1,466 Results for

Claims Processor Jobs in Roseville, NJ

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Sr. Claims Analyst - Environmental Claims Allied World Assurance Company Ltd

New Jersey, NJ

$90,000–$120,000 / year

Headquartered in Bermuda, Allied World has offices in Atlanta, Boston, Brisbane, Chicago, Costa Mesa, Dallas, Dublin, Farmington (CT), Hong Kong, Houston, London, Los Angeles, Malaysia, Manchester, Miami, Nashville, New Jersey, New York, Philadelphia, San Francisco, Singapore, Sydney, Switzerland and Toronto. 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.

13 days ago

Senior Claims Adjuster, Specialty Claims The Fortegra Group Inc

Iselin, NJ

$90,000–$150,000 / year

As a direct report to the Director, 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 Commercial General Liability line of business. Primary Job Functions: Direct management of general liability claims, including New York Labor Law matters with potential for significant severity and complexity.

21 days ago

Senior Claims Adjuster, Specialty Claims LotSolutions, Inc.

Iselin, NJ

$90,000–$150,000 / year
Part time

As a direct report to the Director, 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 Commercial General Liability line of business. Direct management of general liability claims, including New York Labor Law matters with potential for significant severity and complexity.

22 days ago

Claims Adjuster, Specialty Claims The Fortegra Group Inc

Iselin, NJ

$60,000–$100,000 / year

In this role, you will investigate, evaluate, and resolve general liability claims under close supervision, while delivering fair and timely outcomes for all parties involved. Please be aware of job fraud(s) - all correspondence emails regarding your candidacy will come from our Fortegra.com email address.

28 days ago

Senior Claims Specialist, Environmental Claims AXIS Capital Holdings Ltd

New York, NY

$140,000–$155,000 / year

This role will manage complex primary and excess environmental claims arising under specialty environmental insurance products and will work closely with internal and external partners to deliver timely, technically sound claim outcomes. Manage claims arising under environmental insurance products, which may include pollution legal liability, contractors pollution liability, site-specific pollution, storage tank, and related coverages.

3 days ago

Claims Analyst IV American International Group

Jersey City, NJ

$76,000–$103,000 / year

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. 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.

6 days ago

Casualty Claims Specialist III American International Group Inc (AIG)

Jersey City, NJ

$81,000–$109,000 / year

Picture yourself building a successful career at AIG working alongside other talented, highly motivated individuals committed to reaching our goal of becoming the world's leading insurance provider. 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.

6 days ago

Reinsurance/Stoploss Medical Claims Adjustor CVS Health Corp

$18.50–$42.35 / hour

Research and determine Reinsurance/Stoploss plan year, identify claim payments made by client versus the Stoploss carriers, and interpret complex plan language to ensure accurate handling of complex adjustments. Review, research, and adjust complex Reinsurance/Stoploss medical claims, splitting claims into multiple claim statuses; adjudicates high-dollar complex, sensitive, and/or specialized medical claims in accordance with claim processing guidelines.

7 days ago

Workers Compensation Claims Examiner | Dedicated Client | Jurisdictions: DE, IL, LA, MO, NJ, OK, TN, TX | Licensing: Required | Litigation Experience Sedgwick Claims Management Services, Inc.

Remote

$70,000–$75,000 / year

Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. PRIMARY PURPOSE OF THE ROLE To analyze Lost-Time Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.

3 days ago

Medical Claims Processor Globalchannelmanagement

Paramus, New Jersey

Partner with the clearing house to distribute patient billing statements and monitor the patient portal to post payments in the EHR system. Medical Claims Processor duties: Review medical claims and transmit to the insurance carrier using the practice electronic health records (EHR) system and clearing house.

30+ days ago

Complex Claims Director - Miscellaneous Professional Liability American International Group Inc (AIG)

New York, NY

$99,000–$143,000 / year

You will be responsible for handling all aspects of the highest exposure, complex third-party, Miscellaneous Professional Liability, Privacy and Media Tech claims, including class actions and high exposure matters, from inception through conclusion brought against insureds engaged in a wide range of professions. 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.

7 days ago

Claims Specialist/Senior Claims Specialist-Alternative Markets Great American Insurance Company

New Jersey, NJ

$85,000–$106,000 / year

At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. https://www.greatamericaninsurancegroup.com/about-us/business-operations/division/alternative-markets .

30+ days ago

Complex Claims Director - Management Liability American International Group

New York, NY

$120,000–$150,000 / year

As Complex Claims Director for Management Liability, you will be responsible for handling all aspects of our highest severity D&O claims with opportunity to handle high exposure Employment Practices Liability and Fiduciary Liability claims and you will have the unique opportunity to work with some of the industry's top talent in Financial Lines 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.

7 days ago

Director Of Field Claims - Federal Workers' Compensation American International Group

New York, NY

$99,000–$143,000 / year

Ensures appropriate claim file reserving, claim payments, legal/allocated expenses and recoveries are effectively applied and consistent with company guidelines via review and management of Open and Closed file reviews as well as other review processes. 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.

7 days ago

Claims Examiner - Transactional Surety (Hybrid) Intact Insurance

New York, NY

$111,000–$130,000 / year

Some of the Claim Examiner responsibilities include but are not limited to: Makes timely and appropriate contacts, determines, and completes appropriate level of investigation to make determination of coverage, assess liability and determine damages for complex and specialized claims. For candidates located in San Francisco, CA; Washington DC; our Massachusetts based offices and the New York City metro area, the base salary range is $111,000 -$130,000.

7 days ago

Complex Claims Consulting Director - Financial Lines D&O/E&O CNA Financial Corp.

Warren, NJ

$97,000–$189,000 / year

JOB DESCRIPTION: Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Manages an inventory of the most complex Public D&O and Financial Institutions E&O claims, which are generally multi-year and have very significant loss exposure, by following company protocols to manage and oversee all aspects of the claim handling, including coverage determinations, investigations, communications with business partners, and resolution strategies which may include pursuit of risk transfer, extensive negotiations and complex litigation management. Drives the resolution of claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.

6 days ago

General Liability Claims Specialist CNA Financial Corp.

Princeton, NJ

$54,000–$103,000 / year

JOB DESCRIPTION: Performs a combination of duties in accordance with departmental guidelines: Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Conducts focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim.

4 days ago

Claims Consultant - Cyber & Technology - E&O (Hybrid) Intact Specialty Solutions

New York, New York

$143,000–$167,000 / year

Drafting and reviewing reservation of rights, coverage position, excess position, and declination letters, and clearly communicating coverage positions to insureds, brokers, underwriters, defense counsel, and senior management. This role requires strong technical expertise in primary cyber liability, Technology E&O, coverage analysis, and litigation management, together with the judgment to develop and execute effective claim strategies with limited supervision.

8 days ago

Property Damage Claims Adjuster, Garage Argo Group International Holdings Ltd.

New York, NY

$78,300–$92,000 / year

Essential Responsibilities: Working under technical direction and within significant limits and authority, adjudicate Garage Property Damage claims of higher technical complexity with a direct impact on departmental results. Qualifications / Experience Required: Must have good business acumen (i.e., understand how an insurance company works and makes money, including how this role impacts both Argo Group and our customers' ability to be profitable).

8 days ago

Senior Claims Specialist, Auto & Liability Mitsui Sumitomo Insurance Company Of America

New York City, NY

Remote

$90,000–$110,000 / year

Responsible for the independent investigation, evaluation, strategy, negotiation and resolution of highly complex commercial automobile and general liability claims, including severe bodily injury, significant property damage, high-exposure litigation, complex coverage issues and matters presenting material financial or reputational risk. Independently investigates, analyzes and resolves highly complex or severe commercial auto and general liability claims, including catastrophic bodily injury, wrongful death, significant property damage and multi-party or multi-jurisdictional matters.

11 days ago

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Claims Processor Jobs in Roseville, NJ

Sr. Claims Analyst - Environmental Claims Allied World Assurance Company Ltd

Senior Claims Adjuster, Specialty Claims The Fortegra Group Inc

Senior Claims Adjuster, Specialty Claims LotSolutions, Inc.

Claims Adjuster, Specialty Claims The Fortegra Group Inc

Senior Claims Specialist, Environmental Claims AXIS Capital Holdings Ltd

Claims Analyst IV American International Group

Casualty Claims Specialist III American International Group Inc (AIG)

Reinsurance/Stoploss Medical Claims Adjustor CVS Health Corp

Workers Compensation Claims Examiner | Dedicated Client | Jurisdictions: DE, IL, LA, MO, NJ, OK, TN, TX | Licensing: Required | Litigation Experience Sedgwick Claims Management Services, Inc.

Medical Claims Processor Globalchannelmanagement

Complex Claims Director - Miscellaneous Professional Liability American International Group Inc (AIG)

Claims Specialist/Senior Claims Specialist-Alternative Markets Great American Insurance Company

Complex Claims Director - Management Liability American International Group

Director Of Field Claims - Federal Workers' Compensation American International Group

Claims Examiner - Transactional Surety (Hybrid) Intact Insurance

Complex Claims Consulting Director - Financial Lines D&O/E&O CNA Financial Corp.

General Liability Claims Specialist CNA Financial Corp.

Claims Consultant - Cyber & Technology - E&O (Hybrid) Intact Specialty Solutions

Property Damage Claims Adjuster, Garage Argo Group International Holdings Ltd.

Senior Claims Specialist, Auto & Liability Mitsui Sumitomo Insurance Company Of America

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