, and internal equity.
PERKS & BENEFITS
* 4 weeks accrued paid time off, 8 paid national holidays per year, and 2 floating holidays
* Low cost and excellent coverage health insurance options that start on Day 1 (medical, dental, vision)
* Annual 401(k) Employer Contribution
* Free onsite gym and health center at our Woodbridge Location
* Resources to promote Professional Development (LinkedIn Learning and licensure assistance)
* Robust health and wellness program and fitness reimbursements
* Various Paid Family leave options including Paid Parental Leave
* Tuition Reimbursement
ABOUT THE COMPANY
The Plymouth Rock Company and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. We continuously invest in technology, our employees thrive in our empowering environment, and our customers are among the most loyal in the industry. The Plymouth Rock group of companies employs more than 1,900 people and is headquartered in Boston, Massachusetts. Plymouth Rock Assurance Corporation holds an A.M. Best rating of "A-/Excellent".
Regional Certification Specialist (New Jersey Region)
Winncompanies 4.0
Claim processor job in Trenton, NJ
WinnCompanies is looking for a Regional Certification Specialist to join our Compliance team to assist multiple properties throughout the New Jersey region. In this role, you will be responsible for leading efforts to complete initial, interim, and annual Tax Credit and other affordable housing programs certifications/recertifications, at assigned properties within the region. The properties will have both single and multilayered affordable housing programs. These responsibilities can occur during both initial lease-ups and stabilized operations.
Please note that the pay range for this position is $31.00 to $34.00 per hour dependent on experience. The final pay rate will vary based on job responsibilities and scope, geographic location, candidate's relevant experience, and other factors. The selected candidate will also adhere to the following schedule: Monday through Friday from 8:00AM-5:00PM EST with weekends when needed.Responsibilities:
Process initial, interim and annual recertifications.
Notify residents of their impending recertifications using notices supplied by Property Management Software.
Conduct the recertification interviews with residents.
Review each recertification to ensure that all checklist items are complete.
Send recertification verification forms to the appropriate agencies (e.g., Social Security Administration, place of employment, welfare agency, Veterans Administration) relevant banks, and other organizations (e.g., drug stores).
Complete recertification worksheets necessary to prepare the voucher (i.e., Form 50059) for the local HUD office, state agency, or local housing authority, which includes ensuring that the resident signs the recertification (HUD sites only).
Ensure EIV reports are ran and issues are resolved in a timely manner.
Complete the recertification worksheet so that the annual Tax Credit reports (Tenant Income Certification TIC) may be prepared for the state compliance agency, which includes having the resident sign all applicable paperwork.
Ensure all information is accurate and entered in the Property Management Software.
Comply with company policies regarding the proper treatment of Tax Credit and Resident files.
Ensure that files comply with the regulations of all funding/regulatory agencies, such as HOME and HIF.
Act as a point of contact for third party file reviewers.
Ensure the proper treatment of residents' personal/private information and maintaining such records in accordance with local, state and/or federal law.
Lead file review and all preparation efforts for MOR, Tax Credit, regulatory agency, auditor inspections, as necessary.
Perform special assignments as necessary.
Requirements:
High school diploma or GED equivalent.
3-5 years of relevant property management experience.
1-3 years of LIHTC and Project-Based Section 8 experience.
A current vehicle license in good standing and meet the driving records standards outlined in the Company Safe Vehicular Operations Policy.
Experience with computer systems, particularly Microsoft Office.
Outstanding verbal and written communication skills.
Excellent customer service skills.
Ability to travel up to 100% of the time (fully on-site).
Ability to manage multiple assignments and tasks.
Ability to work with a diverse group of people and personalities.
Preferred Qualifications:
Associate's degree.
COS, SHCM and CPO certification.
Prior REHAB and lease up experience.
Past experience with property management software.
#IND3
$31-34 hourly 8d ago
Certification Specialist - Rowan Towers
CRM Residential 3.6
Claim processor job in Trenton, NJ
CRM Residential has been a trusted name in the property management industry for over 46 years specializing in affordable housing. Our success story is a testament to the dedicated and talented individuals who have chosen to build their careers with us. We take great pride in our values, and we live and breathe them every day.
Working at CRM Residential is so much more than a job, it is a career with purpose. No matter what department or level of the company you join, our mission is to provide a comfortable and reliable home environment for those who need it most and to provide excellent service to our customers. You will make a difference.
Why Join the CRM Residential Team:
Comprehensive Health Coverage
Retirement Savings with employer contribution
Bonus Potential
Paid Time Off (PTO)
Company Paid Holidays
Once eligible for enrollment, the company will contribute a Safe Harbor match of 3% of your compensation to your 401(k) account, regardless of whether you choose to make your own contributions.
Pay Rate: $22.00-$24.00 per hour
What You'll Get To Do:
The Compliance Specialist will be responsible for keeping abreast of all HUD, state agency, and tax credit rules and regulations concerning occupancy, recertifications, and tax credit related issues. The Compliance Specialist will deal directly with HUD and state agencies in reference to Section 8 contract renewals. This role will be responsible for but not limited to:
Prepare monthly, quarterly, and annually reports for Tax Credit Properties
Prepare Company Occupancy Reports weekly and for properties and owners
Review and critique recertification move in packages at tax credit properties
Prepare handouts for training classes and an assist in allocating the cost to each property that attended training
Site visits may be required from time to time to offer assistance to onsite staff pertaining to occupancy, file compliance or other tax credit specific areas
Attend educational seminars relating to tax credit compliance & other affordable housing
Monitor the timely completion of annual recertifications for all sites. Advise Regional Manager of any potential problems
Written correspondence with owners and agencies, relating to affordable housing
Requirements:
High School diploma or equivalent education required. 3-4 years of experience can offset minimum educational requirements for this position.
Valid driver's license and reliable transportation
Ability to work with a variety of people and make them feel comfortable quickly
Strong customer service skills required
Must have strong organizational and time management skills
Valid driver's license
Proficiency at multi-tasking
3 years' experience of project-based section 8
Organizational skills
Working knowledge of Microsoft Office software
Experience with verifications and renewals
Experience with Real Page, TRACS, etc.
Other administrative duties as assigned
Onsite Monday-Friday 8:00am-4:30pm
About CRM Residential:
CRM Residential is an award-winning full-service property management company which professionally manages 11,000+ apartments valued in excess of one billion. We are exclusively third-party so there is no conflict of interest between the properties that we manage for our clients and our own properties, because we do not own any properties. Our focus is dedicated to our clients.
We are an equal opportunity employer and welcome applicants from all backgrounds to apply. If you have a passion for property management and a desire to work for a reputable company, we encourage you to apply for this exciting opportunity.
$22-24 hourly Auto-Apply 45d ago
Certification Specialist
Crmresidential
Claim processor job in Trenton, NJ
We are seeking a dedicated and detail-oriented Certification Specialist to join our team. This role offers an exciting opportunity to contribute to our community by ensuring compliance and maintaining high standards through certification processes. The ideal candidate will be proactive, organized, and capable of working independently under the guidance of the Community Manager.
Key Responsibilities:
- Manage and coordinate certification processes for residents and staff, ensuring all documentation is accurate and up-to-date
- Assist in preparing and submitting certification applications and renewals in accordance with regulatory requirements
- Maintain organized records of certifications, licenses, and related documentation
- Collaborate with community staff to facilitate certification-related training sessions and workshops
- Travel to various training sessions and certification events as required, maintaining reliable transportation and a valid driver's license
- Conduct background and drug screenings for new hires as part of the onboarding process
- Stay informed about certification standards and updates relevant to the property and community needs
Skills and Qualifications:
- High School diploma or equivalent education required
- Previous experience in certification processes or related administrative roles preferred
- Strong organizational skills with attention to detail
- Excellent communication and interpersonal skills
- Ability to work independently and follow instructions accurately
- Valid driver's license and reliable transportation for travel to training sessions
- Ability to handle sensitive information with confidentiality and professionalism
At CRM Residential, we foster a supportive and inclusive environment that values growth, teamwork, and excellence. We offer opportunities for professional development and a rewarding work environment dedicated to community well-being.
Requirements
HUD Background required
Salary Description $22-$24/hr
$22-24 hourly 48d ago
Claims Specialist - Management Liability
Axis Capital Holdings Ltd. 4.0
Claim processor job in Princeton, NJ
This is your opportunity to join AXIS Capital - a trusted global provider of specialty lines insurance and reinsurance. We stand apart for our outstanding client service, intelligent risk taking and superior risk adjusted returns for our shareholders. We also proudly maintain an entrepreneurial, disciplined and ethical corporate culture. As a member of AXIS, you join a team that is among the best in the industry.
At AXIS, we believe that we are only as strong as our people. We strive to create an inclusive and welcoming culture where employees of all backgrounds and from all walks of life feel comfortable and empowered to be themselves. This means that we bring our whole selves to work.
All qualified applicants will receive consideration for employment without regard to race, color, religion or creed, sex, pregnancy, sexual orientation, gender identity or expression, national origin or ancestry, citizenship, physical or mental disability, age, marital status, civil union status, family or parental status, or any other characteristic protected by law. Accommodation is available upon request for candidates taking part in the selection process.
About the Team
AXIS is a leading provider of specialty insurance and global reinsurance. The Management Liability team is an engaging team handling claims in a variety of financial lines. The strength of our team is grounded in our people and culture, encouraging collaboration, growth, and diversity.
How does this role contribute to our collective success?
The selected individual will collaborate with a team to investigate, analyze, and evaluate Third Party Liability claims, ensuring proper coverage determinations. Expertise will be developed in Directors & Officers or Financial Institutions units while engaging with complex insureds on significant and dynamic disputes. This role offers meaningful opportunities to contribute to impactful case resolutions within specialized insurance sectors.
What Will You Do In This Role?
* Serving as a Claims Specialist focused on Management Liability Claims within AXIS' North America Claim team.
* Managing a diverse range of liability claims, including Public D&O, Private D&O, and Private Equity, and Insurance Company Professional Liability.
* Determining the appropriate valuation of complex claims, recommending settlement strategies, adhering to company policies, and collaborating with insureds, brokers, and partners effectively.
* Traveling to distinctive destinations to participate in mediations, observe trials, and strengthen relationships with vital AXIS partners.
* Escalating coverage concerns to internal teams and collaborating with external coverage attorneys when specific assignments necessitate their involvement.
* Developing claims and litigation strategies, delegating tasks, and overseeing the work of external legal advisors effectively.
* Assisting with underwriting inquiries while analyzing claim trends, conducting data analysis, and performing comprehensive risk assessments to support decision-making processes.
* Keeping precise records of claim activities and promptly updating systems with all relevant details ensuring accuracy and efficiency.
About You
We encourage you to bring your own experience and expertise to the table, so while there are some qualifications and experiences, we need you to have, we are open to discussing how your individual knowledge might lend itself to fulfilling this role and help us achieve our goals.
What We're Looking For
* Seek candidates who bring unique perspectives and diverse skills to the team.
* Contribute actively to the success of a growing and dynamic team by bringing energy and a positive attitude.
* Hold a Juris Doctorate.
* Operate efficiently in settings with high visibility, shifting deadlines, and evolving expectations while staying focused and achieving outcomes.
* Demonstrate organizational abilities and solve problems effectively.
* Exhibit outstanding skill in verbal communication and written expression.
* Showcase skill as a litigator or litigation manager, well-versed in dispute resolution.
* Write coverage letters independently with precision and attention to detail, ensuring accuracy in all aspects of the work.
Role Factors
Travel is associated with this role. The role requires you to be in office 3 days per week and adhere to AXIS licensing requirements.
What We Offer
For this position, we currently expect to offer a base salary in the range of $73,000 - $146,000. Your salary offer will be based on an assessment of a variety of factors including your specific experience and work location.
In addition, you will be offered competitive target incentive compensation, with awards based on overall corporate and individual performance. On top of this, you will be eligible for a comprehensive and competitive benefits package which includes medical plans for you and your family, health and wellness programs, retirement plans, tuition reimbursement, paid vacation, and much more.
Where this role is based in the United States of America, this role is Exempt for FLSA purposes.
About Axis
This is your opportunity to join AXIS Capital - a trusted global provider of specialty lines insurance and reinsurance. We stand apart for our outstanding client service, intelligent risk taking and superior risk adjusted returns for our shareholders. We also proudly maintain an entrepreneurial, disciplined and ethical corporate culture. As a member of AXIS, you join a team that is among the best in the industry.
At AXIS, we believe that we are only as strong as our people. We strive to create an inclusive and welcoming culture where employees of all backgrounds and from all walks of life feel comfortable and empowered to be themselves. This means that we bring our whole selves to work.
All qualified applicants will receive consideration for employment without regard to race, color, religion or creed, sex, pregnancy, sexual orientation, gender identity or expression, national origin or ancestry, citizenship, physical or mental disability, age, marital status, civil union status, family or parental status, or any other characteristic protected by law. Accommodation is available upon request for candidates taking part in the selection process.
AXIS Persona
AXIS Capital seeks professionals who thrive in a dynamic, high-performing environment grounded in humility and mutual respect. We employ those who exemplify our core values of People, Excellence, Decisiveness, and Stronger Together.
We are a team characterized by integrity and self-discipline, striving for continuous improvement and driven to achieve ambitious results. Our focus is on hiring, developing, retaining, and rewarding individuals who excel in:
Purposeful Action: Delivering top-tier work with a data-driven approach and operating at AXIS speed.
Collaborative Decision-Making: Valuing input from all relevant groups and being open to debate. Able to leave their ego at the door and be committed to achieving results through teamwork, fully supporting decisions once made.
Measuring Outcomes: Consistently evaluating performance against established expectations.
The AXIS employee will cultivate a collaborative workplace atmosphere, fostering trust within the team. We believe in respectful challenges, presuming best intent, and building meaningful relationships with colleagues, customers, and the communities we serve.
Joining our team means becoming part of a workplace where every individual's contributions are valued, and excellence is pursued with purpose and passion. Together, we elevate our standards, achieve ambitious results, and make a lasting impact on each other and those we serve.
$73k-146k yearly Auto-Apply 3d ago
Claims Examiner, Medical Only
Amtrust Financial Services, Inc. 4.9
Claim processor job in Princeton, NJ
The Worker's Compensation Medical Only Claims Adjuster is responsible for the prompt and effective investigation of worker's compensation claims involving injuries that require medical treatment but no wage loss. Claim adjudication requires interaction with Insureds, claimants, medical providers and other parties to ensure adequate medical treatment is provided while utilizing Company resources in a cost-effective manner.
Responsibilities
* Ability to multitask and prioritize work in a fast-paced environment and manage time effectively
* Investigates losses of low to moderate severity to determine cause, scope and extent of injury and/or liability for potential subrogation
* Verifies coverage and confirms policy conditions have been met
* Obtains missing information and ensures data integrity for Regulatory reporting
* Communicates effectively with claimants, policyholders, Underwriters, agents, and other internal and external stakeholders
* Authorizes medical treatment and schedules medical appointments.
* Establishes medical reserves, approves medical bills and reviews/requests medical records
* Documents all correspondence, reports, discussions and decisions in Claim file notes
* Knowledge of multiple state jurisdictions (if applicable)
* Obtain appropriate Adjuster licensing (If applicable)
* Performs other related duties as assigned
The expected salary range for this role is $22.00-$26.50/HR.
Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations.
This is designed to provide a general overview of the requirements of the job and does not entail a comprehensive listing of all activities, duties, or responsibilities that will be required in this position. AmTrust has the right to revise this job description at any time.
Qualifications
Required
* Proficiency with MS Word, Excel and other business applications
* Demonstrated skills in critical thinking and independent decision making
* State licensing requirements (if applicable)
Preferred:
* Minimum of 2 years handling Medical Only or other Workers Compensation Claims experience
* Basic knowledge of medical conditions, treatment plans and casual relation to occupational injury/illness
What We Offer
AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.
AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.
AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.
$22-26.5 hourly Auto-Apply 37d ago
RI Accounting & Claims Handling Analyst
Munich Re 4.9
Claim processor job in Princeton, NJ
We are adding to our diverse team of experts and are looking to hire those who are committed to building a culture that enables the creation of innovative solutions for our business units and clients. The Company Munich Re America Services (MRAS) is a shared service organization that delivers services to all Munich Re US P&C Companies and other group entities.
As a member of Munich Re's US operations, we offer the financial strength and stability that comes with being part of the world's preeminent insurance and reinsurance brand. Our risk experts work together to assemble the right mix of products and services to help our clients stay competitive - from traditional reinsurance coverages, to niche and specialty reinsurance and insurance products.
The Opportunity
Future focused and always one step ahead!
The Reinsurance Accounting & Claims Handling Analyst is responsible for the timely and accurate recording of client company contract, premium and loss related information into the Company's global reinsurance systems. Requires the ability to work with and analyze client reported data received in various levels of detail and formats.
Responsibilities
Responsibilities for this role will primarily focus on handling the following accounting related tasks with guidance and in accordance with agreed upon best practices, policies and procedures, and/or service level agreements:
* Record client account statements in a timely and accurate manner
* Investigate and resolve open payable/receivable balances
* Prepare result dependent condition calculations
* Processing payment transactions (incoming and outgoing) in accordance with contract terms
* Accurately capture terms and conditions into global systems with guidance
* Resolve quality assurance tasks or questions
* Research and reconcile accounting matters related to statements of account
* Participate in quarter close process
* Participate in projects when needed
Qualifications
Successful candidates will possess the following skills/capabilities:
* Bookkeeping and/or accounting experience
* Associates or Bachelor's Degree, preferably in Accounting, Finance, Mathematics, Computer Science, Data Science/Analytics or equivalent experience.
* Strong attention to detail, time management and decision-making skills
* Interpersonal skills including verbal and written communication, relationships and teamwork
* Solid math and analytic skills
* Proficiency with Microsoft Office (Outlook, Word, Excel) which includes the ability to learn new and complex computer system applications. Data manipulation and analysis. Excel required.
The Company is open to considering candidates in Princeton, NJ. The salary range posted below applies to the Company's Princeton location.
The base salary anticipated for this position is $56,000. plus opportunity for company bonus based upon a percentage of eligible pay. In addition, the company makes available a variety of benefits to employees, including health insurance coverage, an employee wellness program, life and disability insurance, 401k match, retirement savings plan, paid holidays and paid time off (PTO).
The salary estimate displayed represents the typical salary range for candidates hired in this position in Princeton, NJ. Factors that may be used to determine your actual salary include your specific skills, how many years of experience you have and comparison to other employees already in this role. Most candidates will start in the bottom half of the range.
We are proud to offer our employees, their domestic partners, and their children, a wide range of insurance benefits:
* Two options for your health insurance plan (PPO or High Deductible).
* Prescription drug coverage (included in your health insurance plan).
* Vision and dental insurance plans.
* Additional insurance coverages provided at no cost to you, such as basic life insurance equal to 1x annual salary and AD&D coverage that is equal to 1x annual salary.
* Short and Long Term Disability coverage.
* Supplemental Life and AD&D plans that you can purchase for yourself and dependents (includes Spouse/domestic partner and children).
* Voluntary Benefit plans that supplement your health and life insurance plans (Accident, Critical Illness and Hospital Indemnity).
In addition to the above insurance offerings, our employees also enjoy:
* A robust 401k plan with up to a 5% employer match
* A retirement savings plan that is 100% company funded.
* Paid time off that begins with 24 days each year, with more days added when you celebrate milestone service anniversaries.
* Eligibility to receive a yearly bonus as a Munich Re employee.
* A variety of health and wellness programs provided at no cost.
* Paid time off for eligible family care needs.
* Tuition assistance and educational achievement bonuses.
* A corporate matching gifts program that further enhances your charitable donation.
* Paid time off to volunteer in your community.
At Munich Re, we see Diversity, Equity and Inclusion as a solution to the challenges and opportunities all around us. Our goal is to foster an inclusive culture and build a workforce that reflects the customers we serve and the communities in which we live and work. We strive to provide a workplace where all of our colleagues feel respected, valued and empowered to achieve their very best every day. We recruit and develop talent with a focus on providing our customers the most innovative products and services.
We are an equal opportunity employer. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
#LI-MB1
$56k yearly 8d ago
Claims Representative, Casualty
Plymouth Rock 4.7
Claim processor job in Mount Laurel, NJ
The Casualty Claim Representative will be responsible for the handling of First- and Third-Party Bodily Injury and Physical Damage claims in a Personal Lines /Commercial environment for the Plymouth Rock Operation. The candidate must have the skills listed below and be able to perform the following duties:
RESPONSIBILITIES
* Initiate prompt contact of all insureds/claimants/witnesses on all new claim assignments to conduct thorough coverage and liability/injury investigations. These investigations might require the representatives take in depth recorded statements to investigate coverage and liability/injury claims.
* Analyze, review and interpret policies to assess coverage and liability. Provide advice to Excess and Primary coverage issues.
* Willing to conduct investigations, interviews with insureds, witnesses and claimants while maintaining a pending of represented claimant cases.
* Manage and direct outside vendors (Field/Counsel/Surveillance, Etc..) to determine what investigation is necessary and give them direction to bring a claim to conclusion. Ensure only necessary work is completed.
* Investigate cases timely so that reserves are established and maintained at proper levels. Revise reserves timely based on developments in the course of the claim.
* Investigate the validity of bodily injury claims being presented by individual insureds/claimants or attorneys representing insureds/claimants. Be aware of certain "Red Flags" to identify potential fraudulent claims. Refer to SIU for investigation timely.
* Have advanced skills in coverage, investigation, litigation/ legal issues, negotiations, evaluations, medical terminology, and subrogation. Handle more complex claims to include coverage issues, UM/UIM, etc.. Also, must have prior litigation handling.
* Recognize and investigate subrogation potential.
* Negotiate both 1st and 3rd party claims directly with injured parties or their attorneys.
* Exercises proper judgment and decision making to analyze exposure, determine the proper course of action and make recommendations for final resolution.
* Attend litigation proceedings to either represent the company or participate in arbitrations/depositions/settlement conferences/ mediations/ trials.
* Attend all internal and external training events as required.
* Participate in proactive team activities to achieve departmental and company objectives. May be asked to participate in special projects, committees or assignments from management.
* Possess strong organizational skills, able to demonstrate time management, has the ability to prioritize multiple tasks/duties, and be proficient in the utilization of all claims systems, Excel, Word and social media search engines.
* Have strong communication skills both verbal and written. Provide strong customer service. Prepare case summary for significant reserve increase and/or trial alerts. Participate in roundtables.
* Capable of working independently without close supervision, high level of self motivation, effectively manage workload while maintaining diary and focus on claims quality.
* Ability to handle multiple responsibilities and be adept at conflict resolution while working in a team environment. Work well under pressure. Able to think strategically, solve problems, set priorities, make the necessary decisions to resolve complex/regular issues/claims.
* Possess knowledge of and adherence to State(s) laws and regulatory claim handling guidelines and statutory regulations.
* Adhere to departmental internal control requirements. Comply with Plymouth Rock's standards, best practices and ethical guidelines, adhere to Plymouth Rock's culture
QUALIFICATIONS
* A bachelor's degree (B.A.) from an accredited four year college or university.
* 3 - 5 years' experience handling liability and/or Personal Injury Protection claims.
* 1 year of experience handling bodily injury or casualty claims.
* Some litigation experience and knowledge of the New Jersey court system is preferred.
* Knowledge of PA, CT or NY claims handling would be beneficial.
* Currently holds and/or can readily obtain an out of State License(s) (i.e. - CT, Delaware, Florida, etc.) is preferred
SALARY RANGE
The pay range for this position is $58,000 to $76,000 annually. Actual compensation will vary based on multiple factors, including employee knowledge and experience, role scope, business needs, geographical location, and internal equity. Candidates with more senior-level experience may be considered for an elevated salary range, depending on qualifications and fit.
PERKS & BENEFITS
* 4 weeks accrued paid time off + 8 paid national holidays per year, and 2 floating holidays
* Low cost and excellent coverage health insurance options that start on Day 1 (medical, dental, vision)
* Annual 401(k) Employer Contribution
* Resources to promote Professional Development (LinkedIn Learning and licensure assistance)
* Robust health and wellness program and fitness reimbursements
* Various Paid Family leave options including Paid Parental Leave
* Tuition Reimbursement
ABOUT THE COMPANY
The Plymouth Rock Company and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. We continuously invest in technology, our employees thrive in our empowering environment, and our customers are among the most loyal in the industry. The Plymouth Rock group of companies employs more than 1,900 people and is headquartered in Boston, Massachusetts. Plymouth Rock Assurance Corporation holds an A.M. Best rating of "A-/Excellent".
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This is your opportunity to join AXIS Capital - a trusted global provider of specialty lines insurance and reinsurance. We stand apart for our outstanding client service, intelligent risk taking and superior risk adjusted returns for our shareholders. We also proudly maintain an entrepreneurial, disciplined and ethical corporate culture. As a member of AXIS, you join a team that is among the best in the industry.
At AXIS, we believe that we are only as strong as our people. We strive to create an inclusive and welcoming culture where employees of all backgrounds and from all walks of life feel comfortable and empowered to be themselves. This means that we bring our whole selves to work.
All qualified applicants will receive consideration for employment without regard to race, color, religion or creed, sex, pregnancy, sexual orientation, gender identity or expression, national origin or ancestry, citizenship, physical or mental disability, age, marital status, civil union status, family or parental status, or any other characteristic protected by law. Accommodation is available upon request for candidates taking part in the selection process.
About the Team AXIS is hiring a Claims Specialist, Health Care Claims, for its North America Claim Team. This role involves managing primary and excess healthcare liability claims for AXIS U.S. policies. How does this role contribute to our collective success? You will handle highly complex healthcare liability claims by verifying coverage, conducting investigations, developing resolutions, and authorizing disbursements within authority limits. Ensure consistent communication with stakeholders, brokers, and insureds to uphold service excellence. Process, analyze, investigate, evaluate, and resolve claims for accurate settlements. Collaborate with internal teams and external stakeholders to deliver exceptional service and support claims department success. What Will You Do In This Role? Assessing claims within a specialized area to determine coverage, liability, and settlement value. Collaborating with legal and investigative teams to resolve complex or contentious claims. Leading initiatives to enhance claims processing efficiency and accuracy within the team. Providing expert opinions on claims handling best practices during cross-functional meetings. Managing costs in collaboration with the Litigation Management and Vendor Management teams. Participating in professional associations to stay abreast of changes in claims management. Communicating with key stakeholders both internal and external to the company. Serving as a mentor, fostering skill development and career progression. About You We encourage you to bring your own experience and expertise to the table, so while there are some qualifications and experiences, we need you to have, we are open to discussing how your individual knowledge might lend itself to fulfilling this role and help us achieve our goals. What We're Looking For Be recognized as a subject matter expert in claims within their area of specialization. Exhibit the ability to network effectively and leverage professional associations for knowledge enhancement. Demonstrate the capability to lead process enhancement initiatives within a claims environment. Possess the skills to provide expert opinions and insights during cross-functional discussions. Be adept at creating and directing the development of training materials relevant to claims processing. Show a commitment to continuous professional development in the field of claims management. Have the ability to critically review and update claims procedures to maintain regulatory compliance. Be capable of mentoring peers and fostering their professional growth within the claims discipline. Role Factors This role requires you to be in the office 3 days per week and adhere to AXIS licensing requirements. What We Offer Your salary offer will be based on an assessment of a variety of factors including your specific experience and work location. In addition, you will be offered competitive target incentive compensation, with awards based on overall corporate and individual performance. On top of this, you will be eligible for a comprehensive and competitive benefits package which includes medical plans for you and your family, health and wellness programs, retirement plans, tuition reimbursement, paid vacation, and much more. Where this role is based in the United States of America, this role is exempt for FLSA purposes. About Axis This is your opportunity to join AXIS Capital - a trusted global provider of specialty lines insurance and reinsurance. We stand apart for our outstanding client service, intelligent risk taking and superior risk adjusted returns for our shareholders. We also proudly maintain an entrepreneurial, disciplined and ethical corporate culture. As a member of AXIS, you join a team that is among the best in the industry. At AXIS, we believe that we are only as strong as our people. We strive to create an inclusive and welcoming culture where employees of all backgrounds and from all walks of life feel comfortable and empowered to be themselves. This means that we bring our whole selves to work. All qualified applicants will receive consideration for employment without regard to race, color, religion or creed, sex, pregnancy, sexual orientation, gender identity or expression, national origin or ancestry, citizenship, physical or mental disability, age, marital status, civil union status, family or parental status, or any other characteristic protected by law. Accommodation is available upon request for candidates taking part in the selection process. AXIS Persona AXIS Capital seeks professionals who thrive in a dynamic, high-performing environment grounded in humility and mutual respect. We employ those who exemplify our core values of People, Excellence, Decisiveness, and Stronger Together. We are a team characterized by integrity and self-discipline, striving for continuous improvement and driven to achieve ambitious results. Our focus is on hiring, developing, retaining, and rewarding individuals who excel in: Purposeful Action: Delivering top-tier work with a data-driven approach and operating at AXIS speed. Collaborative Decision-Making: Valuing input from all relevant groups and being open to debate. Able to leave their ego at the door and be committed to achieving results through teamwork, fully supporting decisions once made. Measuring Outcomes: Consistently evaluating performance against established expectations. The AXIS employee will cultivate a collaborative workplace atmosphere, fostering trust within the team. We believe in respectful challenges, presuming best intent, and building meaningful relationships with colleagues, customers, and the communities we serve. Joining our team means becoming part of a workplace where every individual's contributions are valued, and excellence is pursued with purpose and passion. Together, we elevate our standards, achieve ambitious results, and make a lasting impact on each other and those we serve.
For this position, we currently expect to offer a base salary in the range of $75,000.00 to $120,000.00 (NY). Your salary offer will be based on an assessment of a variety of factors including your specific experience and work location.
In addition, you will be offered competitive target incentive compensation, with awards based on overall corporate and individual performance. On top of this, you will be eligible for a comprehensive and competitive benefits package which includes medical plans for you and your family, health and wellness programs, retirement plans, tuition reimbursement, paid vacation, and much more.
Where this role is based in the United States of America, this role is Exempt for FLSA purposes.
$75k-120k yearly Auto-Apply 3d ago
Claims Representative, PIP IA
Plymouth Rock 4.7
Claim processor job in Woodbridge, NJ
In this fast-paced role, PIP Claims Representatives adjust first party personal injury claims according to state compliance requirements and guidelines. RESPONSIBILITIES * This position will handle Personal Injury Protection claims in multiple states, including NJ and PA
* The PIP Claim Representative will receive between 3 to 5 first reports a day with a priority on patient contact, service, and claim disposition.
* Daily duties include first claim reports, Image Right tasks, medical bill review, treatment monitoring, reserve assessment and Nursing interaction.
* Maintains an effective follow-up system on pending files, prioritizes and handles multiple tasks simultaneously, adjusting to fluctuating workload, and advises injured parties as to the status of their claim.
* Investigates and interprets policy provisions and conditions to make a coverage determination.
* Functional knowledge of medical terminology and anatomy with a thorough understanding of Personal Injury Protection claim handling regulatory requirements is preferred but not necessary.
* The PIP Claim Representative must have the ability to multitask in time sensitive situations.
* Ensures that service, loss, and expense control are maintained at all times.
* Adheres to privacy guidelines, law and regulations pertaining to claims handling.
* Candidates must have strong customer service, organization, verbal and written skills and have the ability to work in a small team environment.
QUALIFICATIONS
* Recent college graduates are encouraged to apply.
* A Bachelor's degree from an accredited four-year college or university is a plus.
* Experience in other Claims areas would be beneficial
* Basic personal computer skills including working knowledge of Microsoft Office Suite products.
SALARY RANGE
The pay range for this position is $50,000 to $68,000 annually. Actual compensation will vary based on multiple factors, including employee knowledge and experience, role scope, business needs, geographical location, and internal equity.
PERKS & BENEFITS
* 4 weeks accrued paid time off + 9 paid national holidays per year
* Low cost and excellent coverage health insurance options that start on Day 1 (medical, dental, vision)
* Annual 401(k) Employer Contribution
* Free onsite gym at our Woodbridge Location
* Resources to promote Professional Development (LinkedIn Learning and licensure assistance)
* Robust health and wellness program and fitness reimbursements
* Various Paid Family leave options including Paid Parental Leave
* Tuition Reimbursement
ABOUT THE COMPANY
The Plymouth Rock Company and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. We continuously invest in technology, our employees thrive in our empowering environment, and our customers are among the most loyal in the industry. The Plymouth Rock group of companies employs more than 1,900 people and is headquartered in Boston, Massachusetts. Plymouth Rock Assurance Corporation holds an A.M. Best rating of "A-/Excellent".
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How much does a claim processor earn in Lakewood, NJ?
The average claim processor in Lakewood, NJ earns between $28,000 and $89,000 annually. This compares to the national average claim processor range of $26,000 to $62,000.