Top 239 Claims representative Jobs in Bayonne Nj

PIP- Personal Injury Protection Representative (I/II/ Sr.)
NJM Insurance Group —Parsippany-Troy Hills, NJ
- $51,120.55 - $94,140.80 a year
- Full-time
- Hybrid work
- Customer service
- Medical office experience
- Mid-level
- Paid parental leave
- Disability insurance
Quick Apply
Allstate Insurance Customer Service Hybrid
Allstate Insurance - Potolsky Financial Group —Summit, NJ
- $45,000 - $55,000 a year
- Full-time
- Hybrid work
- Office
- Communication skills
- Entry level
- Paid holidays
- Paid time off
Quick Apply
9d
Dental Patient Services Representative-Private Practice
Experis —New York, NY
- $25 - $32 an hour
- Contract
- Google Workspace
- Dental office
- Surgery
- Health savings account
- Disability insurance
Quick Apply
2d
Aflac Sales Representative
Aflac —Wall Street, NY
- Full-time
- Background check
- 18 years or older
- English
- Health insurance
- Opportunities for advancement
Quick Apply
14d
Accounts Representative
NewYork-Presbyterian Hospital —Manhattan, NY
- $34.30 - $40.55 an hour
- Full-time
- Hybrid work
- Spanish
- Mid-level
- High school diploma or GED
14d
Remote Customer Service/Sales Representative
Agent Alliance —Forest Hills, NY
- $65,000 - $70,000 a year
- Full-time
- Remote
- Entry level
- Paid training
- Health insurance
Quick Apply
Property Damage Rep (I/II/Sr) – Parsippany, NJ
NJM Insurance Group —Parsippany-Troy Hills, NJ
- $51,120.55 - $102,805.30 a year
- Full-time
- Mid-level
- High school diploma or GED
- Bachelor's degree
- Paid parental leave
- Disability insurance
Claims Service Representative
Centers Plan for Healthy Living —Staten Island, NY
- $19.49 - $23.08 an hour
- Full-time
- Mid-level
- High school diploma or GED
Quick Apply
Senior Claims Representative, Total Loss
Plymouth Rock Assurance Corporation —Parsippany-Troy Hills, NJ
- $64,000 - $84,000 a year
- Microsoft Outlook
- Mid-level
- Office
- Paid holidays
- Disability insurance
Quick Apply
Claims - Field Claims Representative
The Cincinnati Insurance Companies —Yonkers, NY
- $60,500 - $108,000 a year
- Day shift
- Mid-level
- Driver's License
- Bachelor's degree
- Paid time off
- 401(k) matching
Health Operations Claims Specialist
Building Service 32BJ Benefit Funds —New York, NY
- $73,000 - $78,000 a year
- Full-time
- Research
- Mid-level
- High school diploma or GED
Quick Apply
7d
PIP- Personal Injury Protection Rep (I/II/ Sr.)
NJM Insurance Group —Parsippany-Troy Hills, NJ
- $51,120.55 - $94,140.80 a year
- Full-time
- Customer service
- Mid-level
- Bachelor's degree
- Paid parental leave
- Disability insurance
Field Property Claims Adjuster: Hackensack, NJ
Farmers Insurance Group —Jersey City, NJ
- $23.22 - $47.07 an hour
- Background check
- Microsoft Outlook
- Customer service
- Paid training
- Paid parental leave
12d
Representative, Health Plan Provider Relations - Remote Must reside in NY
Molina Healthcare —New York, NY
- $19.84 - $46.42 an hour
- Full-time
- Remote
- Medical office experience
- Mid-level
- Travel
- Health insurance
Customer Care Representative
BERJE INCORPORATED —Carteret, NJ
- $28 - $37 an hour
- Full-time
- Mid-level
- Office
- Microsoft Office
- Disability insurance
- Health insurance
Quick Apply
Member Services Representative
SVCMC Inc —New York, NY
- $27.47 - $30.22 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Basic math
- Commuter assistance
- Paid holidays
Quick Apply
7d
Customer Service Representative - State Farm Agent Team Member
Tawanda Jackson - State Farm Agent —Jersey City, NJ
- $45,000 - $65,000 a year
- Full-time
- Entry level
- Paid time off
- Opportunities for advancement
Quick Apply
Customer Service Representative - State Farm Agent Team Member
Alexa Santana - State Farm Agent —Rahway, NJ
- $40,000 - $60,000 a year
- Full-time
- Bachelor of Science
- Office
- Communication skills
- Health insurance
- Dental insurance
Quick Apply
Customer Service Center Representative (Jersey City, NJ)
Enlightened, Inc. —Jersey City, NJ
- $20.87 an hour
- Full-time
- Mid-level
- High school diploma or GED
- 2 years
- Health savings account
- Paid holidays
Quick Apply
Insurance Specialist
Regional Cancer Care Associates —Hackensack, NJ
- $18.99 - $29.22 an hour
- Part-time
- HIPAA
- Mid-level
- High school diploma or GED

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PIP- Personal Injury Protection Representative (I/II/ Sr.)

NJM Insurance Group -
Parsippany-Troy Hills, NJ

Quick Apply

Job Details

Full-time
$51,120.55 - $94,140.80 a year

Benefits

Paid parental leave
Disability insurance
Health insurance
Dental insurance
401(k)
Paid time off
Parental leave
Vision insurance
401(k) matching
Paid sick time

Qualifications

Personal injury protection claims
Customer communication
Medical claims
Customer service
Medical office experience
Regulatory compliance in claims processing
Microsoft Office
High school diploma or GED
Insurance claims arbitration
Alternative dispute resolution
Subrogation claims
Legal compliance
Medical terminology
Quality data entry

Full Job Description

There has never been a better time to join NJM! With a nationally ranked reputation for outstanding customer service and a history that spans more than a century, NJM is a leading provider of workers' compensation, automobile and homeowners insurance in New Jersey. It is an exciting time to join NJM as we have just expanded into other states.

Become a member of our team and you’ll be part of company who operates for the sole benefit of its policyholders and is committed to maintaining the highest levels of service. Team members are offered a competitive compensation package and benefits including: a 401k plan, health coverage, a generous paid time off plan, and much more!

Our Parsippany Medical Services Administration team is in search of a Personal Injury Protection Claims Representative (I/II/Sr.) ( PIP Rep is the official NJM title). Reporting to the designated PIP Supervisor, the PIP claims representative is responsible and accountable for conducting complete and thorough investigation on assigned claims and medically managing those claims through their life cycle. This exciting opportunity is great for someone who is highly organized and enjoys working in a fast-paced environment.

Job Responsibilities:

Review PIP coverages and/or identify coverage issues and investigate and analyze the loss event, the injury and other relevant information to make a determination as to coverage and course of action.
Evaluate claims for fraud indicators and potential underwriting issues and process appropriate referrals. Conduct activities in compliance with state and company regulations and guidelines.
Render final coverage determination within regulatory guidelines: Maintain communication with involved parties during the course of the claim, via written and/or verbal communication, to provide relevant determinations and/or information.
Maintain communication with involved parties during the course of the claim, via written and/or verbal communication, to provide relevant determinations and/or information. Concisely and accurately document all actions taken throughout the course of the claim.
Manage all requests for medical treatment, durable medical equipment, PIP Care Paths, medical guidelines and policies, internal and/or external peer reviews and/or IMEs, when required, communicate determinations to appropriate parties within 3 business days.
Request necessary Independent Medical Examinations and render determinations for additional treatment or termination benefits.
Establish adequate medical and non-medical benefits reserves for the life of the claim and adjust reserves, if needed.
Calculate and issue non-medical benefits (wages, essential services, death benefits).

Required Qualifications and Experience:

Excellent verbal and written communication skills, knowledge of Microsoft suite
Strong interpersonal and customer service skills
Good organizational, time-management, and data entry skills
Decision-making and multi-tasking capabilities
Bachelor’s degree preferred
3-5 years of claims handling
Able to apply regulatory requirements appropriately by state
Thorough understanding of all process and regulatory knowledge associated with arbitration and subrogation

This role may be filled at a level I, II, or Sr.

The starting salary per level based on skills, direct experience, and credentials:

Level I (0- 3 years of direct experience) : $51,120.55 - $59,331.68

Level II (3- 6 years of direct experience): $61,256.00 - $77,255.10

Sr Level (6- 8 years of direct experience): $81,123.90 - $94,140.80

What is it like to work at NJM?

https://www.youtube.com/watch?v=6XVn3U0XK-0&feature=emb_logo

Apply directly on our website: https://njm.wd1.myworkdayjobs.com/njm/job/NJM---Parsippany/PIP-Rep_R2007865

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.

Job Type: Full-time

Pay: $51,120.55 - $94,140.80 per year

Benefits:

401(k)
Dental insurance
Health insurance
Paid time off
Vision insurance

Ability to Commute:

Parsippany-Troy Hills, NJ 07054 (Required)

Work Location: Hybrid remote in Parsippany-Troy Hills, NJ 07054

Quick Apply

Refine Your Search

claims representative jobs in bayonne nj

PIP- Personal Injury Protection Representative (I/II/ Sr.)

Allstate Insurance Customer Service Hybrid

Dental Patient Services Representative-Private Practice

Aflac Sales Representative

Accounts Representative

Remote Customer Service/Sales Representative

Property Damage Rep (I/II/Sr) – Parsippany, NJ

Claims Service Representative

Senior Claims Representative, Total Loss

Claims - Field Claims Representative

Health Operations Claims Specialist

PIP- Personal Injury Protection Rep (I/II/ Sr.)

Field Property Claims Adjuster: Hackensack, NJ

Representative, Health Plan Provider Relations - Remote Must reside in NY

Customer Care Representative

Member Services Representative

Customer Service Representative - State Farm Agent Team Member

Customer Service Representative - State Farm Agent Team Member

Customer Service Center Representative (Jersey City, NJ)

Insurance Specialist

I want to receive the latest job alert for claims representative in bayonne nj

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