Top 5002 Member services representative Jobs in Jersey City, 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
Certified Nursing Assistant
New Community Corporation —Newark, NJ
- $21.00 - $21.63 an hour
- Full-time
- Vital signs
- High school diploma or GED
- Organizational skills
- Paid holidays
- Health insurance
Quick Apply
Patient Access Rep I
Jersey City Medical Center —Jersey City, NJ
- $26.39 an hour
- Day shift
- Hospital
- High school diploma or GED
- Computer skills
12d
Airline Customer Service Representatives in Newark (EWR) Airport - $21.25/hr with $4.60 Health Variance
Hallmark Aviation Services —Newark, NJ
- $21.25 an hour
- Part-time
- 18 years or older
- Computer literacy
- High school diploma or GED
- Paid training
- Health insurance
Patient Services Rep
Barnabas Health Medical Group —Hoboken, NJ
- $21.07 - $26.22 an hour
- Weekends as needed
- Spanish
- Primary Care
- High school diploma or GED
- Paid parental leave
- Paid holidays
Patient Access Representative
Barnabas Health Medical Group —West Orange, NJ
- $21.07 - $26.22 an hour
- Full-time
- High school diploma or GED
- Computer skills
- Medical terminology
- Paid parental leave
- Paid holidays
Front-Line Service Representative NJ
City Fitness —Hoboken, NJ
- $18 - $21 an hour
- Part-time
- 18 years or older
- CPR Certification
- Inventory management
- Health insurance
- Dental insurance
Patient Access Representative
Childrens Specialized Hosp —Union, NJ
- $20.18 - $25.34 an hour
- Full-time
- Bilingual
- Computer literacy
- High school diploma or GED
- Paid parental leave
- Paid holidays
Patient Access Representative
RWJ Rahway —Rahway, NJ
- $24.10 an hour
- Day shift
- Hospital
- High school diploma or GED
- Typing
- Paid parental leave
- Paid holidays
Patient Access Representative
Cooperman Barnabas Medical Center —Livingston, NJ
- $26.39 an hour
- Day shift
- Hospital
- High school diploma or GED
- Typing
- Paid parental leave
- Paid holidays
Guest Services Representative
LIBERTY PARK RACEWAY LLC —Jersey City, NJ
- Weekends as needed
- High school diploma or GED
- Communication skills
- Entry level
- Flexible schedule
Quick Apply
Provider Services Representative
MJHS —New York, NY
- $40,000 - $43,000 a year
- Full-time
- Remote
- Mid-level
- 3 years
- High school diploma or GED
- Health insurance
- Dental insurance
Member Services Representative
N Y C District Council Carpenters Welfare Fund —New York, NY
- $65,000 a year
- Full-time
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Paid time off
Quick Apply
3d
Call Center Representative
NYCDCC —New York, NY
- $24.72 an hour
- Temporary
- Microsoft Excel
- Microsoft Outlook
- High school diploma or GED
Quick Apply
10d
Referral Coordinator
Concentra —Secaucus, NJ
- $23.17 - $27.88 an hour
- Full-time
- Microsoft Word
- Microsoft Outlook
- HIPAA
- Commuter assistance
- Disability insurance
8d
Customer Service Representative - Utility
Wesco —Bayonne, NJ
- $24.73 - $30.91 an hour
- Urgently hiring
- Computer literacy
- Writing skills
- Research
- Health insurance
- Dental insurance
IT Helpdesk Representative
DEPARTMENT OF PROBATION —New York, NY
- $44,545 - $74,134 a year
- Full-time
- Mid-level
- Office
- Windows
- Loan forgiveness
Assoc. II, Administrative Services
Merck —Rahway, NJ
- $68,000 - $107,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Inventory management
- Paid holidays
- Health insurance
2d
Patient Representative (Local NJ/NY or PA Applicants Only)
Barnabas Health Medical Group —West Orange, NJ
- $19.74 - $25.47 an hour
- Full-time
- Microsoft Excel
- Microsoft Access
- Computer literacy
- Disability insurance
- Health insurance
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

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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

member services representative jobs in jersey city, nj

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

Certified Nursing Assistant

Patient Access Rep I

Airline Customer Service Representatives in Newark (EWR) Airport - $21.25/hr with $4.60 Health Variance

Patient Services Rep

Patient Access Representative

Front-Line Service Representative NJ

Patient Access Representative

Patient Access Representative

Patient Access Representative

Guest Services Representative

Provider Services Representative

Member Services Representative

Call Center Representative

Referral Coordinator

Customer Service Representative - Utility

IT Helpdesk Representative

Assoc. II, Administrative Services

Patient Representative (Local NJ/NY or PA Applicants Only)

Member Services Representative

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