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Claim processor jobs in New Jersey

- 122 jobs
  • Claims Representative, PIP

    Plymouth Rock Assurance 4.7company rating

    Claim processor job in Woodbridge, NJ

    In this fast-paced role, the PIP Representatives adjusts first party personal injury claims according to state compliance requirements and guidelines. RESPONSIBILITIES will handle Personal Injury Protection claims in multiple states. The PIP Claim Representative will receive between 3 to 5 first reports a day with a priority on service, patient contact, and claim disposition. Daily duties include first reports, Image Right tasks, medical bill review, treatment monitoring, reserve assessment and Nursing interaction. Maintains an effective follow-up system on pending files, prioritize and handle multiple tasks simultaneously, adjust to fluctuating workload, advises injured parties as to the status of the 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 A Bachelor's Degree (B.A.) from a four-year college or university. Two (2) to four (4) years related claims experience and/or training. 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”.
    $50k-68k yearly 3d ago
  • Claims Representative

    DOWC

    Claim processor job in Parsippany-Troy Hills, NJ

    About Us Dealer Owned Warranty Company LLC is a leading provider of F&I (Finance and Insurance) partnership services in the automotive industry, offering a full suite of obligor and administrator services, top-of-the-line products, technology, and training. We understand the importance of leveraging process and technology in the F&I industry to drive revenue and ensure success. Our goal is to provide visibility, transparency, and the tools needed for our partners to build their wealth and achieve their goals. DOWC prides itself on taking care of its employees (We were voted one of the “Best Places to Work” three years in a row!), and we also offer award-winning products. All of our positions are fully on-site in Parsippany, NJ. Overview We are seeking a dedicated and motivated Claims Support Specialist to join our dynamic team. This role is essential in providing exceptional support and call center service to our contract holders in the service contract and automotive F&I claims department. The ideal candidate will possess strong communication skills, professional phone etiquette, a keen attention to detail, a love for customer service, excellent problem resolution, and the ability to work effectively in a fast-paced and high-volume environment. This person will be solution-oriented and eager to learn a complex business. Opportunities for advance within the department with training provided. Job Duties: Provide outstanding customer support via phone, email, and chat related to claims inquiries. Handle a high volume of inbound calls with a minimum of 40 calls answered per day. Assist contract holders with inquiries regarding products and services, ensuring a high level of satisfaction pertaining to our contract guidelines. Accurately log and track customer issues, inquiries, and requests in the incident management system from identification through resolution. Deliver timely and reliable roadside assistance to customers in need. Process payments accurately and efficiently to ensure a smooth customer experience. Communicate effectively with team members and customers to resolve issues promptly. Handle simple claims and troubleshoot basic to intermediate product or service issues. Connect and triage customers calling in for a claim with the appropriate mechanical claims analysts. Demonstrate excellent phone etiquette while handling client interactions. Collaborate internal departments to streamline customer services with adherence to SLAs. Maintain a queue of ongoing support tasks and resolve all customer issues in a high-priority manner. Proactively communicate with leadership to escalate any issues for immediate resolution. Create a positive support experience through active listening, problem-solving, and professional communication. Analyze information and process documents to resolve issues prior to escalation. Develop product knowledge to become a subject matter expert and confidently address customer concerns. Participate in further training sessions to enhance product knowledge and service skills. Qualifications Minimum of 3+ years in a customer service call center environment required. Proven experience handling a high volume of inbound customer calls. Insurance claims or automotive industry highly preferred. Ability to resolve escalated issues with a sense of urgency. Strong business acumen with the ability to identify customer needs and recommend appropriate solutions. Excellent communication skills, both verbal and written. Proficiency in data entry and familiarity with MS office software applications. Ability to work independently as well as part of a team in a collaborative environment. Strong organizational skills with an emphasis on attention to detail. Superior sense of urgency and ability to complete tasks in a timely manner. Strong customer-first attitude and relationship building skills. Come join our growing team here in Parsippany! As NJ's Best Places to Work Honoree for three years in a row, we offer: Competitive compensation Medical, Dental, Vision, 401k matching, Life Insurance, medical expense card PTO and Sick Time Corporate events, team and culture building activities, employee awards and recognition, company trips and more! DOWC is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected Veteran status, sexual orientation, gender identity, gender expression, genetic information, or any other characteristic protected by law. Applicants who require accommodation to participate in the job application process may contact us for assistance.
    $43k-67k yearly est. 4d ago
  • Claims Examiner I - Commercial Auto

    Athens Administrators 4.0company rating

    Claim processor job in Parsippany-Troy Hills, NJ

    Details Claims Examiner I - Commercial Auto Department: Property & Casualty Reports To: Claims Supervisor FLSA Status: Exempt in all state except California Job Grade: 9 Career Ladder: Next step in progression could include Claims Examiner II ATHENS ADMINISTRATORS Explore the Athens Administrators difference: We have been dynamic, innovative leaders in claims administration since our founding in 1976. We foster an environment where employees not only thrive but consistently recognize Athens as a “Best Place to Work.” Immerse yourself in our engaging, supportive, and inclusive culture, offering opportunities for continuous professional growth. Join our nationwide family-owned company in Workers' Compensation, Property & Casualty, Program Business, and Managed Care. Embrace a change and come make an impact with the Athens Administrators family today! POSITION SUMMARY Athens Administrators has an immediate need for a full-time Claims Examiner I to support our Property & Casualty department. Employees who live less than 26 miles from the San Antonio, TX, or Lake Mary, FL offices are required to work once a week in the office. The remaining days can be worked remotely if technical requirements are met, and the employee resides in a state Athens operates in (includes CA, CT, FL, GA, ID, IL, MA, NY, NC, NJ, OH, OK, OR, PA, SC, TN, TX, VA, and WV). Athens Program Insurance Services is the centerpiece of P&C claims administration in the specialty programs marketplace. We are totally unique in that we focus only on commercial business specialization across multiple coverage lines. Athens offices are open for business Monday-Friday from 7:30 a.m. to 5:30 p.m. local time. The schedule for this position is Monday through Friday at 37.5 hours per week. The Claims Examiner I is responsible for the timely investigation, evaluation and determination of settlement or denial of minor to moderate multi-line auto property and casualty claims with a docus on trucking and property damage claims. They will be handling claims from inception to closure. PRIMARY RESPONSIBILITIES Our new hire should have the skills, ability, and judgment to perform the following essential job duties and responsibilities with or without reasonable accommodation. Additional duties may be assigned: Knowledge in the following areas: 1) claims handling concepts, practices and techniques, to include but not limited to coverage issues, and product line knowledge, 2) functional knowledge of law and insurance regulations in various jurisdictions, 3) demonstrated advanced verbal and written communications skills, 4) demonstrated analytical, decision making and negotiation skills. Investigate coverage, including evaluate insurance coverage problems and/or disputes Investigate, evaluate and determine settlement value or denial of liability for all claims Develop a measure of damage for each loss, establish and maintain appropriate reserves Document and manage claims (i.e.: record statements, update diaries, write reports) from inception to closure Ensure appropriateness of all payments Negotiate settlement of claim within individual authority ($15,000 unless otherwise noted) Maintain and update action plans for each claim May assign and coordinate with vendors, legal counsel, appraisers or experts as necessary Facilitate between claimants, clients, brokers and attorneys in resolution of liability claims Exchange information with clients, claimants, insurance brokers, inspectors, producers and account managers Provide customer service and support to insureds and claimants Assist in training of new employees Attend meetings and educational seminars for professional development Maintain required licenses ESSENTIAL POSITION REQUIREMENTS The requirements listed below are representative of the knowledge, skill, and/or ability required. While it does not encompass all job requirements, it is meant to give you a solid understanding of expectations. High School Diploma or equivalent (GED) required for all positions AA/AS or BA/BS preferred but not required Must possess a license from your domiciled (state you live in or designated home state) state and a minimum of one license in any of the following states: NY, TX, or FL Additional State Adjuster License(s) may be required within 180 days Maintain licenses and continuing education requirements in all states Minimum of three years auto-claims handling experience, at least one-year commercial auto required Trucking experience preferred Knowledge of property and casualty insurance policies Knowledge of auto insurance laws, codes, procedures, and liability concepts Proficiency in investigation and resolution of minor to medium level auto physical damage casualty claims Strong negotiation skills and ability to achieve optimal settlement results for clients. Well-developed verbal and written communication skills with strong attention to detail Excellent organizational skills and ability to multi-task Ability to type quickly, accurately and for prolonged periods Proficient in Microsoft Office Suite Ability to learn additional computer programs Reasoning ability, including problem-solving and analytical skills, i.e., proven ability to research and analyze facts, identify issues, and make appropriate recommendations and solutions for resolution Ability to be trustworthy, dependable, and team-oriented for fellow employees and the organization Seeks to include innovative strategies and methods to provide a high level of commitment to service and results Ability to be demonstrate care and concern for fellow team members and clients in a professional and friendly manner Acts with integrity in difficult or challenging situations and is a trustworthy, dependable contributor. Athens' operations involve handling confidential, proprietary, and highly sensitive information, such as health records, client financials, and other personal data. Therefore, maintaining honesty and integrity is essential for all roles within the company. Must be able to reliably commute to meetings and events as required by this position APPLY WITH US We look forward to learning about YOU! If you believe in our core values of honesty and integrity, a commitment to service and results, and a caring family culture, we invite you to apply with us. Please submit your resume and application directly through our website at *********************************************** Feel free to include a cover letter if you'd like to share any other details. All applications received are reviewed by our in-house Corporate Recruitment team. The Company will consider qualified applicants with arrest or conviction records in accordance with the Los Angeles Fair Chance Ordinance for Employers and the California Fair Chance Act. Applicants can learn more about the Los Angeles County Fair Chance Act, including their rights, by clicking on the following link: ************************************************************************************************* This description portrays in general terms the type and levels of work performed and is not intended to be all-inclusive or represent specific duties of any one incumbent. The knowledge, skills, and abilities may be acquired through a combination of formal schooling, self-education, prior experience, or on-the-job training. Athens Administrators is an Equal Opportunity/ Affirmative Action employer. We provide equal employment opportunities to all qualified employees and applicants for employment without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, veteran status, disability, or any other legally protected status. We prohibit discrimination in decisions concerning recruitment, hiring, compensation, benefits, training, termination, promotions, or any other condition of employment or career development. THANK YOU! We look forward to reviewing your information. We understand that applying for jobs may not be the most enjoyable task, so we genuinely appreciate the time you've dedicated. Don't forget to check out our website at ******************* as well as our LinkedIn, Glassdoor, and Facebook pages! Athens Administrators is dedicated to fair and equitable compensation for our employees that is both competitive and reflective of the market. The estimated rate of pay can vary depending on skills, knowledge, abilities, location, labor market trends, experience, education including applicable licenses & certifications, etc. Our ranges may be modified at any time. In addition, eligible employees may be considered annually for discretionary salary adjustments and/or incentive payments. We offer a variety of benefit plans including Medical, Vision, Dental, Life and AD&D, Long Term Care, Critical Care, Accidental, Hospital Indemnity, HSA & FSA options, 401k (and Roth), Company-Paid STD & LTD and more! Further information about our comprehensive benefits package may be found on our website at https://*******************/careers/why-work-here
    $51k-77k yearly est. 60d+ ago
  • Claims Processor

    Conduent 4.0company rating

    Claim processor job in Florham Park, NJ

    **Pay Rate:** Various based on experience, which may be below your state's minimum wage. Please take this into consideration when applying. **Remote Role** **Hours:** 8:30 AM - 5:00 PM EST Mon to Fri Do you love helping people solve complex problems and delivering solutions? Enjoy Excellent Training, Career Opportunities, a Great Culture, and Great Benefits Join our team as a Claims Processor. As a Claims Processor at Conduent, you'll have an opportunity to work in claims services. You will be surrounded by a culture that recognizes each person's contributions. Each day, you'll feel challenged and know you are making a difference in the lives of millions. **About the Role** + Review images of paperwork from benefits plan participants, utilizing all resources, procedures, and critical-thinking skills to determine eligibility for request and submit electronic transactions according to client and client/plan specific rules and IRS regulations and guidelines. + Must be able to work in a fast-paced environment with multiple transactions daily + Activities include: + Electronic document preparation and indexing into case management system. + Review and research document images of returned mail to determine validity of address. Notate and flag participant's account if determination is made that address is no longer valid. + Determine if requested transaction meets plan eligibility rules, as well as IRS regulations and guidelines. + Understand "gray areas" of IRS guidelines, effectively applying these guidelines to each case processed. + Review legal guardianship, conservatorship and power of attorney records if transaction is requested by a party other than the participant to determine if that party is authorized to request the specific transaction. + Review paperwork for completeness and accuracy, including completion of all required fields and notarization, if required, and inclusion of legal documents such as birth certificate copies. Paperwork can be 30 pages or more, especially pension packages. + Calculate eligible reimbursement based on available funds, requested amount, requested reimbursement, previous reimbursements and substantiated documentation. + Review history of requests, transactions, and call notes to determine if prior transactions disqualify the request, if previously incomplete paperwork is now complete, or if other exceptional conditions exist + Maintain and update case management system notes. + Follow-up on open items daily and close cases upon completion. Cases can remain open for days, weeks or months if initial paperwork is incomplete, or requires an exception determination or future event is pending. + Collaborate with other internal departments and third-party vendors to obtain exception processing information and address participant or client escalations. + May be tasked with peer review on work completed by other peers. + Associate will be measured on accuracy and speed + Must be able to navigate multiple computer tools simultaneously + Request assistance if special exception conditions are not covered well enough in knowledgebase applications and IRS regulations and guidelines. **Requirements:** To be successful in this role you will: + High School Diploma required + An Associate's Degree in Business, Healthcare or related field preferred + 2+ years of experience in an analytical/claims role strongly preferred + Successful candidates may have experience in + Health & Welfare Claims Service Representative + Enrollment Data Analyst + Documentation Specialist in the field of Health Care, Eligibility Determination, or a similar field. + Experience in Health & Welfare Preferred (but not required) + Strong critical thinking and attention to detail skills required + Must pass an internet speed test (download equal to or greater than 25, upload equal to or greater than 5, Ping ms equal to or less than 175) + Must have the ability to connect with an ethernet cable to a modem/router + Live in one of the following states AL, AR, AZ, CO, CT, DE, FL, GA, ID, IN, IA, KS, KY, LA, ME, MI, MS, MO, NE, NV, NH, NJ, NM, NC, ND, OH, OK, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY **Working with us** Join a rapidly growing organization that can support your career goals. What you get: + Paid Training + Career Growth Opportunities + Full Benefit Options + Great Work Environment Pay Transparency Laws in some locations require disclosure of compensation and/or benefits-related information. For this position, actual salaries will vary and may be above or below the range based on various factors including but not limited to location, experience, and performance. In addition to base pay, this position, based on business need, may be eligible for a bonus or incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation and/or sick time. The estimated salary range for this role is $33,600 - $42,000. _We are currently NOT hiring in the following geographies,_ including but not limited to: _States: AK, CA, HI, MA, IL, MT & NY_ _Metro Areas: MN - Minneapolis, IL - Chicago, NY - New York City, OR - Portland, MD - Montgomery County, WA - Seattle, Washington, DC_
    $33.6k-42k yearly 8d ago
  • Personal Injury Claims Examiner

    Geico 4.1company rating

    Claim processor job in Marlton, NJ

    At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities. Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose. When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers. Personal Injury Protection Claims Examiner - Marlton, NJ Salary: $27.47 per hour / $55,350 annually What sets GEICO apart from our competition? One key factor is our ability to provide outstanding customer service during the insurance claims process. We are looking for Personal Injury Protection (PIP) Claims Examiners in our Marlton, NJ office to deliver our promise to be there and assist our customers throughout the often complicated medical aspects of auto insurance claims. We're seeking outstanding associates who want to kickstart a fulfilling career with one of the fastest-growing auto insurers in the U.S. As a PIP Claims Examiner, you will investigate medical necessity and determine casualty. You will consult with involved parties, secure medical information and review insurance contracts, associated reports and billing documentation. We will rely on you to evaluate the validity of personal injury insurance claims and monitor case files over the course of treatment. This job is a great fit for people who are continuous life learners, as PIP Claims Examiners are consistently challenged to learn more and increase their knowledge of our industry and company. Plus, GEICO encourages a promote-from-within culture, so there is plenty of room to grow your career and be rewarded for your hard work and determination. Bring your passion for helping others and a desire to make impact and start a rewarding career with GEICO today! Qualifications & Skills: Bachelor's degree preferred Prior insurance claims experience preferred, but not required Personal injury, bodily injury or workers' compensation experience preferred Solid analytical, customer service and multi-tasking skills Strong attention to detail, time management and decision-making skills #geico200 Annual Salary $27.47 - $42.73 The above annual salary range is a general guideline. Multiple factors are taken into consideration to arrive at the final hourly rate/ annual salary to be offered to the selected candidate. Factors include, but are not limited to, the scope and responsibilities of the role, the selected candidate's work experience, education and training, the work location as well as market and business considerations. At this time, GEICO will not sponsor a new applicant for employment authorization for this position. The GEICO Pledge: Great Company: At GEICO, we help our customers through life's twists and turns. Our mission is to protect people when they need it most and we're constantly evolving to stay ahead of their needs. We're an iconic brand that thrives on innovation, exceeding our customers' expectations and enabling our collective success. From day one, you'll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people's lives. Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career - and your potential - in mind. You'll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels. Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose. As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers. Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future. Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family's overall well-being. Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance. Access to additional benefits like mental healthcare as well as fertility and adoption assistance. Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year. The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled. GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.
    $27.5-42.7 hourly Auto-Apply 20d ago
  • Claims Examiner

    Sedgwick 4.4company rating

    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 Examiner **This position is responsible for handling complex Workers' Compensation claims. Experience working Washington State Workers' Comp claims is preferred.** **PRIMARY PURPOSE** **:** To analyze complex or technically difficult workers compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; and to ensure ongoing adjudication of claims within company standards and industry best practices or client specific requirements. **ARE YOU AN IDEAL CANDIDATE?** We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Analyzes and processes complex or technically difficult claims by investigating and gathering information to assist employer in determining their position on the claim; manages claims through well-developed action plans to an appropriate and timely resolution. + Works to move claim towards appropriate claim closure which may include referral for settlement evaluation. + Monitors reserve adequacy throughout the life of the claim if applicable. + Monitors and reviews benefits due and payment calculations ensuring accuracy. + Prepares necessary state filings within statutory limits. + Follows best practice standards in contested claims including outside legal representation. + Coordinates vendor referrals for additional investigation and/or litigation management. + Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients. + Participates in claim recoveries including, but not limited to: subrogation, Second Injury Fund recoveries, and Social Security offsets. + Communicates claim action/processing with appropriate parties including, but not limited to: claimant, client, state agency, managed care organization and appropriate medical contact. + Ensures claims files are properly documented and claims coding is correct. + Maintains professional client relationships. + Coordinates actuarial/settlement issues impacting employers with rate and settlement departments. + Assesses policy level status of clients; works in coordination with clients' service expectations and assigned service personnel. **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** Four (4) years claims management experience or equivalent combination of education and experience required. **Skills & Knowledge** + In-depth line-of-business knowledge of appropriate insurance principles and laws, recoveries offsets and deductions, and cost containment principles + Excellent oral and written communication skills, including presentation skills + PC literate, including Microsoft Office products + Analytical and interpretive skills + Strong organizational 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. **TAKING CARE OF YOU BY** + We offer a diverse and comprehensive benefits package including: + Three Medical, and two dental plans to choose from. + Tuition reimbursement eligible. + 401K plan that matches 50% on every $ you put in up to the first 6% you save. + 4 weeks PTO your first full year. **NEXT STEPS** If your application is selected to advance to the next round, a recruiter will be in touch. _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 $70,000 - $78,000. 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**
    $70k-78k yearly 2d ago
  • Claims Processor - Entry Level

    Millenniumsoft 3.8company rating

    Claim processor job in Franklin Lakes, NJ

    Claims Processor - Entry Level Duration : 6 Months Total Hours/week : 40.00 1st Shift Client: Medical Device Company Job Category: Customer Service Level Of Experience: Entry Level Employment Type: Contract on W2 (Need US Citizens or GC Holders Only) Remote role for now. Local candidates apply . So, anyone that is applying will be working from their home - they will need internet access. Job Description: Heavy telephone contact with end user consumer customers. Must be highly skilled communicator. Data entry required for all contacts in database requires proficiency in timely data entry. Some interaction with other business functions, as needed. Associates degree (diploma) is required for entry to position. Responsibilities: Excellent telephone and verbal communications skills highly preferred. Strong administrative and organizational skills, highly desired. Ability to work cooperatively with co-workers; must be a team player. Computer proficiency: ability to adapt quickly to new software programs Willingly accepts direction.
    $39k-69k yearly est. 60d+ ago
  • Associate Claims Examiner

    Arch Capital Group 4.7company rating

    Claim processor job in Jersey City, NJ

    With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠. This position is intended for a candidate seeking growth opportunity in a dynamic organization. The Associate Claims Examiner will join a specific business unit, as assigned, and will receive ongoing on-the-job training in their line of business. The Associate also will be part of the company's Early Career Program. The Early Career Program Claims Track is a one-year training program geared toward ambitious college graduates looking to launch a high-performing career in claims with a world-wide insurance leader. During the one-year program, associates receive specialized training that can position them for career advancement and valuable industry certifications. About This Role As the Associate develops skill and gains experience, on-the-job responsibilities will include but are not limited to: Manage Claims on behalf of Arch Customers. Receive exposure to other areas within the Administration and Operations of Claim handling, including but not limited to Special Investigations Unit, Analytics, Subrogation. Perform claim handling responsibilities included but not limited to: Coverage analysis, Exposure analysis, Resolution strategies, Claims review, and Customer Service. Desired Skills Actively completing or recently completed an area of study in Insurance & Risk Management, Business, Liberal Arts, Communications, Psychology, Linguistics, or relevant degree. Minimum 3.0 GPA or higher. Highly proficient with Microsoft Office tools including Word, Excel, and Outlook. Exemplary oral and written communication skills. Analytical, with keen ability to evaluate complex issues. Proactive; able to organize and prioritize to meet multiple demands and commitments. Demonstrates a strong work ethic, collaborative mindset, and potential for leadership. Location & Work Arrangement The Early Careers Program (ECP) begins July 2026. A new hire for this role would start between January - June 2026. This position is classified as a hybrid position. You will work 2 days onsite and 3 days from home. This position can be located in Morristown, NJ, Jersey City, NJ, New York City, NY, or Philadelphia, PA. Relocation and housing assistance is not provided for this role. #LI-AM2 #Hybrid For individuals assigned or hired to work in the location(s) indicated below, the base salary range is provided. Range is as of the time of posting. Position is incentive eligible. $60,000 - $65,000/year Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. The above pay range may be modified in the future. Arch is committed to helping employees succeed through our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a competitive 401k with generous matching; PTO beginning at 20 days per year; up to 12 paid company holidays per year plus 2 paid days of Volunteer Time Offer; basic Life and AD&D Insurance as well as Short and Long-Term Disability; Paid Parental Leave of up to 10 weeks; Student Loan Assistance and Tuition Reimbursement, Backup Child and Elder Care; and more. Click here to learn more on available benefits. Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you. If this job isn't the right fit but you're interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our talent community to share your preferences directly with Arch's Talent Acquisition team. 14400 Arch Insurance Group Inc.
    $60k-65k yearly Auto-Apply 60d+ ago
  • Claim Examiner

    Chubb 4.3company rating

    Claim processor job in White House Station, NJ

    Chubb is currently seeking a Senior Claim Examiner to join its Fidelity team based in Whitehouse Station or Jersey City, NJ. Effectively manage an active claim inventory of mid to high complexity commercial crime and financial institution fidelity bond, workplace violence and kidnap, ransom and extortion losses in accordance with Best Practices Handle claims from notification to resolution through timely and accurate investigations, coverage analyses, negotiation and problem solving skills within financial authority Consistently communicate claim developments, exposure analyses and requests for authority to management Deliver superior customer service through effective interaction with internal and external customers Effectively document all relevant events in a timely and efficient manner as cases develop, including evaluation of facts giving rise to the loss, coverage and exposure under various policy forms Create timely and accurate indemnity and expense reserves. Manage reserves throughout the life cycle of all files with appropriate documentation supporting any reserve changes Maintain a current diary to monitor claims for new developments, follow up on requests from internal and external customers, update management and complete diary activities Select, budget, scope and coordinate vendors including accountants and attorneys as needed and within guidelines Complete written reports and make presentations to provide information to management on claim developments Adhere to all statutory regulations and Unfair Claims Practices Acts Collaborate with recovery unit to assure that all recovery opportunities are identified and pursued Obtain and/or maintain current independent adjuster licenses as required KNOWLEDGE, SKILLS AND ABILITIES: • Excellent written and oral communication skills • Demonstrated ability to deliver high caliber customer claim service • Advanced listening and negotiation skills • Advanced knowledge and attention to detail in insurance coverage and contracts, investigating claims and setting timely and accurate reserves • Strong organizational skills to independently manage own claim inventory • Ability to develop and maintain strong business relationships with a wide spectrum of people internally and externally • Strong collaboration skills • Some travel may be required EXPERIENCE AND EDUCATION: Bachelor's Degree required. CPCU and/or advanced degrees (e.g., law, accounting, finance, etc.) a plus 3 years of financial lines claims experience including at least 3 years of Fidelity claim handling If you do not already have one, you will be required to obtain an applicable resident or designated home state adjusters license and possibly additional state licensure. The pay range for the role is $72,400 to $123,100. The specific offer will depend on an applicant's skills and other factors. This role may also be eligible to participate in a discretionary annual incentive program. Chubb offers a comprehensive benefits package, more details on which can be found on our careers website. The disclosed pay range estimate may be adjusted for the applicable geographic differential for the location in which the position is filled
    $72.4k-123.1k yearly Auto-Apply 60d+ ago
  • Claims Examiner - Binding Authority

    Coaction Specialty Insurance Group

    Claim processor job in Morristown, NJ

    At Coaction, we're a unique mix of leaders, achievers, thinkers, and team players with a high-performance mindset and a diverse skillset. We bring our industry expertise together to continually push the boundaries of what insurance can be for our clients. If you are looking for a career in the insurance industry this could be the right role for you! Coaction is looking for talented and driven candidates who combine strategic thinking, creativity, and pragmatic execution to drive business results. This is an exciting opportunity to join our organization as a Senior Claims Examiner. We are looking for motivated individuals who will contribute to our team and perform under strict timelines. Responsibilities: * Provide expert claim handling in areas of coverage, investigation, evaluation, and resolution of complex third-party bodily injury and property damage claims. * Ability to comport with best practices in claims handling by timely investigating and evaluating on liability and damages. * Ability to analyze policies and review relevant contracts to explore risk transfer strategies and priority of coverage. * Draft appropriate coverage position letters. * Set timely indemnity reserves after conducting thorough investigation and evaluation on liability and damages. * Proactive approach towards negotiating claims towards resolution. * Manage expense reserves and engage in resolution strategies to obtain cost effective results. * Provide excellent customer service to insureds and brokers and timely advise underwriting of various losses. * May be called upon to perform other tasks and duties within the claims department as dictated by business needs. Qualifications * Solid planning & organizational skills including time-management and prioritization. * 2+ years of claims handling experience primarily handling general liability claims. * Must be willing to obtain adjuster's license in all states requiring licensure. * Must be willing to occasionally travel. This is not a fully remote position. Applicants must sit in our Morristown, NJ office on our hybrid work schedule. Salary range specific to for this role : $60,000-$97,000 + discretionary incentive bonus + benefits depends on various factors including, without limitation, individual and organizational performance. The offered rate of compensation will be based on individual education, experience, and qualifications. In addition, employees are eligible for standard benefits package including paid time off, medical, dental and retirement. Equal Opportunity Employer Coaction is an Equal Employment Opportunity employer. Coaction's policy is not to discriminate against any applicant or employee based on race, color, religion, national origin, gender, age, sexual orientation, gender identity or expression, marital status, mental or physical disability, and genetic information, or any other basis protected by applicable law. Coaction also prohibits harassment of applicants or employees based on any of these protected categories. If your application is selected, you will receive an email directly from the Coaction Recruiting Team at ********************** asking you to contact a member of the Coaction Recruiting Team. Any other method of contact may be fraudulent.
    $60k-97k yearly Auto-Apply 21d ago
  • Associate Claims Examiner

    Markel 4.8company rating

    Claim processor job in New Jersey

    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 26d ago
  • Claims Analyst/ Senior Claims Analyst

    Archgroup

    Claim processor job in Morristown, NJ

    With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠. Position Summary We are seeking a bright and motivated Claims Analyst to join our team in Morristown, NJ. Under the direction and supervision of the Treaty Claims Director, the Claims Analyst will be responsible for handling the day-to-day excess claims activity and assisting the Claims Team as required. With training and experience, our goal is to increase processing responsibilities and further develop the Claims Analyst. Responsibilities and Accountabilities Process initial claim setup by analyzing preliminary claim notifications including coverage verification and associated checks Provide updates to Regis and Laserfiche files with notices on existing claims in accordance with policies and procedures Maintain and handle claim diaries, electronic files and Letters of Credit Communicate with Underwriters, Brokers and Ceding Companies to identify and collect additional information and documentation that may be required in support of claim Process claims payments including providing supporting information Review & verify broker statements Participate in the Quarterly review of claims balances in aged receivable reports Required Skills and Abilities Minimum of 3 years relevant reinsurance property and casualty claims experience Desired Skills and Abilities Experience conducting detailed analysis of claims and coverage issues Ability to analyze and provide clear written reports Strong organizational skills with the drive to take initiative and work with minimal supervision Proven ability to communicate effectively with individuals at all levels and in all areas of the organization, as well as with outside contacts Education and Experience Bachelor's Degree #LI-Hybrid #LI-JD1 For individuals assigned or hired to work in the location(s) indicated below, the base salary range is provided. Range is as of the time of posting. Position is incentive eligible. $100,000 - $140,000/year Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. The above pay range may be modified in the future. Arch is committed to helping employees succeed through our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a competitive 401k with generous matching; PTO beginning at 20 days per year; up to 12 paid company holidays per year plus 2 paid days of Volunteer Time Offer; basic Life and AD&D Insurance as well as Short and Long-Term Disability; Paid Parental Leave of up to 10 weeks; Student Loan Assistance and Tuition Reimbursement, Backup Child and Elder Care; and more. Click here to learn more on available benefits. Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you. If this job isn't the right fit but you're interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our talent community to share your preferences directly with Arch's Talent Acquisition team. 13100 Arch Reinsurance Company
    $100k-140k yearly Auto-Apply 20d ago
  • Claims Insights Analyst

    New Jersey Manufacturers 4.7company rating

    Claim processor job in Trenton, NJ

    NJM Insurance Group's Claims & Medical Services Analytics group is seeking a Claims Insights Analyst. The Claims Insights Analyst applies a strong understanding of data sources and associated business processes to provide management with research, analysis and insights in support of departmental strategies and goals. This position will perform analysis on large and diverse sets of data to tell compelling stories through presentations, dashboards and visualizations to drive strategic decision making. The Claims Insights Analyst is a highly motivated, creative self-thinker and has a good sense for interpreting and communicating the “why” behind the data and application to the business. Job Responsibilities: Develop intelligent insights from analysis of both quantitative and qualitative data, testing hypotheses, running exploratory analysis and identifying trends in support of business strategies and goals. Translate results/findings into clear and concise presentations for management and assist in the development of plans for corrective action. Develop and enhance KPI dashboards, analytics and reports to monitor performance to create a comprehensive view of the business. Collaborate with cross-functional business teams and Data Engineers to fully understand the meaning, business rules and structure of required data and ensure alignment and consistency of data to support the end-to-end journey. Partner with the department Business Stakeholders to identify, plan and prioritize source system improvements that facilitate data analytics. Expand understanding/knowledge of business data sources and competitive environments. Scan the market to understand key trends impacting markets, customers, products, services and operational processes. Comply with Data Governance standards and guidelines for data definition, quality, accuracy, completeness, availability and security to encourage data integrity and conformance. Required Skills & Experience: 3+ years writing queries (T-SQL). 3+ years using business intelligence tools (Power BI, SSRS, SAS, Excel). 1+ years using scripting languages (Javascript, Python, R) preferred. BS from a 4-year accredited college/university in related field (Statistics, Mathematics, Business Intelligence, Finance etc.) or equivalent experience. Strong analytical aptitude with the ability to turn raw data into presentations containing insights and visualizations that are critical in making strategic business decisions. Strong business and technical knowledge with the ability to balance multiple priorities in a fast-paced work environment. Knowledge of property and casualty insurance industry data and the Guidewire product (ClaimCenter, PolicyCenter, BillingCenter, ContactCenter) suite. Strong verbal and written communication skills. Ability to read and understand data models. Compensation: This role may be filled at an Associate Insights Analyst, Insights Analyst, or Senior Insights Analyst level based on skills, experience and credentials. Associate Insights Analyst: $68,711 - $90,977 Insights Analyst: $79,129 - $120,315 Senior Insights Analyst: $98,936 - 150,540 Compensation: Salary is commensurate with experience and credentials. Pay Range: $0-$0 Eligible full-time employees receive a competitive Total Rewards package, including but not limited to a 401(k) with employer match up to 8% and additional service-based contributions, Health, Dental, and Vision insurance, Life and Disability coverage, generous PTO, Paid Sick Leave, and paid parental leave in addition to state-mandated leave. Employees may also be eligible for discretionary bonuses. Legal Disclaimer: NJM is proud to be an equal opportunity employer. We are committed to attracting, retaining and promoting a diverse and inclusive workforce that is fully representative of the diversity that exists in the communities in which we do business.
    $98.9k-150.5k yearly Auto-Apply 60d+ ago
  • Ocean Marine Claim Specialist

    CNA Financial Corp 4.6company rating

    Claim processor job in Warren, 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. At CNA, we provide insurance solutions to a wide range of businesses. Our Marine Claims Team handles all lines of ocean and some inland marine claims. We are seeking a motivated claim professional to join us primarily handling Hull, P&I, and Marine Liability claims. There will also be the opportunity to handle Ocean Cargo and Motor Truck Cargo claims. Under general management direction, the individual contributor will analyze, coordinate and resolve litigated and non-litigated claims within an established authority level. JOB DESCRIPTION: Essential Duties & Responsibilities * Interprets policy coverages, and determines if coverages apply to claims submitted, escalating issues as needed. * Sets activities, reserves and authorizes payments within scope of authority. Ensures issuance of disbursements while managing loss costs and expenses. * Coordinates and performs investigations and evaluates claims and lawsuits through contact with insureds, claimants, business partners, witnesses and experts. Seeks early resolution opportunities. Identifies files that have potential fraud and refers to SIU. * Utilizes negotiation skills to develop settlement packages. * Identifies claims with third party recovery potential and coordinates with subrogation/salvage unit. * Partners with attorneys, account representatives, agents, underwriters, and insureds to develop a focused strategy for timely and cost effective resolution of more complex claims. * Analyzes claims activities. Prepares and presents reports for management. May be responsible for special projects and presentations. * Responsible for input of data that accurately reflects claim circumstances and other information important to our business outcomes. * May provide guidance and assistance to other claims staff and functional areas. * Keeps current on state/territory regulations and issues as well as industry activity and trends. * Some travel may be required as needed for mediations, settlement conferences, team activities and/or trials. * May perform additional duties as assigned. Reporting Relationship * Manager. Skills, Knowledge & Abilities * Solid knowledge of marine or commercial liability claims, and insurance industry theory and practices. * Demonstrated technical expertise and product specific knowledge. * Strong interpersonal, communication and negotiation skills. Ability to effectively interact with all levels of CNA's internal and external business partners. * Ability to work independently, managing time and resources to accomplish multiple tasks and meet deadlines. * Strong analytical and problem solving skills enabling viable alternative solutions. * Ability to exercise independent judgement, and make critical business decisions effectively assessing the merits of claims as well as evaluating claims based on a cost benefit analysis. * Solid knowledge of Microsoft Office Suite, as well as other business-related software. * Ability to adapt to change and value diverse opinions and ideas. * Ability to fully comprehend claim information; and to further articulate analyses of claims in internal reports. * Ability to handle claims with a proactive long-term view of business goals and objectives. Education & Experience * Bachelor's degree or equivalent experience. Professional designations preferred. * Typically a minimum three to five years claims experience. 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 48d ago
  • Claims Specialist - Management Liability

    Axis Capital Holdings Ltd. 4.0company rating

    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 30d ago
  • Associate Customer Claims Analyst (Bilingual English/Korean)

    LG Electronics 4.2company rating

    Claim processor job in New Jersey

    Step into the innovative world of LG Electronics. As a global leader in technology, LG Electronics is dedicated to creating innovative solutions for a better life. Our brand promise, 'Life's Good', embodies our commitment to ensuring a happier life for all. We have a rich history spanning over six decades and a global presence in over 290 locations. Our diverse portfolio includes Home Appliance Solutions, Media Entertainment Solutions, Vehicle Solutions, and Eco Solutions. Our management philosophy, "Jeong-do Management," embodies our commitment to high ethical standards and transparent operations. Grounded in the principles of 'Customer-Value Creation' and 'People-Oriented Management', these values shape our corporate culture, fostering creativity, diversity, and integrity. At LG, we believe in the power of collective wisdom through an inclusive work environment. Join us and become a part of a company that is shaping the future of technology. At LG, we strive to make Life Good for Everyone. Responsibilities Responsible to apply account credits and payment on customer claims following claim review and validation of documents Review results of account reconciliation, on a monthly, quarterly and yearly basis to analyze trends related to safety and monitor non-safety claims Identify discrepancies with transactions, escalate for review to respective departments and notify customers to respond or resubmit claim Research claim history to validate claim amount by matching the backup documentation provided Full responsibility on customer claims for payment Analyze monthly, quarterly and yearly trends related to safety and non-safety claims Able to reconcile/analyzing/monitoring claims and resolve related issues/problems Good written/communication/reporting skill Responsible for customer's credit memo eligibility upon credit request- check duplication claim, over claim and invalid claim Responsible to check and process daily claim submitted by Customer, Sales, Collection and other related department to follow up timely matter Able to understand & interpret documentation and research system skill (GERP, Sales Portal, EDW) Able to communicate internal/external to resolve any issues and problem Qualifications Bachelors Degree Bilingual in English and Korean Good written/communication/reporting skill Knowledge of Microsoft office (Excel/power point/word- Intermediate level) Able to reconcile/analyzing/monitoring claims and resolve related issues/problems Able to work in team environment Require over time if needed #LI-DR1 Recruiting Range $60,000 - $70,000 USD Benefits Offered Full-Time Employees: No-cost employee premiums for you and your eligible dependents for competitive medical, dental, vision and prescription benefits. Auto enrollment with immediate vesting of competitive company matching contributions in a 401(k) Retirement Savings Plan with several investment options. Generous Paid Time Off program that includes company holidays and a combined bank of paid sick and vacation time. Performance based Short-Term Incentives (varies by role). Access to confidential mental health resources to help you and your loved ones improve your quality of life. Personal fitness goal incentives. Family orientated benefits such as paid parental leave and support for families raising children with learning, social, behavioral challenges, or developmental disabilities. Group Rate Life and Disability Insurance. Benefits Offered Temporary/Contractors: Eligible for the relevant benefit programs offered through our partner agencies. Privacy Notice to California Applicants At LG, we aspire to empower people and celebrate differences because we believe diversity will create the unexpected. We provide equal employment opportunity to all individuals regardless of their race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, or any other characteristic protected by state, federal, or local law. Consistent with our commitment to providing equal opportunity and embracing diversity, LG has implemented affirmative action to ensure applicants are employed and employees are treated without regard to these characteristics. In addition to the above, LG believes that pay transparency is a key part of diversity, equity, and inclusion. Our salary ranges take into account many factors in making compensation decisions including but not limited to skillset, experience, licensure, certifications, internal equity, and other business needs. While we consider geographic pay differentials in final offers, because we operate in many geographies where applicable, the salary range listed may not reflect all geographic differentials applied .
    $60k-70k yearly Auto-Apply 4d ago
  • Claims Specialist- Liab

    Crawford & Company 4.7company rating

    Claim processor job in Berkeley Heights, NJ

    Administers and resolves non-complex short term claims of low monetary amounts, including Fast Track and Incident Only claims. Documents and monitors open case inventory to ensure proper/timely closing and billing of files. Makes decisions on claims within delegated limited authority.
    $64k-90k yearly est. Auto-Apply 16d ago
  • Claims Setup Specialist

    Raphael and Associates 3.6company rating

    Claim processor job in Rutherford, NJ

    Job DescriptionWe are looking for a detail-oriented and organized individual to join our team as a Claims Setup Specialist. This entry-level role is focused on the initial setup of claims, ensuring all information is accurately entered into the claims management system. You will play a key role in preparing claims for further processing by entering data, verifying policy details, and assigning claims to the appropriate adjusters. This position is a full-time, in-office position located at our Rutherford, NJ, headquarters. Key Responsibilities: Initial Claims Setup: Review FNOL (First Notice of Loss) and ensure all necessary information is included (claimant info, loss date, incident description). Enter claim details into the system, including policy info, loss type, incident description, and the claimant's description of the event. Policy Verification: Cross-check claim details against the policy to verify effective dates of coverage. Confirm policy and coverage details are accurately entered into the system. Confirm appropriate client contact is attached to the policy Assign Adjuster & Set Diary Notifications: Assign the claim to the appropriate adjuster and supervisor. Set adjuster diaries with new claim notifications and necessary actions. Claims Acknowledgement Letters: Generate and send acknowledgement letters as per client instructions. Skills and Qualifications: High attention to detail for accurate data entry and policy verification. Ability to assign claims and set appropriate reminders. Familiarity with claims management systems (or willingness to learn). Basic insurance knowledge is a plus but not required. Strong organizational and time management skills. Company Overview: Raphael & Associates is a third-party claims administrator and independent claims adjusting company internationally recognized for exceptional service. We understand the importance of adapting to the demands of a dynamic market and we tailor our services to our client's specific needs. As a claim's organization, what we do is complex. Our mission is simple: to provide outstanding service, retain extraordinary professionals, and utilize the best technology in the industry! As a leading organization in the industry, we offer dynamic and challenging opportunities to individuals who want to make a difference. We value camaraderie, vision, a passion for excellence, creativity, and a “roll-up-your-sleeves, get it done” mentality. We are searching for experienced, energetic, creative, and self-reliant professionals for exciting career opportunities! Benefits and Perks: We are an organization that recognizes and appreciates hard work! We offer a competitive compensation package commensurate with experience, including salary, bonus, paid time off, medical/dental/vision/life insurance and 401k (with matching!). Most importantly, you will have the opportunity to work directly alongside an extraordinary and dedicated team to grow a critical function within a dynamic, growing company. Powered by JazzHR kl XCwA6fky
    $74k-112k yearly est. 23d ago
  • Auto Claim Representative, I

    Travelers Insurance Company 4.4company rating

    Claim processor job in Morristown, NJ

    **Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards. **Salary Range** $55,200.00 - $91,100.00 **Target Openings** 4 **What Is the Opportunity?** This role is eligible for a sign on bonus up to $10,000 Be the Hero in Someone's Story When life throws curveballs - storms, accidents, unexpected challenges - YOU become the beacon of hope that guides our customers back to stability. At Travelers, our Claims Organization isn't just a department; it's the beating heart of our promise to be there when our customers need us most. As a Claim Rep, you will be responsible for managing, evaluating, and processing claims in a timely and accurate manner. In this detail-oriented and customer focused role, you will work closely with insureds to ensure claims are resolved efficiently while maintaining a high level of professionalism, empathy, and service throughout the claims handling process. **What Will You Do?** + Provide quality claim handling of Auto claims including customer contacts, coverage, investigation, evaluation, reserving, negotiation, and resolution in accordance with company policies, compliance, and state specific regulations. + Communicate with policyholders, claimants, providers, and other stakeholders to gather information and provide updates. + Determine claim eligibility, coverage, liability, and settlement amounts. + Ensure accurate and complete documentation of claim files and transactions. + Identify and escalate potential fraud or complex claims for further investigation. + Coordinate with internal teams such as investigators, legal, and customer service, as needed. + Insurance License: In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated. **What Will Our Ideal Candidate Have?** + Bachelor's Degree. + Three years of experience in insurance claims, preferably Auto claims. + Experience with claims management and software systems. + Strong understanding of insurance principles, terminology with the ability to understand and articulate policies. + Strong analytical and problem-solving skills. + Proven ability to handle complex claims and negotiate settlements. + Exceptional customer service skills and a commitment to providing a positive experience for insureds and claimants. **What is a Must Have?** + High School Diploma or GED required. + A minimum of one year previous Auto claim handling experience or successful completion of Travelers Auto Claim Representative training program is required. **What Is in It for You?** + **Health Insurance** : Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment. + **Retirement:** Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers. + **Paid Time Off:** Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays. + **Wellness Program:** The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs. + **Volunteer Encouragement:** We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice. **Employment Practices** Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences. In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions. If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email (*******************) so we may assist you. Travelers reserves the right to fill this position at a level above or below the level included in this posting. To learn more about our comprehensive benefit programs please visit ******************************************************** .
    $55.2k-91.1k yearly 60d+ ago
  • Claims Analyst IV

    AIG Insurance 4.5company rating

    Claim processor job in Jersey City, NJ

    At AIG, we are reimagining the way we help customers to manage risk. Join us as a Senior Claims Analyst Severity to play your part in that transformation. It's an opportunity to grow your skills and experience as a valued member of the team. Make your mark in Excess Casualty Claims Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported by consistent processes and leadership, we take pride in delivering responsive, fair and professional service with empathy and efficiency. How you will create an impact Do you have experience with Bodily Injury and Property Damage claims? Are you interested in a Casualty claims position where you will handle some of the most complex claims in the industry? Are you looking for a position in which you will evaluate a wrongful death claim in New York, an employment practices claim in California and an oil field explosion claim in Texas all on the same day? This Excess Casualty position may be for you. This Senior Claims Analyst position in Excess Casualty - involves handling claims for bodily injury, wrongful employment practices and property damage claims under Excess or Umbrella Commercial General Liability policies. The adjuster will handle claims in all 50 states on behalf of small companies, governmental entities and major corporations. The severity of these claims range from auto accidents with moderate injuries to multi-claimant litigation with severely injured plaintiffs, wrongful death, burn injuries, or property damage claims in the millions of dollars. The adjuster will be required to direct the litigation, attend mediations and trials, assess liability and damages and recommend reserves. It will be necessary for the adjuster to present the large value cases to senior management. The adjuster will need excellent customer service skills in communicating with insureds, brokers, attorneys and claimants. Effectively strategize and budget litigation of each claim through discussions with counsel, vendors and insureds. Establish with defense and coverage counsel clear ground rules in order to maintain financial control of budget and expenses. What you'll need to succeed 3+ years of Commercial/Industry claims experience preferred Excellent communication skills (verbal/written) and strong negotiation skills Advanced experience and capabilities in litigation claims management including ADR and mediation process Experience attending and controlling cases- pre-suit, litigated and post trial- at mediations, settlement conferences, etc. Property and Casualty licenses required, must be obtained within 6 months. Motivated individuals who are interested in the potential for an upwardly mobile career path. Ready to take your career to the next level? We would love to hear from you. For positions based in Jersey City, NJ, the base salary range is $76,000-$103,000 and the position is eligible for a bonus in accordance with the terms of the applicable incentive plan. In addition, we're proud to offer a range of competitive benefits, a summary of which can be viewed here: US Benefits #LI-NH1 #claimsprofessional #excessclaims At AIG, we value in-person collaboration as a vital part of our culture, which is why we ask our team members to be primarily in the office. This approach helps us work together effectively and create a supportive, connected environment for our team and clients alike. Enjoy benefits that take care of what matters At AIG, our people are our greatest asset. We know how important it is to protect and invest in what's most important to you. That is why we created our Total Rewards Program, a comprehensive benefits package that extends beyond time spent at work to offer benefits focused on your health, wellbeing and financial security-as well as your professional development-to bring peace of mind to you and your family. Reimagining insurance to make a bigger difference to the world American International Group, Inc. (AIG) is a global leader in commercial and personal insurance solutions; we are one of the world's most far-reaching property casualty networks. It is an exciting time to join us - across our operations, we are thinking in new and innovative ways to deliver ever-better solutions to our customers. At AIG, you can go further to support individuals, businesses, and communities, helping them to manage risk, respond to times of uncertainty and discover new potential. We invest in our largest asset, our people, through continuous learning and development, in a culture that celebrates everyone for who they are and what they want to become. Welcome to a culture of inclusion We're committed to creating a culture that truly respects and celebrates each other's talents, backgrounds, cultures, opinions and goals. We foster a culture of inclusion and belonging through learning, cultural awareness activities and Employee Resource Groups (ERGs). With global chapters, ERGs are a cornerstone for our culture of inclusion. The talent of our people is one of AIG's greatest assets, and we are honored that our drive for positive change has been recognized by numerous recent awards and accreditations. AIG provides equal opportunity to all qualified individuals regardless of race, color, religion, age, gender, gender expression, national origin, veteran status, disability or any other legally protected categories. AIG is committed to working with and providing reasonable accommodations to job applicants and employees with disabilities. If you believe you need a reasonable accommodation, please send an email to *********************. Functional Area: CL - ClaimsAIG Claims, Inc.
    $76k-103k yearly Auto-Apply 60d+ ago

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