Top 82 Claims representative Jobs in Holmdel Nj

PIP Claims Representative
CURE Auto Insurance —Princeton, NJ
- $58,240 - $76,960 a year
- Hybrid work
- Mid-level
- Office
- Bachelor's degree
- Health savings account
- AD&D insurance
Quick Apply
Insurance Authorization Coordinator
Attain ABA Corporate —Lakewood, NJ
- $55,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
- Health savings account
- Health insurance
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Account Manager - State Farm Agent Team Member
Marc Torres - State Farm Agent —Linden, NJ
- $45,000 - $70,000 a year
- Full-time
- Spanish
- Office
- Organizational skills
- Paid holidays
- 401(k)
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WC Claim Associate I LevelUP
CCMSI —Township of Wall, NJ
- $25.64 an hour
- Full-time
- Hybrid work
- Spanish
- Office
- Administrative experience
- Paid training
- Paid holidays
Customer Service Representative
Graybar Electric Company, Inc. —Edison, NJ
- $25 an hour
- Full-time
- High school diploma or GED
- Associate's degree
- 2 years
- Profit sharing
- Paid holidays
Quick Apply
Precertification & Pre-Service Appeals Nurse
CURE Auto Insurance —Princeton, NJ
- $65,000 - $85,000 a year
- Hybrid work
- Nursing
- RN License
- Writing skills
- Health savings account
- AD&D insurance
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Patient Service Representative
Prism Vision Group —East Windsor, NJ
- $18.00 - $31.89 an hour
- Computer literacy
- HIPAA
- English
Customer Service Representative - State Farm Agent Team Member
Greg Thomas - State Farm Agent —Middletown, NJ
- $45,000 - $65,000 a year
- Full-time
- Office
- Communication skills
- Entry level
- Paid holidays
- Health insurance
Quick Apply
Authorization Representative
KabaFusion —Edison, NJ
- $22 - $28 an hour
- Full-time
- Microsoft Excel
- HIPAA
- Research
- Paid holidays
- Disability insurance
Quick Apply
Customer Relations Representative - State Farm Agent Team Member
Camille Kiste - State Farm Agent —Eatontown, NJ
- $25 - $30 an hour
- Full-time
- Office
- Communication skills
- Entry level
- Paid time off
- Opportunities for advancement
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Customer Service Representative - IB
USI Holdings Corporation —Matawan, NJ
- $45,000 - $50,000 a year
- Research
- Mid-level
- Office
- Health savings account
- Paid holidays
Patient Access Associate - Full Time
Penn Medicine —Plainsboro, NJ
- $17.05 - $26.44 an hour
- Full-time
- Medical office experience
- High school diploma or GED
- Radiology
- Tuition reimbursement
Quick Apply
Quality Assurance Referral Coordinator
KabaFusion —Edison, NJ
- $27 - $29 an hour
- Full-time
- Mid-level
- 2 years
- Paid holidays
- Disability insurance
Quick Apply
Customer Service Representative
M3 Technology LLC —Matawan, NJ
- $18 - $21 an hour
- Multiple hires
- Bilingual
- Computer literacy
- Mid-level
- Paid time off
- 401(k) matching
Quick Apply
Third Party Follow-up Representative
Hackensack Meridian Health —Tinton Falls, NJ
- From $27.13 an hour
- Full-time
- Computer literacy
- Research
- High school diploma or GED
- Health insurance
- Dental insurance
11h
Claims Auditor
Centers Plan for Healthy Living —Staten Island, NY
- $25.64 - $28.21 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Bachelor of Science
Quick Apply
Sr Customer Service Representative - FT - Home Care
Hackensack Meridian Health —Eatontown, NJ
- From $25.77 an hour
- Full-time
- High school diploma or GED
- Home Health
- Mentoring
- Travel reimbursement
- Health insurance
10d
Entry Level Inside Sales Rep (remote work)
Agent Integration —Staten Island, NY
- $60,000 - $65,000 a year
- Full-time
- Remote
- Entry level
- Paid training
- Health insurance
Quick Apply
Accounts Receivable Representative
Saint Peter's University Healthcare System —Piscataway, NJ
- $18.47 - $28.61 an hour
- Full-time
- Microsoft Word
- Hospital
- HIPAA
- Free parking
- Health insurance
Quick Apply
Patient Access Representative/ Medical Biller (Staten Island, NY)
Breg, Inc. —Staten Island, NY
- $26 - $32 an hour
- On call
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
- Paid holidays
- Disability insurance
Quick Apply

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PIP Claims Representative

CURE Auto Insurance -
Princeton, NJ

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Job Details

$58,240 - $76,960 a year

Benefits

Health savings account
AD&D insurance
Disability insurance
Health insurance
Dental insurance
Flexible spending account
Paid time off
Employee assistance program
Vision insurance
401(k) matching
Gym membership
Flexible schedule
Pet insurance

Qualifications

Customer communication
Handling customer service requests

Full Job Description

PIP Claims Representative

CURE Auto Insurance is a leading direct writer of auto insurance in New Jersey, Pennsylvania, and Michigan. CURE offers a great working environment, competitive salary, and comprehensive benefits package which includes health and dental coverage, life and disability insurance, 401k with generous company match, and much more!

The PIP Claims Representative will handle the investigation, evaluation and disposition by settlement, payment, or denial of complex Personal Injury Protection claims. Ensure that claims are processed within company policies, procedures, regulatory requirements, and the individual's prescribed authority with high standards of performance.

Essential Job Functions

Receive assigned claims, verify coverage, confirm eligibility and determine course of action.
Complete detailed, thorough claim investigation through telephone and/or written correspondence with subscribers, attorneys, witnesses and any others with information relevant to the claim.
Analyze information obtained through investigation in order to evaluate the claim, determine PIP eligibility and determine the extent of the injuries and claim exposure.
Establish and maintain the proper reserves for the exposure.
Assign medical case managers or other experts to a case when appropriate and arrange for independent medical examinations when necessary to determine medical necessity and causal relationship of treatment.
Handle incoming calls and correspondence from subscribers, claimants, attorneys and providers regarding questions or problems associated with a claim.
Document claim files and maintain a diary system for reporting and claim follow-up.
Handle claims in accordance with CURE's Decision Point Review Plan.
Work closely with the Special Investigation Unit, Underwriting Department, attorneys, and other members of the Claim Department to ensure that CURE achieves optimum results on all files.
Manages allocated loss adjustment expense. Employs outside vendors when activities cannot be completed by a staff member and directs the activities of vendors to ensure only necessary work is completed
Comply with all conditions outlined in the Unfair Claim Practices Acts.
Perform other duties as assigned.

Requirements

Education: Bachelor's degree or commensurate experience in the insurance industry or customer service
Years/Type of Experience: A minimum of 2 years customer service or commensurate medical experience preferred.
Specific Skills: Must have excellent customer service skills; the ability to multitask, analyze coverages, liability and damages.
Other Required or Preferred Qualifications: Detail oriented with strong written and verbal communication skills. Must be able to work independently as well as possess strong interpersonal skills necessary to contribute as a team player.

Benefits

Comprehensive health benefits including medical, dental and vision coverage
Generous paid time off (PTO days, sick days, and holidays)
Flexible spending options with FSA & HSA plans
Life and AD&D insurance
401(k) with company match
Voluntary benefits such as legal services, pet insurance, and identity & fraud protection
24/7 Employee Assistance Program (EAP) for employees and their families
Health & wellness perks including gym discounts, wellness reimbursements, and reward programs
Fun, engaging in-office events that support our culture

Starting Salary: $58,240 - $76,960

Schedule: We offer flexible work hours between 8:00 AM and 5:00 PM, and employees can choose a schedule that works best for them—8:00 AM–4:00 PM, 8:30 AM–4:30 PM, or 9:00 AM–5:00 PM. While we aim to support individual preferences, final schedules may be adjusted based on business needs to ensure great coverage and teamwork.

We offer a hybrid work schedule: team members work onsite 4 days per week and have the flexibility to work remotely 1 day per week.

Location: Detroit, MI or Princeton, NJ

We recruit, hire, employ, train and promote, and compensate individuals based on job-related qualifications and abilities. We respect the dignity and worth of each individual and are committed to an employment environment that is free from all forms of employment discrimination.

CURE Auto Insurance provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, pregnancy, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Disclaimer: This job description reflects management's assignment of essential functions; it does not prescribe or restrict the tasks that may be assigned. This job description may be subject to change at any time.

Applicants must be authorized to work for ANY employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.

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Refine Your Search

claims representative jobs in holmdel nj

PIP Claims Representative

Insurance Authorization Coordinator

Account Manager - State Farm Agent Team Member

WC Claim Associate I LevelUP

Customer Service Representative

Precertification & Pre-Service Appeals Nurse

Patient Service Representative

Customer Service Representative - State Farm Agent Team Member

Authorization Representative

Customer Relations Representative - State Farm Agent Team Member

Customer Service Representative - IB

Patient Access Associate - Full Time

Quality Assurance Referral Coordinator

Customer Service Representative

Third Party Follow-up Representative

Claims Auditor

Sr Customer Service Representative - FT - Home Care

Entry Level Inside Sales Rep (remote work)

Accounts Receivable Representative

Patient Access Representative/ Medical Biller (Staten Island, NY)

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