Top 263 Claims representative Jobs in Lyndhurst 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
- Medical office experience
- Mid-level
- Microsoft Office
- Paid parental leave
- Disability insurance
Quick Apply
Personal Auto Property Damage Claims Rep (40357)
IOS Staffing Services —Parsippany-Troy Hills, NJ
- $40 an hour
- Full-time
- Hybrid work
- Background check
- Mid-level
- Communication skills
- Wellness program
- Paid parental leave
Quick Apply
12d
Claims Representative - Remote
The Cigna Group —New York, NY
- $17.75 - $26.00 an hour
- Online Application
- Remote
- Microsoft Outlook
- Research
- High school diploma or GED
- Paid holidays
- Health insurance
6d
Patient Account Representative
Med-Metrix —Parsippany-Troy Hills, NJ
- Full-time
- Remote
- Basic math
- HIPAA
- Mid-level
2d
Billing Representative
Reliable Respiratory —Hoboken, NJ
- $30 - $35 an hour
- Full-time
- 18 years or older
- Computer literacy
- Research
Quick Apply
AR Representative
Access Healthcare —Hackensack, NJ
- $20 - $23 an hour
- Basic math
- Research
- Office
- Health insurance
- Dental insurance
Quick Apply
4d
Auto Damage Claims Adjuster
Progressive —Rutherford, NJ
- $80,100 - $97,900 a year
- Inventory management
- Mid-level
- Office
- Health savings account
- Disability insurance
NJ Personal Lines Insurance Customer Service Rep
David M Hundertmark Agency Inc —Pompton Lakes, NJ
- $40,000 - $56,000 a year
- Full-time
- Microsoft Excel
- English
- Mid-level
Quick Apply
Insurance Account Representative
Paris V. Mastroddi, Inc —Yonkers, NY
- $47,000 - $57,000 a year
- Full-time
- Microsoft Outlook
- Office
- US work authorization
- Disability insurance
- Health insurance
Quick Apply
Authorization Representative (Specialty)
KabaFusion —Edison, NJ
- $22 - $28 an hour
- Full-time
- Microsoft Excel
- HIPAA
- Mid-level
- Paid holidays
- Disability insurance
Quick Apply
11d
Medical Billing Specialist
Affinity Med Solutions —Park Ridge, NJ
- $21 - $23 an hour
- Full-time
- Medical office experience
- Office
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
4d
Associate Specialist, Patient Access
Ensemble RCM LLC —Westwood, NJ
- $17.00 - $18.15 an hour
- Full-time
- Hospital
- Customer service
- High school diploma or GED
- Tuition reimbursement
Medical Billing Representative (3)
Manhattan Specialty Care —Manhattan, NY
- $19 - $23 an hour
- Full-time
- Private practice
- Medical office experience
- Data entry
Quick Apply
Revenue Cycle Supervisor
St. Vincent's Hospital Westchester —Harrison, NY
- $59,000 - $65,000 a year
- Full-time
- Research
- Mid-level
- Bachelor's degree
- Health insurance
- 401(k)
Quick Apply
Director of Billing
HEARTSHARE HUMAN SERVICES OF NEW YORK —Brooklyn, NY
- $110,000 - $130,000 a year
- Email
- 7 years
- Office
- Finance
- Health insurance
- Dental insurance
Quick Apply
Insurance Account Representative - State Farm Agent Team Member
Dominick Abramo - State Farm Agent —Bayonne, NJ
- $65,000 - $85,000 a year
- Full-time
- Computer literacy
- Office
- Computer skills
- Paid holidays
- Health insurance
Quick Apply
Licensed Insurance Sales Representative
StaffMyAgency LLC —Edison, NJ
- $35,000 - $65,000 a year
- Full-time
- Office
- Communication skills
- Entry level
- Profit sharing
- Paid time off
Quick Apply
11d
Bilingual Licensed Insurance Sales - Spanish
StaffMyAgency LLC —Bronx, NY
- $22 - $24 an hour
- Urgently hiring
- Spanish
- English
- Office
- Paid holidays
- Paid time off
Quick Apply
11d
Customer Service Representative (CSR)
Logystico —Newark, NJ
- $25.46 - $30.66 an hour
- Full-time
- Spanish
- English
- Mid-level
- Paid training
- Health insurance
Quick Apply
5d
General Liability Claim Representative
The Travelers Companies, Inc. —Morristown, NJ
- $67,000 - $110,600 a year
- Hybrid work
- Mid-level
- Bachelor's degree
- Children
- Wellness program
- Continuing education credits
11d

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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
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 lyndhurst nj

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

Personal Auto Property Damage Claims Rep (40357)

Claims Representative - Remote

Patient Account Representative

Billing Representative

AR Representative

Auto Damage Claims Adjuster

NJ Personal Lines Insurance Customer Service Rep

Insurance Account Representative

Authorization Representative (Specialty)

Medical Billing Specialist

Associate Specialist, Patient Access

Medical Billing Representative (3)

Revenue Cycle Supervisor

Director of Billing

Insurance Account Representative - State Farm Agent Team Member

Licensed Insurance Sales Representative

Bilingual Licensed Insurance Sales - Spanish

Customer Service Representative (CSR)

General Liability Claim Representative

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

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