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Claims representative jobs in Franklin, NJ

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  • General Liability Claims Representative

    W. R. Berkley Corporation 4.2company rating

    Claims representative job in Parsippany-Troy Hills, NJ

    Berkley Luxury is seeking a Senior Claims Specialist to join our growing team in our new Parsippany, NJ office. In this role, you'll manage a wide range of commercial lines casualty claims, including litigated matters, while delivering exceptional customer service and collaborating with a high-performing team. What you'll do: Conduct thorough investigations and analyze coverage, liability, and damages Manage litigated claims and work closely with defense counsel Negotiate resolutions through mediation and arbitration Prepare reports and ensure compliance with regulations What we're looking for: 5-7 years of experience handling commercial general liability claims Strong litigation management and negotiation skills Bachelor's degree (JD a plus) This is a fantastic opportunity to join a company that values accountability, collaboration, and continuous learning. If you're interested in learning more, let's connect!
    $67k-81k yearly est. 21h ago
  • Complex Claims Adjuster, Specialty

    Lotsolutions, Inc.

    Claims representative job in Iselin, NJ

    Job Description The Complex Claims Adjuster, Specialty will independently review, investigate, evaluate and resolve complex Commercial Casualty claims, while maintaining effective contact with agents, insureds, and company personnel. Minimum Qualifications: Bachelor's degree or equivalent professional education or experience required. At least 3 years' experience handling Commercial General Liability claims, New York Labor Law. Excess Liability claims, or relevant experience preferred. Skills & Competencies Required: Ability to establish close business relationships. Excellent communication skills. Analytical, decision-making and resource management skills. Strong commitment to superior client service. Strong negotiating skills. Additional Information: Full benefit package including medical, dental, life, vision, company paid short/long term disability, 401(k), tuition assistance and more. The anticipated salary for this position is $100,000 - $150,000 per year, based on qualifications and experience. #LI-Onsite
    $100k-150k yearly 8d ago
  • Claims Representative, Casualty

    Plymouth Rock 4.7company rating

    Claims representative job in Woodbridge, NJ

    The Casualty Claim Representative will be responsible for the handling of First- and Third-Party Bodily Injury and Physical Damage claims in a Personal Lines /Commercial environment for the Plymouth Rock Operation. The candidate must have the skills listed below and be able to perform the following duties: RESPONSIBILITIES * Initiate prompt contact of all insureds/claimants/witnesses on all new claim assignments to conduct thorough coverage and liability/injury investigations. These investigations might require the representatives take in depth recorded statements to investigate coverage and liability/injury claims. * Analyze, review and interpret policies to assess coverage and liability. Provide advice to Excess and Primary coverage issues. * Willing to conduct investigations, interviews with insureds, witnesses and claimants while maintaining a pending of represented claimant cases. * Manage and direct outside vendors (Field/Counsel/Surveillance, Etc..) to determine what investigation is necessary and give them direction to bring a claim to conclusion. Ensure only necessary work is completed. * Investigate cases timely so that reserves are established and maintained at proper levels. Revise reserves timely based on developments in the course of the claim. * Investigate the validity of bodily injury claims being presented by individual insureds/claimants or attorneys representing insureds/claimants. Be aware of certain "Red Flags" to identify potential fraudulent claims. Refer to SIU for investigation timely. * Have advanced skills in coverage, investigation, litigation/ legal issues, negotiations, evaluations, medical terminology, and subrogation. Handle more complex claims to include coverage issues, UM/UIM, etc.. Also, must have prior litigation handling. * Recognize and investigate subrogation potential. * Negotiate both 1st and 3rd party claims directly with injured parties or their attorneys. * Exercises proper judgment and decision making to analyze exposure, determine the proper course of action and make recommendations for final resolution. * Attend litigation proceedings to either represent the company or participate in arbitrations/depositions/settlement conferences/ mediations/ trials. * Attend all internal and external training events as required. * Participate in proactive team activities to achieve departmental and company objectives. May be asked to participate in special projects, committees or assignments from management. * Possess strong organizational skills, able to demonstrate time management, has the ability to prioritize multiple tasks/duties, and be proficient in the utilization of all claims systems, Excel, Word and social media search engines. * Have strong communication skills both verbal and written. Provide strong customer service. Prepare case summary for significant reserve increase and/or trial alerts. Participate in roundtables. * Capable of working independently without close supervision, high level of self motivation, effectively manage workload while maintaining diary and focus on claims quality. * Ability to handle multiple responsibilities and be adept at conflict resolution while working in a team environment. Work well under pressure. Able to think strategically, solve problems, set priorities, make the necessary decisions to resolve complex/regular issues/claims. * Possess knowledge of and adherence to State(s) laws and regulatory claim handling guidelines and statutory regulations. * Adhere to departmental internal control requirements. Comply with Plymouth Rock's standards, best practices and ethical guidelines, adhere to Plymouth Rock's culture QUALIFICATIONS * A bachelor's degree (B.A.) from an accredited four year college or university. * 3 - 5 years' experience handling liability and/or Personal Injury Protection claims. * 1 year of experience handling bodily injury or casualty claims. * Some litigation experience and knowledge of the New Jersey court system is preferred. * Knowledge of PA, CT or NY claims handling would be beneficial. * Currently holds and/or can readily obtain an out of State License(s) (i.e. - CT, Delaware, Florida, etc.) is preferred SALARY RANGE The pay range for this position is $61,000 to $79,000 annually. Actual compensation will vary based on multiple factors, including employee knowledge and experience, role scope, business needs, geographical location, and internal equity. Candidates with more senior-level experience may be considered for an elevated salary range, depending on qualifications and fit. PERKS & BENEFITS * 4 weeks accrued paid time off + 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". #LI-DNI #BICLWB
    $61k-79k yearly Auto-Apply 6d ago
  • Financial Lines Senior Claims Specialist

    MSIG Holdings 4.1company rating

    Claims representative job in Warren, NJ

    MSIG USA continues to grow! MSIG USA is the US-based subsidiary of MS&AD Insurance Group Holdings, Inc., one of the world's top P&C carriers and a global Class 15 insurer, with A+ ratings and a reach that spans 40+ countries and regions. Leveraging our 350-year heritage, MSIG USA brings the financial strength, expertise, and global footprint to offer commercial insurance solutions that address your business's unique risks. We are seeking an experienced and detail-oriented Senior Home Office Claims Analyst to join our Financial Lines Claims team. The Senior Home Office Claims Analyst will be responsible for handling complex matters, including high severity claims and class actions, from inception through resolution under Financial Lines with an emphasis on Directors & Officers (D&O), Financial Institutions Professional Liability (E&O), Pension Trust (Fiduciary), Employment Practices Liability and Fidelity policies. The team also handles other Specialty Lines such as Cyber, Political Risk & Trade Credit, Transactional and Tax claims. You will work closely with internal and external customers and stakeholders, deliver excellent customer service, analyze coverage, draft coverage letters, evaluate liability, make claim presentations, set reserves, and formulate and execute resolution strategies. The role can be located in one of the following locations: NYC, Chicago, Los Angeles, Warren, NJ and Atlanta Hybrid work environment (3 days in office) Key Responsibilities: Proactively manage claims throughout their lifecycle from initial notification through final disposition. Conduct timely and thorough investigations and analyses to determine coverage, liability and damages. Work closely with insureds, brokers, legal counsel, vendors, and other stakeholders throughout the claims process. Collaborate on claim resolution strategies. Negotiate direct and mediated settlements within designated authority limits. Prepare claim summaries and reports and make presentations. Provide feedback on claims and trends to underwriting and stakeholders. Maintain accurate and up-to-date claim files and diary system. Qualifications: Bachelor's degree required Minimum of 3 years of experience handling Financial Lines or Cyber insurance claims, litigation or other related experience. Excellent communication and interpersonal skills to deliver exceptional customer service and build and maintain customer relationships. Strong negotiation skills. Detail-oriented with an ability to independently manage a caseload and prioritize tasks and deadlines. Proficiency in Microsoft Office Suite (Outlook, Excel, Word, PowerPoint) Ability to travel as needed. Salary: The base pay range is $110,000.00 - 185,000.00. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. It's an exciting time for our company and a great opportunity to join a financially sound and growing global insurance group! It is the policy of MSIG USA to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, MSIG USA will provide reasonable accommodations for qualified individuals with disabilities.
    $110k-185k yearly 60d+ ago
  • Auto Claim Representative, I

    Travelers Insurance Company 4.4company rating

    Claims representative 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/ Senior Claims Analyst

    Archgroup

    Claims representative 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 22d ago
  • Senior Claims Adjuster, Specialty Claims

    Fortegra Financial 4.4company rating

    Claims representative job in Iselin, NJ

    This full-time position will report to the Vice President, Specialty Claims. As a direct report to the Vice President, Specialty Claims, you should possess the ability to handle and manage a wide variety of severity/complex claims with coverage issues as well as coverage litigation within our General Liability line of business. Minimum Qualifications: * A Bachelor's degree in Business Administration, Accounting, Finance, or a related field, or the equivalent education and/or experience. * 5-10 years of relevant and progressive experience handling Commercial General Liability claims. * Adjuster licenses, as mandated by specific states, are required. Primary Job Functions: * Direct management of Premises and Habitational Liability claims with potential for significant severity and complexity. * Direct management of coverage disputes. * Formulating claims and litigation strategies, assigning, directing, and managing outside counsel. * Promptly investigating all assigned claims to complete coverage, liability, and damages analysis. * Ensures timely disposition of all claims in accordance with regulatory and statutory requirements. * Maintain and manage a diary system to efficiently and effectively resolve all claims. * Present recommendations to management pertaining to coverage, settlement positions and loss reserves. * Build and maintain key relationships with internal and external stakeholders (e.g. Reinsurers, Underwriters, Actuarial, Brokers, Attorneys, Vendors, etc.). The above cited duties and responsibilities describe the general nature and level of work performed by people assigned to the job. They are not intended to be an exhaustive list of all the duties and responsibilities that an incumbent may be expected or asked to perform. Periodic Job Functions: * Participate in Claim Reviews and claim audits * Attend depositions, settlement conferences and trials when necessary * Performs other duties or special projects as required or as assigned by a supervisor Skills & Competencies Required: * Excellent written and verbal communication skills * Strong analytical skills * Strong negotiation skills * In-depth knowledge of claims, litigation, and trial process * Excellent organizational and time management skills * Proficiency in MS Office (Word, Excel, Outlook) * Ability to work independently with limited supervision * Ability to successfully obtain the required state adjusters' licenses Additional Information: Full benefit package including medical, dental, life, vision, company paid short/long term disability, 401(k), tuition assistance and more. The anticipated salary for this position is $100,000 - $140,000 per year, based on qualifications and experience. #LI-Onsite
    $100k-140k yearly 58d ago
  • Senior Claims Specialist

    Axis Capital Holdings Ltd. 4.0company rating

    Claims representative job in Short Hills, 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. Senior Claims Specialist - Management Liability - Financial Institutions Job Code P03935 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 and 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 Senior Claims Specialist focused on management liability claims within AXIS' North America claims team. * Handling a variety of liability claims, such as private equity, investment advisors' errors and omissions, directors and officers, and insurance professional liability. * Collaborating with team members across North America claims, International claims, and financial institutions units to create innovative claims offerings and strategic plans. * 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 * 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 requirement. What We Offer For this position, we currently expect to offer a base salary in the range of $105,000.00 to $173,000.00. 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.
    $105k-173k yearly Auto-Apply 4d ago
  • Claims Insights Analyst

    New Jersey Manufacturers 4.7company rating

    Claims representative 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
  • Executive Claims Specialist - Gig Economy

    Cfins

    Claims representative job in Morristown, NJ

    Crum & Forster (C&F), with a proud history dating to 1822, provides specialty and standard commercial lines insurance products through our admitted and surplus lines insurance companies. C&F enjoys a financial strength rating of "A+" (Superior) by AM Best and is proud of our superior customer service platform. Our claims and risk engineering services are recognized as among the best in the industry. Our most valuable asset is our people: more than 2000 employees in locations throughout the United States. The company is increasingly winning recognition as a great place to work, earning several workplace and wellness awards, including the 2025 Great Place to Work Award for our employee-first focus and our steadfast commitment to diversity, equity and Inclusion. C&F is part of Fairfax Financial Holdings, a global, billion dollar organization. For more information about Crum & Forster, please visit our website: ************** Job Description S&S Transportation & Sharing Economy is seeking an experienced Executive Claims Specialist to join our dynamic team. In this role, you will provide expert oversight of Bodily Injury (BI); Property Damage (PD) and Personal Injury Protection (PIP) claims managed by Third-Party Administrators (TPAs), specifically arising from rideshare-related incidents. The ideal candidate will possess substantial expertise in complex injury claims, with a strong background in the rideshare sector. What you will do for C&F: TPA Oversight: Provide technical supervision and guidance for BI and PIP claims handled by TPAs, ensuring adherence to program standards and best practices. Claims Management: Apply advanced knowledge to oversee rideshare claims, including coverage analysis and litigation management. Technical Excellence: Drive optimal claim outcomes by controlling indemnity, expense, and litigation costs through timely reserving, trial preparation, and resolution strategies. Auditing: Conduct regular audits of TPA-managed claims to ensure accuracy, timeliness, and compliance with established procedures. Data Analysis: Review claims data, reserve adequacy, and performance metrics to identify trends and recommend process improvements. Industry Awareness: Stay informed on evolving rideshare regulations, policy changes, and litigation developments. Additional Duties: Perform other related tasks as assigned. What you will bring to C&F: Experience: Minimum 6-8 years handling complex bodily injury and litigated claims, with direct experience in rideshare claims required. Expertise: In-depth knowledge of BI and PIP claim procedures; experience with high-value BI, PIP, and Property Damage exposures related to rideshare incidents. Jurisdictional Knowledge: Extensive claims handling experience in Pennsylvania and New York preferred. Education: Bachelor's degree required; law degree, professional designations, or insurance coursework a plus. Licensing: Ability to obtain and maintain required state licenses. Communication: Excellent verbal and written communication skills, with the ability to interact effectively at all organizational levels. Technical Skills: Proficiency in Microsoft Office suite. Travel: Occasional travel may be required. Risk Transfer: Understanding of claims policy language and coverage necessary to evaluate Risk Transfer with PAP carriers. What C&F will bring to you Competitive compensation package Generous 401K employer match Employee Stock Purchase plan with employer matching Generous Paid Time Off Excellent benefits that go beyond health, dental & vision. Our programs are focused on your whole family's wellness, including your physical, mental and financial wellbeing A core C&F tenet is owning your career development, so we provide a wealth of ways for you to keep learning, including tuition reimbursement, industry-related certifications and professional training to keep you progressing on your chosen path A dynamic, ambitious, fun and exciting work environment We believe you do well by doing good and want to encourage a spirit of social and community responsibility, matching donation program, volunteer opportunities, and an employee-driven corporate giving program that lets you participate and support your community At C&F you will BELONG If you require special accommodations, please let us know. We value inclusivity and diversity. We are committed to equal employment opportunity and welcome everyone regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, or Veteran status. If you require special accommodations, please let us know For California Residents Only: Information collected and processed as part of your career profile and any job applications you choose to submit are subject to our privacy notices and policies, visit **************************************************************** for more information. Crum & Forster is committed to ensuring a workplace free from discriminatory pay disparities and complying with applicable pay equity laws. Salary ranges are available for all positions at this location, taking into account roles with a comparable level of responsibility and impact in the relevant labor market and these salary ranges are regularly reviewed and adjusted in accordance with prevailing market conditions. The annualized base pay for the advertised position, located in the specified area, ranges from a minimum of $64,700.00 to a maximum of $121,600.00. The actual compensation is determined by various factors, including but not limited to the market pay for the jobs at each level, the responsibilities and skills required for each job, and the employee's contribution (performance) in that role. To be considered within market range, a salary is at or above the minimum of the range. You may also have the opportunity to participate in discretionary equity (stock) based compensation and/or performance-based variable pay programs. #LI-AV1 #LI-Remote
    $64.7k-121.6k yearly Auto-Apply 1d ago
  • Sr. Claims Specialist

    Berkley 4.3company rating

    Claims representative job in Jersey City, NJ

    Company Details W. R. Berkley Corporation, founded in 1967, is one of the nation's premier commercial lines property casualty insurance providers. Founded in 2004, Berkley Environmental has underwriting and account executive units in seven regions. Berkley Environmental offers an array of coverages for virtually all classes traditionally known to have environmental liability exposures on both an admitted and non-admitted basis. We provide a comprehensive portfolio of commercial property casualty insurance, automobile liability and workers' compensation, along with claim services, providing expertise to meet the unique business needs of our customers. Company URL: ********************************* The company is an equal opportunity employer. Responsibilities We are currently seeking a Sr. Claims Specialist. This individual would be responsible for reviewing, processing, investigating, evaluating, negotiating and the settling of assigned property damage or bodily injury claims with the authority level generally up to $150,000.00. This position requires an understanding and knowledge of litigation management in multiple jurisdictions. Key functions include but are not limited to the following: Complete coverage analysis Conduct the necessary investigation, either by phone, or through independent adjusters, to determine coverage, liability and damages. Evaluate, negotiate, and settle assigned property damage or severe GL and/or complex bodily injury claims within authority granted, or seek authority for those claims in excess of authority. Resolve coverage disputes with insureds and agents Prepare coverage opinion letters. Qualifications Bachelor's Degree preferred Must have at least 10+ years relevant industry GL claim handling experience Multi state experience required Litigation experience required Ability to work independently while assimilating various technical subjects. Good verbal and written communication skills. Strong negotiation skills License Requirements: Per State or Jurisdictional requirements. Some travel required for attendance at mediations, settlement conferences, etc. The Company is an equal employment opportunity employer. Additional Company Details We do not accept any unsolicited resumes from external recruiting agencies or firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees which for this role include: • Base Salary Range: $86,000 - $160,000 • Eligible to participate in annual discretionary bonus. • Benefits: Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans. 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. Sponsorship Details Sponsorship not Offered for this Role
    $86k-160k yearly Auto-Apply 60d+ ago
  • Sr. Claims Analyst, Environmental Casualty

    Awac

    Claims representative job in Iselin, NJ

    Sr. Claims Analyst, Environmental Casualty - (25000048) Description Location: New York, NY, New Jersey, Farmington, CT, or other Allied World office locations. Job Summary:Investigate, evaluate, and resolve claims asserted against the Company's environmental policies. Engage in collaborative projects in support of other areas of the company, including underwriting, finance and accounting, actuarial, operations, and technology. Provide superior service to all customers, whether internal or external. Job Responsibilities:· Efficiently manage a vigorous load of claims involving a broad spectrum of accounts and coverages. Promptly analyze coverage, draft accurate and timely coverage positions, and manage litigation by effectively interacting with insureds, brokers, defense counsel, underwriters and other parties as required. Establish timely and appropriate reserves and regularly report claim developments and trends to claims and underwriting management. Represent Company in the resolution of claims and participate in legal proceedings, including mediations. · Work with other areas of the Company including underwriting, finance and accounting, actuarial, operations and technology on projects as requested. Prepare claim summaries and other reports as necessary for management. Prepare Executive Claim reports and present on a quarterly basis to senior executives. · Meet with existing or prospective clients and brokers. Attend relevant industry conferences/meetings. Qualifications CompensationThe below annualized base pay range is a broad range based on analysis of similar positions in the market. The actual base pay for the position may be above or below he listed range and determined by a number of considerations, including but now limited to complexity, location, and scope of the role, along with experience, skills, education, training, and other conditions of employment. Base salary represents one compensation of Allied World comprehensive total reward package, which may also include annual incentive compensation rewards. The salary range is flexible and will be determined according to the candidate's experience. $105,000 - $113,000Qualifications:· Minimum of 2 years' experience handling claims. · Four-year college degree is required. Knowledge of claims, legal and coverage issues in all U. S. jurisdictions. Excellent negotiation and communication skills. Strong technical skills and writing experience. Proficient with Microsoft Office products, internet research. Ability to accurately and timely analyze coverage, draft coverage position letters and interact and collaborate with counsel regarding litigation and coverage strategies, negotiate and resolve claims and otherwise act within the scope of delegated authority. Compliance with multi-state adjuster licensing requirements. Some travel required. About FairfaxFairfax is a holding company which, through its subsidiaries, is engaged in property and casualty insurance and reinsurance and investment management. About Allied WorldAllied World Assurance Company Holdings, Ltd, through its subsidiaries, is a global provider of insurance and reinsurance solutions. We operate under the brand Allied World and have supported clients, cedents and trading partners with thoughtful service and meaningful coverages since 2001. We are a subsidiary of Fairfax Financial Holdings, Limited and benefit from a strong capital base and a worldwide network of affiliated entities that allow us to think and respond in non-traditional ways. Our generous benefits package includes Health, Dental and Disability Insurance, a company match 401k plan, and Group Term Life Insurance. Allied World is an Equal Opportunity Employer. All qualified applicants will be considered for employment without consideration of any disability, veteran status or any other characteristic protected by law. To learn more, visit awac. com, or follow us on Facebook at facebook. com/alliedworld and LinkedIn at linkedin. com/company/allied-world. Primary Location: US-NY-New YorkOther Locations: US-CT-Farmington, US-NJ-IselinWork Locations: New York 199 Water Street New York 10038Job: ClaimsEmployee Status:RegularJob Type:StandardJob Posting: Oct 31, 2025, 8:02:59 AMMaximum Salary113,000. 00Pay BasisYearly
    $105k-113k yearly Auto-Apply 1h ago
  • Sr. Claims Examiner, Casualty

    Arch Capital Group Ltd. 4.7company rating

    Claims representative 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℠. Arch Insurance Group Inc., AIGI, has an opening in the Claims Division is seeking a Senior Claims Examiner to join the Casualty Team. In this role, the responsibilities include actively managing commercial accounts claims caseload throughout the United States. Primary Responsibilities Specific duties include but not limited to the below: * Identify and assess coverage issues, draft coverage position letters, and retain coverage counsel, when necessary, as well as review coverage counsel's opinion letters and analysis * Develop and implement strategy relative to coverage issues which correlate with the overall strategy of matters entrusted to the handler's care * Develop and implement strategy to resolve matters of liability and damages of a particular case * Maintain contact with the business line leader, underwriter, defense counsel, program manager, and broker * Investigate claim and review the insureds' materials, pleadings, and other relevant documents * Identify and review of each jurisdiction's applicable statutes, rules, and case law * Review litigation materials including depositions and expert's reports * Analyze and direct risk transfer, additional insured issues, and contractual indemnity issues * Retain counsel when necessary and direct counsel in accordance with resolution strategy * Analyze coverage, liability and damages for purposes of assessing and recommending reserves * Prepare and present written/oral reports to senior management setting forth all issues influencing evaluation and recommending reserves * Travel to and from locations within the United States to attend mediations, trials, and other proceedings relevant to the resolution of the matter * Negotiate resolution of claims * Select and utilize structure brokers * Maintain a diary of all claims, post reserves in a timely fashion, and expeditiously respond to inquiries from the insured, counsel, underwriters, brokers, and senior management regarding claims Qualifications * Proper adjuster licensing in all applicable states * Exceptional communication (written and verbal), evaluating, influencing, negotiating, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines * Strong time management and organizational skills * Ability to take part in active strategic discussions * Ability to work well independently and in a team environment * Hands-on experience and strong aptitude with Microsoft Excel, PowerPoint and Word * Willing and able to travel 20% * This role is hybrid with 2 days in office Education and Experience * Bachelor's degree; Juris Doctorate degree preferred * Five (5) years of working experience with a primary and / or excess carrier supporting commercial accounts for Casualty claims; Professional Liability claims #LI-SW1 #LI-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. For Jersey City, Morristown, NYC: $123,400 - $166,633/year For Hartford, Chicago, Long Island: $111,100 - $149,970/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. For Colorado Applicants - The deadline to submit your application is: December 08, 2025 14400 Arch Insurance Group Inc.
    $123.4k-166.6k yearly Auto-Apply 4d ago
  • Independent Insurance Claims Adjuster in Edison, New Jersey

    Milehigh Adjusters Houston

    Claims representative job in Edison, NJ

    IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement. Why This Opportunity Matters: With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand. As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives. This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation. Join Our Team: Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster. You're welcome to sign up on our jobs roster if you meet our guidelines. How We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges. Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster. Don't miss out on this opportunity-let us assist you in advancing your career in claims adjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals. Seize the Opportunity Today! Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed Claims Adjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews. You can also find us on YouTube at: (********************************************************* and Facebook at: (************************************************** for additional resources and updates. APPLY HERE #AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.
    $53k-69k yearly est. Auto-Apply 60d+ ago
  • Professional Liability Adjuster

    Berkshire Hathaway Guard Insurance Companies 4.4company rating

    Claims representative job in Parsippany-Troy Hills, NJ

    Good things are happening at Berkshire Hathaway GUARD Insurance Companies. We provide Property & Casualty insurance products and services through a nationwide network of independent agents and brokers. Our companies are all rated A+ “Superior” by AM Best (the leading independent insurance rating organization) and ultimately owned by Warren Buffett's Berkshire Hathaway group - one of the financially strongest organizations in the world! Headquartered in Wilkes-Barre, PA, we employ over 1,000 individuals (and growing) and have offices across the country. Our vision is to be a leading small business insurance provider nationwide. Founded upon an exceptional culture and led by a collaborative and inclusive management team, our company's success is grounded in our core values: accountability, service, integrity, empowerment, and diversity. We are always in search of talented individuals to join our team and embark on an exciting career path! Benefits: We are an equal opportunity employer that strives to maintain a work environment that is welcoming and enriching for all. You'll be surprised by all we have to offer! Competitive compensation Healthcare benefits package that begins on first day of employment 401K retirement plan with company match Enjoy generous paid time off to support your work-life balance plus 9 ½ paid holidays Up to 6 weeks of parental and bonding leave Hybrid work schedule (3 days in the office, 2 days from home) Longevity awards (every 5 years of employment, receive a generous monetary award to be used toward a vacation) Tuition reimbursement after 6 months of employment Numerous opportunities for continued training and career advancement And much more! Responsibilities The Professional Liability Adjuster is responsible for conducting office investigations and adjusting Professional Liability and Error & Omission (E&O), Employment Practices Liability Insurance (EPLI), and Directors & Officers (D&O) Liability claims. The Adjuster is also responsible for, but not limited to: Investigating losses and identifying coverage issues across Professional Liability, E&O, EPLO, and D&O lines Obtaining and reviewing evidence, reports, and medical records Establishing damages and reserves Processing payments Taking statements from insured's, claimants, and witnesses Participating in Mediations Salary Range $100,000.00 - $160,000.00 USD The successful candidate is expected to work in one of our offices 3 days per week and also be available for travel as required. The annual base salary range posted represents a broad range of salaries around the U.S. and is subject to many factors including but not limited to credentials, education, experience, geographic location, job responsibilities, performance, skills and/or training. Qualifications Active attorney license with at least 5 years of professional liability experience Prior experience adjusting Professional Liability, E&O, EPLI, and D&O claims Experience with Legal Malpractice preferred Active Adjuster license is preferred Strong understanding of employment law and corporate governance as it relates to EPLI and D&O exposures Excellent written and verbal communication skills Strong organizational and computer skills Excellent time management skills with the ability to prioritize
    $100k-160k yearly Auto-Apply 60d+ ago
  • Senior Claims Adjuster

    Aspen Insurance Holdings Limited

    Claims representative job in Jersey City, NJ

    Since Aspen was founded in 2002, we have become a leading, diversified specialty insurance and reinsurance company. We respond thoughtfully and creatively to find the best outcomes for our clients and business partners through carefully-tailored solutions. We believe the way we work is just as important as the work we do, and we are guided by our core values of respect, honesty, trust and professionalism. Aspen is a great place to develop your career offering an exciting and challenging environment where achievement is rewarded. The work pattern for this job is Hybrid The minimum and maximum salaries for this job role are below: Minimum Salary - 97,600.00 Maximum Salary - 122,000.00 As a Senior Claims Adjuster this individual will be able to use their deep knowledge and expertise every day. You will part of a group that is be able to deliver powerful outcomes for our insureds and the Company. This will be an opportunity to learn and grow. Do you have at least 5 years' knowledge of Excess and Casualty claims and some knowledge of New York Labor Law? If so, please continue to read. The Role: This position will ensure high-quality claim handling in the US Casualty Claims Unit. Files handled by this unit include long-tail bodily injury and property damage exposures, claims arising under Primary/Excess CGL policies. The primary function is to investigate, evaluate and resolve new and existing high-profile complex claims, including Excess & Primary Casualty Claims, including but not limited to: * Product Liability exposures. * Class Action litigation and Public Nuisance litigation. * Infectious Disease and bodily injury exposure. * Manage, document, and organize all claims/ cases assigned. * Negotiate and resolve claims effectively and efficiently. * Hire and manage defense and coverage counsel, and any other external resources. * New York Labor Law. Key Accountabilities: * To evaluate and process in an accurate and timely manner, claims estimates and paid claims values in accordance with policy terms and conditions to provide the level of service and meet obligations contracted to by the company at all times. * Through the use of analytics and insights continually drive continuous improvement in the use of TPA's and third-party experts. * Contribute to, monitor, and advise on plan developments for relevancy, compliance, and optimal delivery. Manage complex claims with peers and colleagues across offices, and act as the key liaison for designated claims portfolio with various departments. * Provide expert technical support across the claims function. Develop and present recommendations to improve claims systems and processes, and foster strong relationships with brokers, third parties, and customers. * Champion collaboration with internal stakeholders to resolve issues and implement initiatives. Engage with the wider market to promote the Aspen brand and claims reputation and produce regular statistical and analytical claims information for effective monitoring. * Wider market engagement, including any applicable committee membership, to promote the Aspen brand and claims reputation. * Act as a referral point to other members of the global claims team on specific tasks or in the absence of appropriate Portfolio Head of role owner * Our Aspen Values are expected to be reflected in the delivery and performance of every role. Knowledge, Skills, & Experience: * 5+ years of a proven track record of working in a Claims environment within a specialized/complex Claims area (Excess and Casualty.) * At least 1 year of experience with New York Labor Law Claims preferred * Adjuster Licenses in most US states. (New York and Florida are required.) Texas is preferred. * Recognized qualification(s) and/or good practical knowledge of the insurance regulatory framework. * Strong commercial experience of the general insurance industry and claims trends to be able to provide expert advice and opinion where required. * Able to navigate and assimilate complex technical data applications and sources strong investigative skills. * Negotiation, influencing and collaboration skills. * Attention to detail with a track record of delivering service excellence via detailed and technical processes. * Able to work independently and in a team environment. * Proficient in MS Office applications; Word, Excel, and PowerPoint. At Aspen we know that having a diverse and inclusive workforce is good for our people, good for our business and good for the environments in which we operate. We therefore welcome applications from people which allows us to draw on diverse cultures, perspectives, skills and experiences.
    $65k-106k yearly est. 17d ago
  • Product Liability Litigation Adjuster

    CVS Health 4.6company rating

    Claims representative job in Trenton, NJ

    At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. **Position Summary** As a Product Liability Litigation Adjuster, Risk Management, you will be responsible for managing lawsuits and overseeing outside counsel defending CVS in high exposure, product liability mass tort litigations and general liability cases filed throughout the United States. Responsibilities include: + Developing relationships with internal colleagues for fact-finding and key litigation activities. + Utilizing legal skills to oversee and manage claims against CVS from the initiation of suit through resolution. + Managing all aspects of product liability mass tort litigations and complex general liability cases. + Working with outside national counsel and sr. management to develop consistent litigation strategies applicable to mass tort cases filed across the country. + Providing reporting to key internal stake holders on case developments and litigation trends for product liability mass torts and other cases. + Managing large scale discovery investigations by working with internal custodians, outside counsel and vendors to develop comprehensive procedures for identifying, locating, preserving and producing corporate records. + Analyzing case and internal materials and utilizing resources across CVS to discern key issues and identify the litigation strategy in every case assigned. + Creating a plan for claim evaluation to most efficiently resolve or defend cases against CVS while working with and overseeing outside counsel. + Participating in meetings and attending mediation and trial as necessary to oversee and assist in the defense or resolution of cases. **Required Qualifications** + 2+ years of legal experience, ideally with a law firm or as a litigation adjuster with a large self-insured company or insurance carrier. + Juris Doctor degree from an ABA accredited university. + Ability to travel and participate in legal proceedings, arbitrations, depositions, etc. **Preferred Qualifications** + Experience overseeing or defending product liability claims and litigation. + Familiarity or experience with insurance and coverage issues related to litigated claims. + Strong attention to detail and project management skills. + Experience overseeing and answering written discovery. + Ability to work independently and in an environment requiring teamwork and collaboration. + Strong written and verbal communication skills. + Demonstrated negotiation skills and ability. + Ability to articulate and summarize cases with management in a concise, cogent manner. + Litigation experience at a law firm, and/or significant experience overseeing litigated claims for an insurance carrier or corporation, including mediation experience and trial exposure. + 3-5 years of legal or claims experience. + Familiarity with the rules and procedures applicable to mass tort litigations, class actions, and/or multidistrict litigations. + Knowledge and experience navigating attorney-client privilege issues, corporate litigation holds, corporate witness depositions, and e-discovery. + Ability to influence and work collaboratively with senior leaders, CVS' in-house legal counsel and outside counsel. + Proficient in Microsoft applications (Word, Excel, PowerPoint, Outlook) with a proven ability to learn new software programs and systems. + Ability to positively and aggressively represent the company at mediation, arbitration and trial. + Ability to navigate difficult situations and communicate effectively with both internal and external groups. + Excellent organizational and time management skills and ability to handle a high volume of litigated claims. + Experience with and understanding of legal documents (pleadings, discovery, motions and briefs). **Education** + Verifiable Juris Doctor degree **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $46,988.00 - $122,400.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** . + **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ***************************************** We anticipate the application window for this opening will close on: 01/03/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
    $47k-122.4k yearly 29d ago
  • Field Claims Adjuster

    EAC Claims Solutions 4.6company rating

    Claims representative job in East Brunswick, NJ

    At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join us in delivering exceptional service while upholding the highest standards of professionalism and compliance. Explore more about our commitment to innovation and community impact at ********************** Overview: Join EAC Claims Solutions as a Property Field Adjuster, where you will be managing insurance claims from inception to resolution. Key Responsibilities: - Planning and organizing daily workload to process claims and conduct inspections - Investigating insurance claims, including interviewing claimants and witnesses - Handling property claims involving damage to buildings, structures, contents and/or property damage - Conducting thorough property damage assessments and verifying coverage - Evaluating damages to determine appropriate settlement - Negotiating settlements - Uploading completed reports, photos, and documents using our specialized software systems Requirements: - Ability to perform physical tasks including standing for extended periods, climbing ladders, and navigating tight spaces - Strong interpersonal communication, organizational, and analytical skills - Proficiency in computer software programs such as Microsoft Office and claims management systems - Self-motivated with the ability to work independently and prioritize tasks effectively - High school diploma or equivalent required - Previous experience in insurance claims or related field is a plus but not required Next Steps: If you're passionate about making a difference, thrive on challenges, and deeply value your work, we invite you to apply. Should your application progress, a recruiter will reach out to discuss the next steps. Join us at EAC Claims Solutions, where your passion meets purpose, and where your contributions truly matter.
    $53k-67k yearly est. 60d+ ago
  • Claim Clerk

    Ccmsi 4.0company rating

    Claims representative job in Wall, NJ

    Job Title: Claim Clerk at CCMSI Wall Township, NJ Work Schedule: Full-time, Monday - Friday, 8:00 AM - 4:30 PM (No opportunity for remote work) Pay Rate: $18-20 per hour (37.5 hours per week - 1 hour unpaid lunch) At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs, rewarding and recognizing individual and team efforts. Certified as a Great Place To Work, our employee satisfaction and retention ranks in the 95th percentile. Reasons you should consider a career with CCMSI: Culture: Our Core Values are embedded into our culture of how we treat our employees as a valued partner-with integrity, passion and enthusiasm. Career development: CCMSI offers robust internships and internal training programs for advancement within our organization. Benefits: Not only do our benefits include 4 weeks paid time off in your first year, plus 10 paid holidays, but they also include Medical, Dental, Vision, Life Insurance, Critical Illness, Short and Long Term Disability, 401K, and ESOP. Work Environment: We believe in providing an environment where employees enjoy coming to work every day, are provided the resources needed to perform their job and claims staff are assigned manageable caseloads. The Claim Clerk is responsible for the general clerical duties for the claim personnel and other team members as assigned. Additionally, the position is accountable for the quality of claim service as perceived by CCMSI clients and within Corporate Claim Standards. Responsibilities Match mail for assigned accounts. Follow up on bills. File claim mail and related documents. Set up designated claim files and complete all set up instructions, as requested. Back-Up for Receptionist Summarize correspondence and medical records in the claim log notes as wells as file it in the appropriate claim, as directed by claim staff. Retrieve closed files and re-file in storage. Maintain claim files in storage. Photocopy claim documents, as needed. Return provider calls or other calls, as directed. Provide support to claim staff on client specific teams. Compliance with service commitments as established by the team. Performs other duties as assigned. Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required. Excellent oral and written communication skills. Initiative to set and achieve performance goals. Ability to cope with job pressures in a constantly changing environment. Knowledge of all lower level claim position responsibilities. Must be detail oriented and a self-starter with strong organizational abilities. Ability to coordinate and prioritize required. Flexibility, accuracy, initiative and the ability to work with minimum supervision. Discretion and confidentiality required. Reliable, predictable attendance within client service hours for the performance of this position. Responsive to internal and external client needs. Ability to clearly communicate verbally and/or in writing both internally and externally. Education and/or Experience High School diploma or equivalent required. Computer Skills Proficient in Microsoft Office Certificates, Licenses, Registrations None required Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work requires the ability to stoop, bend, reach and grab with arms and hands, manual dexterity Work requires the ability to sit or stand up to 7.5 or more hours at a time Work requires sufficient auditory and visual acuity to interact with others CORE VALUES & PRINCIPLES Responsible for upholding the CCMSI Core Values & Principles which include: performing with integrity; passionately focus on client service; embracing a client-centered vision; maintaining contagious enthusiasm for our clients; searching for the best ideas; looking upon change as an opportunity; insisting upon excellence; creating an atmosphere of excitement, informality and trust; focusing on the situation, issue, or behavior, not the person; maintaining the self-confidence and self-esteem of others; maintaining constructive relationships; taking the initiative to make things better; and leading by example. Compensation & Compliance The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay. CCMSI offers a comprehensive benefits package, which will be reviewed during the hiring process. Please contact our hiring team with any questions about compensation or benefits. Visa Sponsorship: CCMSI does not provide visa sponsorship for this position. ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. If you need assistance or accommodation, please contact our team. Equal Opportunity Employer: CCMSI is an Affirmative Action / Equal Employment Opportunity employer. We comply with all applicable employment laws, including pay transparency and fair chance hiring regulations. Background checks are conducted only after a conditional offer of employment. #CCMSIWallTownship #Hiring #JoinOurTeam #ClaimsClerk #InsuranceJobs #EntryLevelJobs #InOffice #JobOpportunity #NewJerseyJobs #GreatPlaceToWork #IND456 #LI-InOffice #EmployeeOwned #AdminJobs #CCMSICareers #CareerGrowth #CareerPath
    $18-20 hourly Auto-Apply 40d ago
  • Complex Liability Claims Examiner - Commercial Lines

    Guard Insurance Group

    Claims representative job in Parsippany-Troy Hills, NJ

    Good things are happening at Berkshire Hathaway GUARD Insurance Companies. We provide Property & Casualty insurance products and services through a nationwide network of independent agents and brokers. Our companies are all rated A+ "Superior" by AM Best (the leading independent insurance rating organization) and ultimately owned by Warren Buffett's Berkshire Hathaway group - one of the financially strongest organizations in the world! Headquartered in Wilkes-Barre, PA, we employ over 1,000 individuals (and growing) and have offices across the country. Our vision is to be a leading small business insurance provider nationwide. Founded upon an exceptional culture and led by a collaborative and inclusive management team, our company's success is grounded in our core values: accountability, service, integrity, empowerment, and diversity. We are always in search of talented individuals to join our team and embark on an exciting career path! Benefits: We are an equal opportunity employer that strives to maintain a work environment that is welcoming and enriching for all. You'll be surprised by all we have to offer! * Competitive compensation * Healthcare benefits package that begins on first day of employment * 401K retirement plan with company match * Enjoy generous paid time off to support your work-life balance plus 9 ½ paid holidays * Up to 6 weeks of parental and bonding leave * Hybrid work schedule (3 days in the office, 2 days from home) * Longevity awards (every 5 years of employment, receive a generous monetary award to be used toward a vacation) * Tuition reimbursement after 6 months of employment * Numerous opportunities for continued training and career advancement * And much more! Responsibilities Are you a detail-oriented insurance professional with a strong background in Commercial General Liability (CGL) and litigation handling? Join our team as a Complex Liability Adjuster, where you'll play a crucial role in managing Commercial General Liability (CGL) and Business Owners Policy (BOP) claims with precision and expertise. Key Responsibilities: * Investigate, evaluate, and resolve CGL and BOP claims * Manage claims involving active litigation, working closely with legal counsel and external stakeholders. * Analyze policy coverage, determine liability, and negotiate settlements. * Maintain accurate documentation and ensure compliance with regulatory and company standards. * Communicate effectively with insureds, claimants, attorneys, and internal teams. Salary Range $70,000.00-$115,000.00 USD The successful candidate is expected to work in one of our offices 3 days per week and also be available for travel as required. The annual base salary range posted represents a broad range of salaries around the U.S. and is subject to many factors including but not limited to credentials, education, experience, geographic location, job responsibilities, performance, skills and/or training. Qualifications * Prior experience adjusting liability claims with a proven track record in litigation, specifically involving Commercial General Liability and Business Owners Policy. * Juris Doctor (JD) degree preferred or bachelor's degree with prior experience adjusting liability claims. * Licensing: Active TX All Lines License, or willingness to obtain one at company's expense. * Exceptional written and verbal communication skills. * Strong organizational and computer skills. * Excellent time management skills with the ability to prioritize tasks effectively.
    $70k-115k yearly Auto-Apply 23d ago

Learn more about claims representative jobs

How much does a claims representative earn in Franklin, NJ?

The average claims representative in Franklin, NJ earns between $35,000 and $82,000 annually. This compares to the national average claims representative range of $28,000 to $53,000.

Average claims representative salary in Franklin, NJ

$53,000
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