Claims Representative Subrogation Plymouth Rock Management Company of New JerseyClaims Representative SubrogationParsippany, NJ$52,000–$75,000 / yearThe 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. Responsibilities: Liability Assessments: Analyze investigations to make liability assessments, including reviewing first and third-party statements, witness testimonies, scene photos, and other relevant data.
SIU Investigator Allied UniversalSIU InvestigatorEdison, New Jersey$27–$32 / hourAcquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of Insurance . High School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud .
SIU Investigator - NY Labor Law Allied UniversalSIU Investigator - NY Labor LawEdison, New Jersey$32–$40 / hourAcquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of Insurance . High School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud .
Claims Specialist W. R. Berkley CorpClaims SpecialistJersey City, NJWe 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. 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.
Contracts and Claims Specialist Luster NationalContracts and Claims SpecialistNewark, NJ$90,000–$155,000 / hourWe're seeking Contracts and Claims Specialists of various skill levels to support large, complex heavy civil infrastructure programs, including highways, roads, bridges, transit (bus and rail), aviation (international airports), and water/wastewater projects delivered through both traditional and alternative delivery methods. Luster provides the salary range that the company in good faith believes it might offer for this position based on the successful candidate's level and years of experience, knowledge, skills, abilities, education, certifications, licenses, geographic location, etc.
Executive Claims Specialist, PIP, Remote Crum & Forster Holdings Corp.Executive Claims Specialist, PIP, RemoteMORRISTOWN, NJRemoteSalary 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. 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.
Workers Compensation Claims Examiner | NY Jurisdiction | NY Licensing | Remote Sedgwick Claims Management Services, Inc.Workers Compensation Claims Examiner | NY Jurisdiction | NY Licensing | RemoteNJRemote$75,000–$85,000 / yearTo analyze Workers Compensation Lost-Time 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. PRIMARY PURPOSE OF THE ROLE: We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.
Billing Representative Penn MedicineBilling RepresentativeDoylestown, PA4. Enter insurance data, prepare and submit claims to all insurance companies and patients, receive remittance lists from insurance companies, identify payments and denials, apply payments to patient records for all sources, and investigate and follow up on denied claims. Develop an understanding of Medicare, Medicaid, intermediary and 3rd party pay rules and regulations as applied to Provider services to facilitate account resolution Receives, identifies and applies payments from all sources to patient accounts.
Managing Director Strategic Claims Oversight - Healthcare Severity CNA Financial CorpManaging Director Strategic Claims Oversight - Healthcare SeverityPrinceton, NJ$97,000–$189,000 / yearDevelops and maintains collaborative working relationships with internal and external business partners including Operations, Underwriting, Actuary and Risk Control and regularly shares claims outcomes, trends, legal developments and other relevant business updates. Responsible for the ongoing management of staff by attracting talent, setting clear direction, providing appropriate guidance, managing performance, recognizing contributions, and developing capabilities.
Coverage & Complex Claims Lead Selby Jennings LtdCoverage & Complex Claims LeadMorristown, NJContribute to TPA oversight through training, audits, and best practice sharing, and support key proceedings such as mediations and trials while maintaining required licensing. This role will be responsible for handling bad faith suits filed against the major case unit while working heavily with coverage counsel and legal.
Emergency Restoration Outside Sales Specialist A GRADE Property RestorationEmergency Restoration Outside Sales SpecialistSuccasunna, NJ$800–$1,500 / weekFull timeIf you are someone who thrives in the field, takes initiative, refuses to wait for opportunities to come to you, is self-confident yet approachable and can earn people's trust quickly in a high-stress situation we would like to meet you. This is a field-based outside sales role where as a top performer you can excel by managing your own schedule, creating opportunities, setting your own appointments, and consistently delivering results.
Pharmacy Technician Non-Certified Costco Wholesale CorporationPharmacy Technician Non-CertifiedEAST HANOVER, New JerseyAssists Pharmacists in filling prescriptions by bringing stock bottles, counting, pouring, re-stocking, labeling, and pricing prescriptions under direct Pharmacist’s supervision. Answers phones and provides prompt and courteous member service including answering questions at pharmacy windows, directing members to product location.
Pharmacy Technician-Certified Costco Wholesale CorporationPharmacy Technician-CertifiedEDISON, New JerseyAssists Pharmacists in filling prescriptions by bringing stock bottles, counting, pouring, re-stocking, labeling, and pricing prescriptions under direct Pharmacist’s supervision. Answers phones and provides prompt and courteous member service including answering questions at pharmacy windows, and directing members to product location.
NewSENIOR MEDICAL ADMIN Bilingual Spanish/PIP & Legal Experience Req Herrera Ortho LLCSENIOR MEDICAL ADMIN Bilingual Spanish/PIP & Legal Experience ReqRoselle Park, NJFull timeCoordinating and completing patient disability paperwork upon receipt, ensuring forms are completed accurately and returned promptly to patients, employers, insurance carriers and/or other requesting parties. • Coordinating MRI & diagnostic imaging approvals, including obtaining necessary clinical documentation, communicating with insurance carriers and imaging facilities, tracking authorization status & scheduling approved studies.
Remote Claims Representative - 592211 Metro Public AdjustmentRemote Claims Representative - 592211Princeton, NJRemoteMotivated individuals who want more than a job — they want to build a rewarding business with unlimited income potential while making a real difference in their communities. Metro Public Adjustment is looking for people who are interested in helping homeowners receive the maximum amount they are entitled from their insurance claim.
Claims Specialist BerkleyClaims SpecialistJersey City, New JerseyWe 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. Responsibilities: 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.
Workers'''' Compensation Claims Specialist (REMOTE - ME, CT, NJ) Holmes Murphy & Associates IncWorkers'''' Compensation Claims Specialist (REMOTE - ME, CT, NJ)NJRemote$57,500–$98,900 / yearWe do this through empowering employees to build trust through honest and caring actions, ensuring clear and constructive communication, establishing meaningful client relationships that support their unique potential, and contributing to the organization's success by effectively influencing and uplifting team members. Benefits: In addition to core benefits like health, dental and vision, also enjoy benefits such as: Paid Parental Leave and supportive New Parent Benefits - We know being a working parent is hard, and we want to support our employees in this journey!
Senior Technical Claims Specialist, Construction Complex Liberty Mutual Holding Company IncSenior Technical Claims Specialist, Construction ComplexParsippany, NJWe're seeking an experienced claims professional who thrives on challenging, high-exposure commercial casualty matters arising from construction operations - including complex Commercial General Liability (CGL) and Construction Injury/Liability claims (all litigated or high-exposure losses $500,000+). An experienced claims professional with a strong Commercial General Liability and/or Construction Liability background (preferably with claims $500,000 and above), sound judgment on complex coverage and liability questions, and the confidence to lead files, mentor others, and manage litigation strategy independently.
Claims Examiner, Auto | Bodily Injury Sedgwick Claims Management Services, Inc.Claims Examiner, Auto | Bodily InjuryNJEducation & Licensing: Five (5) years of claims management experience or equivalent combination of education and experience required to include in-depth knowledge of personal and commercial line auto policies, coverages, principles, and laws. Processes complex auto commercial and personal line claims, including bodily injury and ensures claim files are properly documented and coded correctly.
Claims Representative, Auto | Property Damage Sedgwick Claims Management Services, Inc.Claims Representative, Auto | Property DamageNJ$50,000–$55,000 / yearProcesses auto and general liability property damage claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.